About this trial
The TaRGET study is a multi-centre, prospective, randomized, double-blind, placebo-controlled trial designed to evaluate the potential therapeutic efficacy of tideglusib, a glycogen synthase kinase-3 β inhibitor, in genotype positive arrhythmogenic cardiomyopathy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
A pathogenic or likely pathogenic desmosomal (PKP2, DSG2, DSC2, DSP, or JUP*) rare variant OR the TMEM43-p.S358L variant
Mean ≥ 500 PVCs per 24 hours on a baseline screening 7-day Holter monitor
Clinical ACM diagnosis or recognition of genetic carrier status for ≥ 6 months prior to screening
Disqualifiers
NYHA class IV heart failure
Ventricular scar secondary to coronary artery disease
Initiation, cessation, or dose change of a Class I or III anti-arrhythmic drug in the 3 months prior to screening
Any potentially harmful chronic liver disease
Trial design
Parallel
Treatments tested in this trial
Tideglusib
DrugTideglusib 1g po daily
Placebo
DrugMatching placebo 1g po daily
Treatment groups
Trial outcomes
Primary outcomes
PVC burden
Change in mean PVC count per 24 hours on 7-day Holter
Secondary outcomes
Ventricular strain
Change in ventricular strain on echocardiography
Implantable cardioverter-defibrillator (ICD) therapies
Number of ICD therapies (shock or anti-tachycardia pacing)
Sustained ventricular tachycardia (VT) events
Number of sustained VT events (defined as symptomatic or duration \> 30 seconds and \> 100bpm)
Sponsors and contacts
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Hamilton Health Sciences Corporation
Lead sponsor
Canadian Institutes of Health Research (CIHR)
Collaborator
Canadian SADS
Collaborator
AMO Pharma Limited
Collaborator
Hearts in Rhythm Organization (HiRO)
Collaborator
Population Health Research Institute
Collaborator