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Impact of Platinum-based Cancer Treatment on Endothelial Function

Completed
Conditions
Cardiovascular Complication
High Blood Pressure
Registration Number
NCT04681560
Lead Sponsor
I.M. Sechenov First Moscow State Medical University
Brief Summary

In this research we investigate endothelial function in cancer patients who received platinum based chemotherapy.

Detailed Description

The goal of the study is to evaluate endothelial function in patients with platinum-based versus non-platinum-based chemotherapy.

Endothelial function was evaluated via Angioscan( the apparatus that evaluate the stiffness of vessels by pulse wave velocity) and serum levels of endothelial nitric oxide synthase (ENOS),endothelin1.

Patients with gastrointestinal, ovarian, bladder and brest cancer would be included.

Patients with malignancies were followed-up from 2 weeks to 3 month after start of chemotherapy, Medical records and hospital databases were searched for all the patients treated with different chemotherapy treatment for any kind of cancer.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Subject has solid cancer
  • Subject is expected to start chemotherapy
Exclusion Criteria
  • Pregnancy and lactation
  • Severe impaired kidney function
  • Severe hepatic impairment
  • Mental disease
  • Acute myocardial infarction 28 days ago or earlier
  • Acute Cerebrovascular Event 1 month ago or earlier
  • Rhythm disturbance that complicate pulse wave velocity evaluation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Evaluation of blood pressureBefore start of chemotherapy (1 hour after including in the trial)

Both systolic and diastiolic blood pressure were measured in the office in the seated position, noninvasively.

Evaluation of flow-mediated vasodilation and pulse-wave velocityBefore start of chemotherapy (1 hour after including in the trial)

Flow-mediated dilatation and pulse-wave velocity were measured via "Angioscan" apparatus in the seated position.The cuff inflation period of 5 min was initially decided to produce adequate hyperaemia to allow flow-mediated dilatation. The scanning period used in our trial was 1 minite before and 9 minutes after the cuff deflation.

Evaluation of concetration of ENOS and Big Endothelin in blood samplingBefore start of chemotherapy (1 hour after including in the trial)

Blood was collected from the cubital vein to 10.0 ml/ 6.0 ml red top tubes (without clot activator). The sample was then separated by centrifugation. The serum was frozen to -20C.

Secondary Outcome Measures
NameTimeMethod
Evaluation of blood pressureIn range of 3 -12 weeks after start of chemotherapy (before next chepotherapy drug injection)

Both systolic and diastiolic blood pressure was measured in the office in the seated position, noninvasively.

Evaluation of concetration of ENOS and Big Endothelin of blood samplingIn range of 3 -12 weeks after start of chemotherapy (before next chepotherapy drug injection)

Blood was collected from the cubital vein to 10.0 ml/ 6.0 ml red top tubes (without clot activator). The sample was then separated by centrifugation. The serum was frozen to -20C.

Evaluation of flow-mediated vasodilation and pulse-wave velocityIn range of 3 -12 weeks after start of chemotherapy (before next chepotherapy drug injection)

Flow-mediated dilatation and pulse-wave velocity were measured via "Angioscan" apparatus in the seated position.The cuff inflation period of 5 min was initially decided to produce adequate hyperaemia to allow flow-mediated dilatation. The scanning period used in our trial was 1 minite before and 9 minutes after the cuff deflation.

Trial Locations

Locations (2)

Olga Andreeva

🇷🇺

Moscow, Russian Federation

First Moscow State Medical University.

🇷🇺

Moscow, Russian Federation

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