ClinicalTrials.gg
Not yet recruitingNCT07572175SPARTACUSUpdated May 7, 2026

Sotagliflozin as Prevention of Anthracycline-Related Cardiotoxicity

A Phase 2 interventional study of Sotagliflozin and Placebo in Anthracycline-induced Cardiotoxicity, Lymphoma and Chemotherapy, sponsored by Icahn School of Medicine at Mount Sinai. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-07.

Sponsored by Icahn School of Medicine at Mount Sinai · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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

02

Conditions studied

  • Anthracycline-induced Cardiotoxicity
  • Lymphoma
  • Chemotherapy
  • Cardiotoxicity

Keywords

  • anthracycline
  • left ventricular dysfunction
  • cardiotoxicity
  • SGLT inhibitors
  • prevention
03

In context

Lymphoma

3,018 studies on the registry are indexed under Lymphoma; 434 are open to participants now.

This study's planned enrollment of 60 is above the median of 43 across 2,319 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 776 studies on the registry; 176 are open to participants now.

Of its 125 completed or terminated interventional studies of FDA-regulated products, 83 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients ≥ 18 years
  • Newly diagnosed lymphoma
  • Scheduled to receive high-dose anthracycline (cumulative dose ≥ 300 mg/m2)
  • (ECOG) performance status 0-3

Exclusion criteria

Exclusion Criteria

  • Prior anthracycline treatment
  • Previous 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)
  • \<40% (even in the absence of HF):
  • Pregnancy or breastfeeding
  • Standard to MRI (claustrophobia, non-MRI compatible devices)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Sotagliflozin

    Sotagliflozin 400mg per day orally

    Drug: Sotagliflozin

  • Placebo comparator
    Placebo

    Matching Placebo

    Drug: Placebo

Interventions

  • Sotagliflozin 400mg starting prior to the first scheduled anthracycline infusion

  • DrugPlacebo

    Placebo starting prior to the first scheduled anthracycline infusion

06

What researchers measure

Primary outcomes

  1. Left Ventricular Ejection Fraction (LVEF) by Cardiac MRI

    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.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

Secondary outcomes

  1. Longitudinal Strain of Left Ventricle (LV)

    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%.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  2. LVEF by 3D-Echocardiography

    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.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  3. LV Volumes by MRI

    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.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  4. LV Mass by MRI

    LV mass measures the amount of cardiac muscle. Chemotherapy destroys cardiac muscle. The lower the LV mass, the more damage by chemotherapy.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  5. LV Longitudinal Strains by MRI

    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%.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  6. 6-Minute Walk Test (6MWT)

    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.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  7. NT-ProBNP

    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.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

  8. Troponin I

    Troponin I is a plasma biomarker of cardiac injury and cardiac damage. The higher the troponin levels, the more cardiac damage induced by chemotherapy.

    Time frame: Baseline and end of study, one month after completion of anthracycline treatment, up to 9-10 months.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Beginning 9 months and ending 36 months following article publication.

Access criteria: 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).

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jul 2026; primary completion for Jun 2029, 35 months later.

Of 237 non-industry phase 2 interventional studies under Lymphoma, half reached primary completion within 67 months of starting (the median), counting those still running; a quarter within 42 and three quarters within 114. This study's planned 35 months is below that.

Counting every sponsor, half of 293 studies reached it within 61 months; a quarter within 36 and three quarters within 105.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 30, 2026
First posted
May 7, 2026
StartEst.
Jul 2026
Primary completionEst.
Jun 2029
CompletionEst.
Oct 2029
Last update
May 7, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07572175
Collaborators
American Heart Association
Responsible party
Carlos Santos-Gallego (Cardiologist, Assistant Professor of Cardiology, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
May 7, 2026
Start date
Jul 2026 (estimated)
Primary completion
Jun 2029 (estimated)
Completion
Oct 2029 (estimated)
Last update
May 7, 2026

Study contacts

Carlos G Santos-Gallego, MD
Contact
carlos.santos-gallego@mssm.edu
212-241-8484
Juan Antonio Requena-Ibanez
Contact
juanantonio.requenaibanez@mssm.edu
212-241-8484
Carlos G Santos-Gallego, MD
principal investigator · Icahn School of Medicine at Mount Sinai
Santos-Gallego, MD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Sotagliflozin

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