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临床试验/NCT07137793
NCT07137793招募中2 期

Clinical Study to Evaluate The Cardioprotective Effect of Pentoxifylline Against Doxorubicin Induced Cardiotoxicity in Breast Cancer Patients

Tanta University1 个研究点 分布在 1 个国家目标入组 46 人开始时间: 2025年5月25日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
招募中
入组人数
46
试验地点
1
主要终点
change in ejection fraction

研究概览

简要总结

The goal of this clinical trial is to evaluate the cardioprotective effect of pentoxifylline against doxorubicin-induced cardiotoxicity in breast cancer patients. The main questions it aims to answer are:

  1. What is the change in ejection fraction (primary outcome) in breast cancer patients receiving pentoxifylline compared to those who do not?
  2. What are the changes in serum levels of N-terminal pro-B-type natriuretic peptide (NT-pro-BNP), and TNF-α (secondary outcomes) in breast cancer patients receiving pentoxifylline compared to those who do not? Researcher will compare breast cancer patients receiving standard chemotherapy alone (Group one: Positive control group; n=23) to breast cancer patients receiving standard chemotherapy plus pentoxifylline (Group two: pentoxifylline group; n=23) to see if pentoxifylline mitigates the cardiac side effects associated with doxorubicin treatment.

Participants will:

Be randomized to receive either a chemotherapeutic regimen alone or with pentoxifylline.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Double (Participant, Care Provider)

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Age ≥18 years old.
  • Chemo-naïve patients with biopsy confirmed diagnosis of breast cancer and with stage I-III breast cancer according to the American Joint Committee on Cancer (TNM staging system of breast cancer).
  • Patients intended to receive at least 4 cycles of doxorubicin or more.
  • Patients with performance status <2 according to Eastern Cooperative Oncology Group (ECOG) score.
  • Echocardiographic LVEF ≥55%.
  • Adequate baseline hematologic values (absolute neutrophilic count ≥ 1.5 ×109/L, platelet count ≥ 90 × 109/L and hemoglobin level ≥ 10 g/dl).
  • Patients with adequate liver function and adequate renal function.
  • Signed informed consent to participate in the study.

排除标准

  • Age <18 years old and >65 years old.
  • Women with history of breast cancer.
  • Formerly treated with DOX.
  • Patients with a known hypersensitivity to any of the used drugs.
  • Treatment with blood thinners for 6 months prior to the screening.
  • Treatment with NSAIDS like ketorolac,ibuprofen.
  • Patients taking any other cardioprotective medications.
  • Pregnancy and breast feeding.
  • Alcohol abuse.
  • Creatine Clearance < 50 mL/min.
  • History of heart failure or LVEF <50%.
  • Presence of any cardiac-related conditions such as angina pectoris, valvular disease, uncontrolled systemic hypertension, coronary heart disease, and cardiac surgery within the last 3 months.

研究组 & 干预措施

Pentoxifylline 400mg plus chemotherapy

Active Comparator

干预措施: Pentoxifylline 400mg plus chemotherapy (Drug)

结局指标

主要结局

change in ejection fraction

时间窗: 3 MONTHS

次要结局

  • changes in serum levels of the measured biological markers(3 MONTHS)

研究者

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

Sondos Mahmoud Elfeky

bachelor

Tanta University

研究点 (1)

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