Sotagliflozin as Prevention of Anthracycline-Related Cardiotoxicity (SPARTACUS)
SPARTACUS Trial (Sotagliflozin as Prevention of Antracycline-Related Toxicity in Adipose, Cardiac and mUskuloSkeletal Tissues)
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Carlos G Santos-Gallego, MD
- Telefonnummer: 212-241-8484
- E-post: carlos.santos-gallego@mssm.edu
Studer Kontakt Backup
- Navn: Juan Antonio Requena-Ibanez
- Telefonnummer: 212-241-8484
- E-post: juanantonio.requenaibanez@mssm.edu
Studiesteder
-
-
New York
-
New York, New York, Forente stater, 10029
- Icahn School of Medicine at Mount Sinai
-
Hovedetterforsker:
- Carlos G Santos-Gallego
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria
- Patients ≥ 18 years
- Newly diagnosed lymphoma
- Scheduled to receive high-dose anthracycline (cumulative dose ≥ 300 mg/m2)
- Eastern Cooperative Oncology Group (ECOG) performance status 0-3
Exclusion Criteria
- Prior anthracycline treatment
- Previous malignancy requiring any chemotherapy or radiotherapy
- Previous treatment with SGLT2i (eg due to T2DM) or SGLT1/2i
- Previous heart failure (HF patients should already be on SGLT2i as per guidelines)
- LVEF<40% (even in the absence of HF):
- Pregnancy or breastfeeding
- Standard contraindication to MRI (claustrophobia, non-MRI compatible devices)
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Trippel
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Placebo komparator: Placebo
Matchende placebo
|
Placebo starting prior to the first scheduled anthracycline infusion
|
|
Aktiv komparator: Sotagliflozin
Sotagliflozin 400mg per day orally
|
Sotagliflozin 400mg starting prior to the first scheduled anthracycline infusion
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Left Ventricular Ejection Fraction (LVEF) by Cardiac MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LVEF is a measure of contractility of the heart (strength of contraction).
Normal values are between 55-65%.
It is the most widely used parameter by physicians worldwide to measure cardiac contractility.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Longitudinal Strain of Left Ventricle (LV)
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Longitudinal strain is the deformation of a material per unit length, defined as the ratio of change in length to the original length in the direction of an applied load.
It measures how much an object stretches (tensile) or compresses (compressive) along its axis Longitudinal strain is an echocardiographic technique that quantifies the percentage of systolic shortening of the heart muscle from base to apex.
It is a highly sensitive indicator of left ventricular function, detecting subclinical, early myocardial dysfunction (e.g., in cardio-oncology) often before the ejection fraction (LVEF) drops.
Normal GLS values are typically >18%.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LVEF by 3D-Echocardiography
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LVEF is a measure of contractility of the heart (strength of contraction).
Normal values are between 55-65%.
It is the most widely used parameter by physicians worldwide to measure cardiac contractility.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LV Volumes by MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LV volumes measure how enlarged the heart is.
Chemotherapy destroys cardiac muscle and enlarges the heart (ie.
increases LV volumes).
The higher the LV volumes, the more damage by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LV Mass by MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
LV mass measures the amount of cardiac muscle.
Chemotherapy destroys cardiac muscle.
The lower the LV mass, the more damage by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
LV Longitudinal Strains by MRI
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Longitudinal strain is the deformation of a material per unit length, defined as the ratio of change in length to the original length in the direction of an applied load.
It measures how much an object stretches (tensile) or compresses (compressive) along its axis Longitudinal strain is an echocardiographic technique that quantifies the percentage of systolic shortening of the heart muscle from base to apex.
It is a highly sensitive indicator of left ventricular function, detecting subclinical, early myocardial dysfunction (e.g., in cardio-oncology) often before the ejection fraction (LVEF) drops.
Normal GLS values are typically >18%.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
6-Minute Walk Test (6MWT)
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
The 6MWT assesses endurance and ability to walk over longer distances.
The 6MWT was first described as a field test for physical fitness in 1963 and then as a 12-minute walk test in people with chronic bronchitis.
The 6MWT was found to perform as well as the 12-minute walk, and is now used to assess the submaximal level of functional performance at a similar level required for daily physical activities.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
NT-ProBNP
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
NT-ProBNP is a plasma biomarker of cardiac stress, cardiac tension and severity of heart failure.
The higher the NT-ProBNP level, the more severe the heart failure induced by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
|
Troponin I
Tidsramme: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Troponin I is a plasma biomarker of cardiac injury and cardiac damage.
The higher the troponin levels, the more cardiac damage induced by chemotherapy.
|
Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Samarbeidspartnere
Samarbeidspartnere
Etterforskere
Etterforskere
- Hovedetterforsker: Carlos G Santos-Gallego, MD, Icahn School of Medicine at Mount Sinai
- Hovedetterforsker: Santos-Gallego, MD, Icahn School of Medicine at Mount Sinai
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Kardiovaskulære sykdommer
- Sår og skader
- Patologiske prosesser
- Neoplasmer
- Hjertesykdommer
- Sykdommer i immunsystemet
- Neoplasmer etter histologisk type
- Kjemisk-induserte lidelser
- Lymfesykdommer
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Legemiddelrelaterte bivirkninger og uønskede reaksjoner
- Strålingsskader
- Ventrikulær dysfunksjon
- Patologiske tilstander, tegn og symptomer
- Hemic og lymfatiske sykdommer
- Lymfom
- Ventrikulær dysfunksjon, venstre
- Kardiotoksisitet
- (2S,3R,4R,5S,6R)-2-(4-klor-3-(4-etoksybenzyl)fenyl)-6-(metyltio)tetrahydro-2H-pyran-3,4,5-triol
Andre studie-ID-numre
Andre studie-ID-numre
- GCO 25-0408
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
- ICF
Legemiddel- og utstyrsinformasjon, studiedokumenter
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