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Arrhythmogenic CardiomyopathyPhase 2TaRGETNCT06174220

Targeted Therapy With Glycogen Synthase Kinase-3 Inhibition for Arrhythmogenic Cardiomyopathy

A Phase 2 study testing Tideglusib in people with Arrhythmogenic Cardiomyopathy and Arrhythmogenic Right Ventricular Cardiomyopathy, run by Hamilton Health Sciences Corporation at 17 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Tideglusib
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
17 sitesCanada
Study dates
21 Mar 2025to 1 Jul 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A pathogenic or likely pathogenic desmosomal (PKP2, DSG2, DSC2, DSP, or JUP*) rare variant OR the TMEM43-p.S358L variant
  • JUP carriers must be homozygous or compound heterozygous
  • 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

Who cannot join

  • 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
  • ALT value > 2X the upper limit of the normal reference range at Screening
  • Total bilirubin value greater than the upper limit of the normal reference range at Screening, unless documented Gilbert's syndrome. For individuals with Gilbert's syndrome, total bilirubin value greater than 2-fold the upper limit of the normal reference range at Screening.
Show all 14Show fewer
  • A history of alcohol or illicit substance use disorders
  • Regular and long-term use of strong CYP3A4 inhibitors, including clarithromycin, telithromycin, ketoconazole, itraconazole, posaconazole, nefazodone, idinavir and ritonavir
  • Serum creatinine > 150 micromole/L or creatinine clearance ≤ 60 mL/min (according to Cockcroft-Gault formula) at Screening
  • Pregnant at time of enrollment and women of childbearing age who do not use a highly effective form of contraception
  • Males, engaged in sexual relations with a female of child-bearing potential, not using an acceptable contraceptive method if not surgically sterile
  • Patients unwilling to provide informed consent or comply with follow-up
  • Hypersensitivity to tideglusib or any components of its formulation, including allergy to strawberry
  • Concurrent use of drugs metabolized by CYP3A4 with a narrow therapeutic window e.g. warfarin and digoxin

Trial locations and contacts

17 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Maha Mushtaha contact

maha.mushtaha@phri.ca

17 sites in 1 country

Canada17 sites, 17 recruiting
  • University of Calgary

    Calgary, Alberta, T2N 2T9

    Erkan Ilhan, 403-210-6047, erkan.ilhan@ucalgary.ca

    Erkan Ilhan, MD

    Recruiting
  • Nova Scotia Health

    Halifax, Nova Scotia, B3H 2Y9

    Victoria Newman, 902-473-5341, victoria.newman@nshealth.ca

    David Lee, MD

    Recruiting
  • Hamilton General Hospital

    Hamilton, Ontario, L8L 2X2

    Jeff Healey, 905-527-0271 ext. 40312, jeff.healey@phri.ca

    Jeff S Healey, MD

    Recruiting
  • Kingston General Hospital

    Kingston, Ontario, K7L 2V7

    Chris Simpson, MD

    Amar Thakrar, MD

    Not yet recruiting
  • London Health Sciences Centre

    London, Ontario, N6A 5A5

    Sara El-Richani, 519-685-8500 ext. 36808, lhrp.research@lhsc.on.ca

    Habib R Khan, MD

    Recruiting
  • Montreal Heart Institute

    Montreal, Quebec, H1T 1C8

    Jeremie Cortial, 514-376-3330 ext. 2293, jeremie.cortial@icm-mhi.org

    Julia Cadrin-Tourigny, MD PhD

    Recruiting
  • McGill University Health Centre

    Montreal, Quebec, H4A 3J1

    Jacqueline Joza, MD

    Michael Chetrit, MD

    Not yet recruiting
  • Hopital du Sacré-Coeur de Montréal

    Montreal, Quebec, H4J 1C5

    Leila Laroussi, MD

    Alexios Hadjis, MD

    Not yet recruiting
  • Newmarket Electrophysiologist Research Group 'NERG'

    Newmarket, Ontario, L3Y 2P9

    Mouhannad Sadek, MD

    Molly Thangaroopan, MD

    Not yet recruiting
  • University of Ottawa Heart Institute

    Ottawa, Ontario, K1Y 4W7

    Simon Hansom, MD

    Martin Green, MD

    Not yet recruiting
  • University Institute of Cardiology and Pneumology of Quebec

