A Study to Evaluate the Efficacy and Safety of Sotagliflozin in Symptomatic Obstructive and Non-obstructive Hypertrophic Cardiomyopathy

Running, not enrolling · Phase 3 · Has a placebo group

Conditions studied: Obstructive Cardiomyopathy, Hypertrophic, Non-obstructive Hypertrophic Cardiomyopathy

In brief

The main purpose of the study is to determine the changes in symptoms and functional limitations in participants with symptomatic hypertrophic cardiomyopathy (HCM) treated with sotagliflozin as compared to placebo.

Key facts

Study ID

NCT06481891

Run by

Lexicon Pharmaceuticals

People needed

500

Starts

2024-09-24

Expected to finish

2026-08-01

Last updated by the study team

2026-07-29

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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.

Where it is running

• Lexicon Investigational Site (4037) — Scottsdale, Arizona, United States
• Lexicon Investigational Site (4012) — Los Angeles, California, United States
• Lexicon Investigational Site (4035) — Pomona, California, United States
• Lexicon Investigational Site (4044) — San Francisco, California, United States
• Lexicon Investigational Site (4046) — Jacksonville, Florida, United States
• Lexicon Investigational Site (4034) — Orlando, Florida, United States
• Lexicon Investigational Site (4018) — Atlanta, Georgia, United States
• Lexicon Investigational Site (4033) — Evanston, Illinois, United States
• Lexicon Investigational Site (4036) — Merrillville, Indiana, United States
• Lexicon Investigational Site (4021) — Baltimore, Maryland, United States
• Lexicon Investigational Site (4016) — Boston, Massachusetts, United States
• Lexicon Investigational Site (4042) — Boston, Massachusetts, United States
• Lexicon Investigational Site (4028) — Ann Arbor, Michigan, United States
• Lexicon Investigational Site (4038) — Grand Rapids, Michigan, United States
• Lexicon Investigational Site (4027) — Rochester, Minnesota, United States
• Lexicon Investigational Site (4013) — St Louis, Missouri, United States
• Lexicon Investigational Site (4029) — Morristown, New Jersey, United States
• Lexicon Investigational Site (4039) — Manhasset, New York, United States
• Lexicon Investigational Site (4043) — New York, New York, United States
• Lexicon Investigational Site (4026) — Morrisville, North Carolina, United States
• Lexicon Investigational Site (4031) — Cincinnati, Ohio, United States
• Lexicon Investigational Site (4017) — Cleveland, Ohio, United States
• Lexicon Investigational Site (4024) — Tulsa, Oklahoma, United States
• Lexicon Investigational Site (4015) — Portland, Oregon, United States
• Lexicon Investigational Site (4041) — Phoenix, Arizona, United States

Full record on ClinicalTrials.gov

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