Canagliflozin Targeting Vascular Inflammation

What this study is about

CANTOR SING is a pilot single center double blinded randomized study. The investigators will compare the effect of canagliflozin (300 mg daily - intervention arm) vs. placebo (control group) on the FDG aortic uptake in patients with stable CAD (over 60 days post-myocardial infarction) after a 6-month period of treatment. The investigators plan to enroll 8 patients in each arm (total sample size: 16 patients). Primary endpoint is the change in FDG aortic uptake between baseline and 6 months in each arm.

Who can join (things the study team will check)

✅ You may be able to join if…

• Stable CAD (over 60 days post-myocardial infarction).
• Diabetes
• given informed consent.

🚫 You may not be able to join if…

• severe LV dysfunction (EF<50%);
• decompensated heart failure;
• active infection (e.g. pneumonia, active skin infections, and on antibiotics);
• active inflammatory conditions (e.g. rheumatoid arthritis, chronic inflammatory bowel disease, SLE, systemic anti-inflammatory therapy (e.g. prednisone, methotrexate));
• pregnancy (all women of child bearing potential will have a negative BHCG test;
• breastfeeding;
• Women of childbearing potential who refuse to use two forms of contraception (this includes at least one form of highly effective and one effective method of contraception) throughout the study OR men capable of fathering a child who refuse to use contraception.
• glomerular filtration rate (GFR) <50 ml/min/1.72m2;
• Use of p-glycoprotein inhibitor (e.g. cyclosporine, verapamil, or quinidine) or a strong CYP3A4 inhibitor (e.g. ritonavir, clarithromycin, or ketoconazole);
• Hemoglobin < 105(women) <110 (men) g/L; WBC < 3.0x 10(9)/L, platelet count< 110x 10(9)/L;
• Patient with a history of cirrhosis, chronic active hepatitis or severe hepatic disease or with alanine aminotransferase (ALT) levels greater than 3 times the upper limit of normal.
• unable to give informed consent;

Where this trial is running

• University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Who to contact

Kevin Boczar, MD · 613 696 7000 · kboczar@ottawaheart.ca

It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT05427084.