    Québec, Quebec, G1V 4G5

    Dr. Christian Steinberg, 418-656-8711, christian.steinberg@criucpq.ulaval.ca

    Christian Steinberg, MD

    Recruiting
  • Heart Health Institute Research Inc

    Scarborough Village, Ontario, M1E 4B9

    Emily Magimaidoss, 416-281-9499 ext. 3015, emagimaidoss@hearthealthinstitute.net

    Bhavanesh Makanjee, MD

    Recruiting
  • NL Health Services

    St. John's, Newfoundland and Labrador, A1B 3V6

    Stephen Duffett, 709-752-4636, stephen.duffett@easternhealth.ca

    Stephen Duffett, MD

    Recruiting
  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

    Christopher Cheung, MD

    Idan Roifman, MD

    Not yet recruiting
  • St. Michael's Hospital

    Toronto, Ontario, M5B 1W8

    Paul Angaran, MD

    Geraldine Ong, MD

    Not yet recruiting
  • University of British Columbia

    Vancouver, British Columbia, V6Z 1Y6

    Thomas Roston, 604-682-2344 ext. 66863, rostonm@alumni.ubc.ca

    Thomas M Roston, MD PhD

    Recruiting
  • Victoria Cardiac Arrhythmia Trials Inc.

    Victoria, British Columbia, V8Z 0B9

    May Woodburn, 250-595-0400, mwoodburn@catrials.org

    Martin van Zyl, MD

    Recruiting

Other trials in Canada

About this study

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.

Read the detailed description

Arrhythmogenic cardiomyopathy (ACM) is a heritable form of structural heart disease characterized by myocardial fibrosis that confers vulnerability to malignant ventricular arrhythmias and sudden cardiac death (SCD). A subgroup of cases preferentially involves the right ventricle and is termed arrhythmogenic right ventricular cardiomyopathy (ARVC). Although an increasingly diverse set of genes have been implicated in ACM, its most prominent genetic culprits are constituents of the desmosome, a specialized cellular structure within the intercalated disc that mediates intercellular adhesion. An additional ACM genetic subtype develops secondary to the TMEM43-p.S358L variant and is associated with an aggressive clinical phenotype, particularly among males.

Despite dramatic progress in unravelling the genetic underpinnings of ACM, insight into its pathophysiology remains modest. A lack of understanding of its operative biological pathways has rendered development of tailored treatments challenging, leading to approaches to medical therapy being largely adopted from those utilized for more common forms of cardiomyopathy. An implantable cardioverter defibrillator (ICD) is recommended for prevention of SCD for all ACM patients considered high risk for malignant ventricular arrhythmias, however does not address its underlying pathophysiology. Subsequent prevention of painful ICD shocks for ventricular tachycardia often requires interventions that may carry modest efficacy and significant risks for adverse events, including anti-arrhythmic drugs and invasive combined endo- and epicardial catheter ablation procedures.

In 2014, a high-throughput screen of a library of bioactive compounds against a zebrafish model of ACM identified a small molecule classified as a glycogen synthase kinase-3 (GSK3) inhibitor that successfully prevented and rescued the phenotype, findings that have subsequently been reproduced in a series of ACM murine models. GSK3 is an enzyme that modulates the activity of a broad spectrum of intracellular signaling pathways, including the canonical Wnt/β-catenin pathway, whose suppression has been suggested to exert an important role in ACM pathogenesis.

Tideglusib is an oral GSK3β inhibitor with an established safety profile in humans. Driven by promising findings observed for tideglusib in ACM mouse models, we now seek to evaluate its potential efficacy in a randomized clinical trial involving genotype positive ACM patients.

Being tested
Tideglusib, Placebo
Keywords
sudden cardiac death, ventricular cardiomyopathy, genetics, arrhythmia
Medical subject headings
Arrhythmogenic Right Ventricular Dysplasia, Death, Sudden, Cardiac, Arrhythmias, Cardiac

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TideglusibDrug

    Tideglusib 1g po daily

  • PlaceboDrug

    Matching placebo 1g po daily

Study groups in NCT06174220
Study groupRoleWhat they receive
TideglusibActive comparatorRandomization to Tideglusib 1g po daily or matching placebo
Receives: Drug: Tideglusib
PlaceboPlacebo comparatorRandomization to matching placebo 1g po daily
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. PVC burden

    Change in mean PVC count per 24 hours on 7-day Holter

    Measured: Baseline and 6 months

Secondary outcomes (3)
  1. Ventricular strain

    Change in ventricular strain on echocardiography

    Measured: Baseline and 6 months

  2. Implantable cardioverter-defibrillator (ICD) therapies

    Number of ICD therapies (shock or anti-tachycardia pacing)

