EUCTR2006-001707-11-NL
Active, not recruiting
Not Applicable
Prospective, randomized, pharmacological intervention study; evaluating the effect of the angiotensin II-receptor (AT1) blocker candesartan versus placebo in prevention of trastuzumab-associated cardiotoxicity in patients with primary breast cancer treated with trastuzumab - M06HER
KI-Av0 sitesOctober 26, 2007
DrugsAtacand
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- WHO: 0-2 Serum creatinine <140 umol/l Thyroid stimulating hormone between 0.5-3.9 MU/l. Blood pressure systolic = 140 mmHg diastolic = 90 mmHg is acceptable at randomization. LVEF ? 50% assessed by multigated angiography (MUGA) or cardiac ultrasound
- Sponsor
- KI-Av
- Status
- Active, not recruiting
- Last Updated
- 12 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Women aged \=18 years
- •2\.WHO: 0\-2
- •3\.Strongly HER2\-positive breast cancer, defined as an immunohistochemistry score of 3\+ using the HercepTestTM or gene amplification by fluorescence in situ hybridization, or chromogenic in situ hybridization (CISH)
- •4\.Serum creatinine \<140 umol/l or creatinine clearance \> 50 ml/min (by Cockcroft\-Gault formula)
- •5\.Thyroid stimulating hormone between 0\.5\-3\.9 MU/l
- •6\.Blood pressure systolic \= 140 mmHg diastolic \= 90 mmHg is acceptable at randomization. However prior to the first administration of trastuzumab blood pressure should be regulated and should be systolic \= 100 mmHg and \= 180 mmHg and diastolic \= 60 mmHg and \= 100 mmHg (blood pressure should be regulated according to the guidelines of appendix 5\).
- •7\.LVEF ? 50% assessed by multigated angiography (MUGA) or cardiac ultrasound.
- •8\.(Neo\-) adjuvant regimen: trastuzumab start \= 3 weeks after day 1 of the last anthracycline chemotherapy cycle
- •9\.Trastuzumab treatment according standard medical care
- •10\.Written informed consent to participate in the study
Exclusion Criteria
- •1\.Prior anthracycline chemotherapy regimen or anti\-HER2 therapy, or other prior biologic or immunotherapy for breast cancer treatment or any malignancy
- •2\.Previous malignancy requiring chemotherapy or radiotherapy
- •3\.Uncontrolled serious concurrent illness
- •4\.Patients with New York Heart Association (NYHA) class III/IV congestive heart failure
- •5\.Myocardial infarction \< 6 months before randomization
- •6\.Treatment with ACE inhibitors, ATII blockers, or lithium. Patients treated with ACE inhibitors or ATII blockers can switch (after randomization and during the chemotherapy period) to alternative antihypertensive therapy; see appendix 5\.
- •7\.History of hypersensitivity to the study medication
- •8\.Pregnancy or breast feeding
Outcomes
Primary Outcomes
Not specified
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