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临床试验/NCT03553654
NCT03553654已完成不适用

Low-dose CT-based Method for Detection of Subclinical Anthracycline-induced Cardiotoxicity

University of California, San Diego2 个研究点 分布在 1 个国家目标入组 19 人开始时间: 2018年1月9日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
19
试验地点
2
主要终点
cardiomyopathy

研究概览

简要总结

Prospective single arm study to evaluate a low-dose CT-based protocol for early detection of myocardial dysfunction in 50 cancer patients undergoing anthracycline-based chemotherapy.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Ability to understand and the willingness to sign a written informed consent.
  • 18-75 year old patients with newly-diagnosed cancer scheduled to undergo anthracycline-based chemotherapy (minimum of 200 mg/m2 of doxorubicin or equivalent) at UCSD Medical Center.
  • Women of child-bearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
  • A woman of child-bearing potential is any female (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:
  • Has not undergone a hysterectomy or bilateral oophorectomy; or
  • Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months)
  • Women of child-bearing potential must have a negative pregnancy test during the screening period.

排除标准

  • Prior chemotherapy with anthracycline;
  • Persistent tachycardia (heart rate>90);
  • LVEF<53% or history of cardiomyopathy or decompensated heart failure;
  • Baseline GLS below lower limit of normal (normal range varies depending on age and gender (23)) or inability to obtain meaningful strain data due to poor quality of Echocardiographic images;
  • Known unrevascularized coronary artery disease, myocardial infarction within 30 days of enrollment;
  • Moderate or severe valvular heart disease;
  • Prior allergy or intolerance to iodinated contrast;
  • Renal failure (GFR<30, creatinine >1.5);
  • Cancer involvement of the heart.

结局指标

主要结局

cardiomyopathy

时间窗: 12 months after completion of chemotherapy

Cardiomyopathy is defined as a decrease in the left ventricular ejection fraction by echocardiography of greater than 10 percentage points, to a value \< 53% (normal reference value for 2D echocardiography).

次要结局

  • Change in echocardiographic left ventricular ejection fraction(12 months after completion of chemotherapy)
  • Change in left ventricular global longitudinal strain based on echocardiography(12 months after completion of chemotherapy)
  • Change in CT-based left ventricular strain parameters(12 months after completion of chemotherapy)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Anna Narezkina

Assistant Professor

University of California, San Diego

研究点 (2)

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