    Measured: Baseline and 6 months

  3. Sustained ventricular tachycardia (VT) events

    Number of sustained VT events (defined as symptomatic or duration > 30 seconds and > 100bpm)

    Measured: Baseline and 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Dec 2023
  2. Study start21 Mar 2025
  3. Primary completion1 Feb 2027 (estimated)
  4. Study completion1 Jul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients will be randomized in a 1:1 ratio using an automated central, web-based system within 30 days of completing their baseline Holter. Randomization will be stratified by TMEM43-p.S358L variant status.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06174220
Sponsor's protocol ID
PHRI.TaRGET
Acronym
TaRGET
Status last verified
Apr 2025
First submitted
1 Dec 2023
Last updated
12 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Krahn AD, Wilde AAM, Calkins H, La Gerche A, Cadrin-Tourigny J, Roberts JD, Han HC. Arrhythmogenic Right Ventricular Cardiomyopathy. JACC Clin Electrophysiol. 2022 Apr;8(4):533-553. doi: 10.1016/j.jacep.2021.12.002.

    PubMed 35450611
  • Asimaki A, Kapoor S, Plovie E, Karin Arndt A, Adams E, Liu Z, James CA, Judge DP, Calkins H, Churko J, Wu JC, MacRae CA, Kleber AG, Saffitz JE. Identification of a new modulator of the intercalated disc in a zebrafish model of arrhythmogenic cardiomyopathy. Sci Transl Med. 2014 Jun 11;6(240):240ra74. doi: 10.1126/scitranslmed.3008008.

    PubMed 24920660
  • Chelko SP, Asimaki A, Andersen P, Bedja D, Amat-Alarcon N, DeMazumder D, Jasti R, MacRae CA, Leber R, Kleber AG, Saffitz JE, Judge DP. Central role for GSK3beta in the pathogenesis of arrhythmogenic cardiomyopathy. JCI Insight. 2016 Apr 21;1(5):e85923. doi: 10.1172/jci.insight.85923.

    PubMed 27170944
  • Roberts JD, Murphy NP, Hamilton RM, Lubbers ER, James CA, Kline CF, Gollob MH, Krahn AD, Sturm AC, Musa H, El-Refaey M, Koenig S, Aneq MA, Hoorntje ET, Graw SL, Davies RW, Rafiq MA, Koopmann TT, Aafaqi S, Fatah M, Chiasson DA, Taylor MR, Simmons SL, Han M, van Opbergen CJ, Wold LE, Sinagra G, Mittal K, Tichnell C, Murray B, Codima A, Nazer B, Nguyen DT, Marcus FI, Sobriera N, Lodder EM, van den Berg MP, Spears DA, Robinson JF, Ursell PC, Green AK, Skanes AC, Tang AS, Gardner MJ, Hegele RA, van Veen TA, Wilde AA, Healey JS, Janssen PM, Mestroni L, van Tintelen JP, Calkins H, Judge DP, Hund TJ, Scheinman MM, Mohler PJ. Ankyrin-B dysfunction predisposes to arrhythmogenic cardiomyopathy and is amenable to therapy. J Clin Invest. 2019 Jul 2;129(8):3171-3184. doi: 10.1172/JCI125538. eCollection 2019 Jul 2.

    PubMed 31264976
  • Padron-Barthe L, Villalba-Orero M, Gomez-Salinero JM, Dominguez F, Roman M, Larrasa-Alonso J, Ortiz-Sanchez P, Martinez F, Lopez-Olaneta M, Bonzon-Kulichenko E, Vazquez J, Marti-Gomez C, Santiago DJ, Prados B, Giovinazzo G, Gomez-Gaviro MV, Priori S, Garcia-Pavia P, Lara-Pezzi E. Severe Cardiac Dysfunction and Death Caused by Arrhythmogenic Right Ventricular Cardiomyopathy Type 5 Are Improved by Inhibition of Glycogen Synthase Kinase-3beta. Circulation. 2019 Oct;140(14):1188-1204. doi: 10.1161/CIRCULATIONAHA.119.040366. Epub 2019 Sep 5.

    PubMed 31567019

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tideglusib in people with Arrhythmogenic Cardiomyopathy and Arrhythmogenic Right Ventricular Cardiomyopathy, run by Hamilton Health Sciences Corporation at 17 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 12 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jason Roberts, MD MAS (905-521-2100 ext. 40354, jason.roberts@phri.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

PVC burden (time frame: Baseline and 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06174220, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2026.

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