Sotagliflozin in Heart Failure With Preserved Ejection Fraction (HFpEF) Patients
NCT05562063 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 88
Last updated 2025-07-18
Summary
The clinical benefits of the dual Sodium-Glucose cotransporter (SGLT) 1 and 2-inhibition have recently been reported in two clinical trials. The SOLOIST reported the benefits of sotagliflozin in Type-2 Diabetes Mellitus (T2DM) patients hospitalized for worsening of Heart Failure (HF), while the SCORED involved T2DM patients with Chronic Kidney Disease (CKD). It is worth noting that not only did the event curves separate within the first week post-treatment, but the effects of sotagliflozin on HF-related outcomes were observed regardless of Left Ventricular Ejection Fraction (LVEF) values and did not seem to attenuate with increasing LVEF as seen with empagliflozin and sacubitril/valsartan. Despite the favorable outcomes, the mechanism(s) of action through which sotagliflozin exerts these benefits remains unclear.
The present study aims to investigate the potential (non-glucose dependent) "cardio-renal" pleiotropic effects of sotagliflozin in a mechanistic, randomized, double blind, placebo-control trial in HF patients with preserved ejection fraction (HFpEF). Comparisons between treatment groups will be made using cardiac MRI, CPET, 6-MWT and KCCQ-12.
Conditions
Interventions
- DRUG
-
Sotagliflozin
Daily administration of sotagliflozin (2x200 mg, PO, OD) for 6 months.
- DRUG
-
Matching placebo for 6 months.
Sponsors & Collaborators
-
Juan Badimon
lead OTHER
Principal Investigators
-
Juan J Badimon · Icahn School of Medicine at Mount Sinai
-
Carlos G Santos-Gallego, MD · Icahn School of Medicine at Mount Sinai
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-10-26
- Primary Completion
- 2025-06-04
- Completion
- 2025-06-04
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Empagliflozin in Heart Failure with Reduced Ejection Fraction and End Stage Renal Disease
NCT06249932 ·Status: RECRUITING ·Phase: PHASE4
-
Sodium-Glucose Cotransporter-2 Inhibitor for Patients With Acute Cardiorenal Syndrome
NCT07273838 ·Status: RECRUITING ·Phase: PHASE2
-
DApagliflozin Cardiovascular Effects on Patients at End-stage REnal Disease
NCT05685394 ·Status: RECRUITING ·Phase: PHASE4
-
A Study to Evaluate Safety and Effects of Sotagliflozin 400 and 200 mg on Glucose Control in Participants With Type 2 Diabetes, Severe Impairment of Kidney Function and Inadequate Blood Sugar Control
NCT03242018 ·Status: COMPLETED ·Phase: PHASE3
-
PK Study of Sotagliflozin in Subjects With Hepatic Impairment
NCT02471274 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacokinetics and Dialyzability of Dapagliflozin in Dialysis Patients
NCT05343078 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Evaluate Sotagliflozin in Subjects With Varying Degrees of Renal Function
NCT02647918 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of Dapagliflozin on Inflammatory Factorslevel and Prognosis in Type 2 Diabetes With Acute Myocardial Infarction
NCT05050500 ·Status: COMPLETED ·Phase: PHASE4
-
Canagliflozin and Myocardial Fibrosis
NCT05367063 ·Status: COMPLETED ·Phase: PHASE4
-
SGLT2 Inhibitors in Non-Diabetic CKD: Effects on Vascular Calcification and Anemia
NCT07344922 ·Status: COMPLETED ·Phase: PHASE3
-
The Efficacy and Safety of Dapagliflozin in Improving Heart Failure in Dialysis Patients
NCT06365541 ·Status: RECRUITING ·Phase: PHASE4
-
Studies of Empagliflozin and Its Cardiovascular, Renal and Metabolic Effects
NCT03485092 ·Status: COMPLETED ·Phase: PHASE4
-
Early Metabolic Adaptations to SGLT2 Inhibition in Heart Failure
NCT05885607 ·Status: ENROLLING_BY_INVITATION
-
SGLT2 Inhibitors in Adult Primary Nephrotic Syndrome
NCT07214818 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2/PHASE3
-
Dapagliflozin in Mangement of Pulmonary Hypertension Patients
NCT06612086 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Dapagliflozin Effect on Cardiovascular Outcomes in Haemodialysis for End Stage Renal Disease
NCT04764097 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
Empagliflozin in ESKD - A Feasibility Study
NCT05687058 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
The Safety of Dapagliflozin in Hemodialysis Patients With Heart Failure
NCT05141552 ·Status: UNKNOWN ·Phase: NA
-
SGLT2 Inhibition in Diabetes and Heart Failure
NCT02862067 ·Status: COMPLETED
-
SGLT2 Inhibitors and Treatment of Heart Failure in Severe Renal Insufficiency
NCT05737186 ·Status: TERMINATED ·Phase: PHASE4
-
Effects of SGLT2 Inhibition on the Mechanisms of Cardiac Damage in the Diabetic Patient With HFpEF
NCT04739215 ·Status: UNKNOWN ·Phase: PHASE4
-
Impact of Dapagliflozin in Anemic Chronic Kidney Disease Patients
NCT06897605 ·Status: RECRUITING ·Phase: PHASE2
-
Safety, Tolerability, and Feasibility of Empagliflozin Therapy in Dialysis-dependent ESKD
NCT05614115 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of SGLT2 Inhibitors in Pre-heart Failure Populations With Hypertension
NCT06055452 ·Status: RECRUITING ·Phase: PHASE4
-
Safety and Efficacy Study of Sotagliflozin on Glucose Control in Participants With Type 2 Diabetes, Moderate Impairment of Kidney Function, and Inadequate Blood Sugar Control
NCT03242252 ·Status: COMPLETED ·Phase: PHASE3