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Sotagliflozin as Prevention of Anthracycline-Related Cardiotoxicity (SPARTACUS)

30 april 2026 uppdaterad av: Carlos Santos-Gallego, Icahn School of Medicine at Mount Sinai

SPARTACUS Trial (Sotagliflozin as Prevention of Antracycline-Related Toxicity in Adipose, Cardiac and mUskuloSkeletal Tissues)

This project aims to determine the benefits of the dual SGLT1/2 inhibition as prophylactic treatment to prevent anthracycline-related cardiotoxicity.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

60

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

  • Förenta staterna
    • New York
      • New York, New York, Förenta staterna, 10029
        • Icahn School of Medicine at Mount Sinai
        • Huvudutredare:
          • Carlos G Santos-Gallego

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Placebo-jämförare: Placebo
Matchande placebo
Läkemedel: Placebo
Placebo starting prior to the first scheduled anthracycline infusion
Aktiv komparator: Sotagliflozin
Sotagliflozin 400mg per day orally
Läkemedel: Sotagliflozin
Sotagliflozin 400mg starting prior to the first scheduled anthracycline infusion

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Left Ventricular Ejection Fraction (LVEF) by Cardiac MRI
Tidsram: 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.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Longitudinal Strain of Left Ventricle (LV)
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Icahn School of Medicine at Mount Sinai

Samarbetspartners

American Heart Association

Utredare

  • Huvudutredare: Carlos G Santos-Gallego, MD, Icahn School of Medicine at Mount Sinai
  • Huvudutredare: Santos-Gallego, MD, Icahn School of Medicine at Mount Sinai

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 juli 2026

Primärt slutförande (Beräknad)

1 juni 2029

Avslutad studie (Beräknad)

1 oktober 2029

Studieregistreringsdatum

Först inskickad

30 april 2026

Först inskickad som uppfyllde QC-kriterierna

30 april 2026

Första postat (Faktisk)

7 maj 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

7 maj 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 april 2026

Senast verifierad

1 april 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • GCO 25-0408

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).

Tidsram för IPD-delning

Beginning 9 months and ending 36 months following article publication.

Kriterier för IPD Sharing Access

Researchers who provide a methodologically sound proposal. For individual participant data meta-analysis. Proposals may be submitted up to 36 months following article publication. After 36 months the data will be available in our University's data warehouse but without investigator support other than deposited metadata. Information regarding submitting proposals and accessing data may be found at (Link tbd).

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • ICF

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

produkt tillverkad i och exporterad från U.S.A.

Nej

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