El objetivo principal del estudio es determinar los cambios en los síntomas y las limitaciones funcionales en participantes con miocardiopatía hipertrófica (MCH) sintomática tratados con sotagliflozina en comparación con placebo.

Elegibilidad

Edad mínima: 18 YearsSexo: ALL

Criterios de inclusión

KCCQ CSS \< 85.
NYHA functional class II or III
A diagnosis of HCM consistent with the current American College of Cardiology Foundation/American Heart Association and European Society of Cardiology guideline definition: unexplained left ventricular (LV) hypertrophy with nondilated ventricular chambers in the absence of other cardiac (eg, hypertension, aortic stenosis) or systemic disease with maximal LV wall thickness ≥ 15 millimeters (mm), or ≥ 13 mm with positive family history of HCM.
For obstructive hypertrophic cardiomyopathy (oHCM), left ventricular outflow tract (LVOT) peak gradient ≥ 30 millimetre of mercury (mm Hg) during screening as assessed by echocardiography at rest or during a valsalva maneuver.
For nonobstructive hypertrophic cardiomyopathy (nHCM), LVOT peak gradient \< 30 mm Hg during screening as assessed by echocardiography at rest and \< 30 mm Hg during a valsalva maneuver.
Screening left ventricular ejection fraction (LVEF) ≥ 50%, except for those on a cardiac myosin inhibitor (screening LVEF ≥ 55%).
For participants on a cardiac myosin inhibitor, the dose must be stable at least 3 months prior to screening. Participants on cardiac myosin inhibitor should not be scheduled for up-titration during the trial.
Stable doses of background therapy (ie, β-blockers, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers, diuretics) for at least 1 month prior to screening.

Criterios de exclusión

Received therapy with a sodium glucose co-transporter 2 (SGLT2) inhibitor within the past 8 weeks prior to screening.
Previous intolerance to an SGLT2 inhibitor.
Any previous treatment with sotagliflozin.
Current use of thiazolidinediones or digoxin.
Current/planned participation in another interventional clinical trial or prior participation in any interventional trial with an investigational agent within 45 days of screening.
Known infiltrative or storage disorder causing cardiac hypertrophy that mimics HCM such as Fabry disease, amyloidosis, or Noonan syndrome with LV hypertrophy.
History of unexplained syncope within 6 months prior to screening.
History of sustained ventricular tachyarrhythmia (\> 30 seconds) or appropriate implantable cardioverter defibrillator (ICD) discharge within 6 months prior to screening.
Has paroxysmal, persistent, or permanent atrial fibrillation not on anticoagulation for at least 4 weeks prior to screening and/or not adequately rate controlled within 3 months of screening.
Septal reduction therapy planned during the study period. For participants who had septal reduction therapy, the procedure should have been completed more than 3 months prior to screening.
Cardiac surgery (eg, coronary artery bypass graft, valvular repair/replacement), percutaneous coronary intervention, or implantation of cardiac device (pacemaker or implantable cardioverter defibrillator) within 3 months prior to screening or planned during the study period.
Presence of a cardiac resynchronization therapy device.
Acute coronary syndrome within 2 months prior to screening.
History of stroke or myocardial infarction within 6 months prior to screening.
Hospitalization for heart failure or arrhythmia within 4 weeks prior to screening.
Has known moderate or severe (as per investigator's judgment) aortic valve stenosis at screening.
Current angina or clinically significant ischemia due to unstable epicardial coronary disease, as per investigator judgment.

Ubicaciones

Lexicon Investigational Site (5016)

Santa Rosa, La Pampa Province, Argentina

RECRUITING

Lexicon Investigational Site (5012)

Rosario, Santa Fe Province, Argentina

RECRUITING

Lexicon Investigational Site (5015)

Corrientes, Argentina

RECRUITING

Lexicon Investigational Site (5010)

Córdoba, Argentina

RECRUITING

Lexicon Investigational Site (5013)

Córdoba, Argentina

RECRUITING

Lexicon Investigational Site (5011)

Salta, Argentina

RECRUITING

Lexicon Investigational Site (5014)

Santa Fe, Argentina

RECRUITING

Estudio de fase III, aleatorizado, doble ciego, controlado con placebo, de grupos paralelos y multicéntrico, para evaluar la eficacia y seguridad de sotagliflozina en la miocardiopatía hipertrófica obstructiva y no obstructiva sintomática (SONATA-HCM)

Resumen

Elegibilidad

Criterios de inclusión

Criterios de exclusión

Intervenciones

Sotagliflozin

Placebo

Ubicaciones

Lexicon Investigational Site (5016)

Lexicon Investigational Site (5012)

Lexicon Investigational Site (5015)

Lexicon Investigational Site (5010)

Lexicon Investigational Site (5013)

Lexicon Investigational Site (5011)

Lexicon Investigational Site (5014)

Patrocinadores

Contactos

Tracy Newbold