New Study Reveals Sotagliflozin's Unique Cardiovascular Benefits

Sat 15th Feb, 2025

Recent research has highlighted the potential of sotagliflozin, a newly approved medication for type 2 diabetes and chronic kidney disease, in significantly lowering the risks of heart attacks and strokes. This groundbreaking study, spearheaded by a researcher from Mount Sinai, showcases sotagliflozin as the first drug in its class to exhibit such notable cardiovascular advantages.

Sotagliflozin functions as a sodium-glucose cotransporter (SGLT) inhibitor, targeting two specific proteins, SGLT1 and SGLT2, that are crucial for glucose and sodium transport across cell membranes. Unlike other SGLT2 inhibitors, sotagliflozin effectively inhibits SGLT1, which is believed to play a role in its unique cardiovascular effects.

The findings were published in the esteemed journal The Lancet Diabetes & Endocrinology. This research indicates that sotagliflozin could pave the way for broader applications in reducing the risk of life-threatening cardiovascular incidents on a global scale.

Deepak L. Bhatt, who leads the study and serves as the Director of Mount Sinai Fuster Heart Hospital, remarks on the innovative action mechanism of sotagliflozin. He notes that the combined blockade of SGLT1 and SGLT2 may contribute to its ability to mitigate risks associated with heart attacks and strokes. This represents a significant advancement compared to other widely used SGLT2 inhibitors, which do not exhibit the same dual action.

The clinical trial, referred to as SCORED, involved a diverse group of 10,584 participants suffering from chronic kidney disease and type 2 diabetes, alongside various cardiovascular risk factors. Participants were randomly divided to receive either sotagliflozin or a placebo, with their health monitored over an average of 16 months.

Results revealed that those treated with sotagliflozin experienced a 23% reduction in the occurrence of heart attacks, strokes, and related cardiovascular deaths compared to the placebo group. These findings underscore the potential of sotagliflozin as a key intervention in managing global cardiovascular risks, particularly for patients facing heart failure, diabetes, and chronic kidney disease.

Dr. Bhatt emphasizes the importance of these findings, stating that they offer healthcare professionals a new strategy to combat cardiovascular complications. Sotagliflozin was initially approved to lower the risk of cardiovascular-related deaths, hospitalizations due to heart failure, and emergency visits for heart failure in patients with existing conditions. The new data indicating its ability to further decrease heart attack and stroke risks could lead to increased usage and integration into treatment plans.

In conclusion, the research surrounding sotagliflozin marks a significant step forward in cardiovascular medicine, providing hope for enhanced patient outcomes through innovative pharmacological approaches.


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