Cancer Therapy Effects on the Heart

  • STATUS
    Recruiting
  • End date
    Sep 30, 2029
  • participants needed
    60
  • sponsor
    University of California, San Diego
Updated on 19 February 2024
cancer
metastasis
MRI
heart failure
daunorubicin
cancer treatment
doxorubicin
anthracyclines
cardiotoxicity
electrocardiogram
cancer therapy
diagnostic tests
childhood cancer
anthracycline
pediatric cancer
pediatric

Summary

Anthracycline chemotherapies (e.g. doxorubicin, daunorubicin) is commonly given to treat pediatric cancer, and carries a risk of cardiotoxicity. Over the long term, children who receive these therapies have an increased risk of heart failure and early cardiovascular death. However, current strategies for identifying patients who are at risk prior to the development of significant changes in heart function are limited. This study will focus on imaging markers of cardiac injury and dysfunction with the goal of developing improved diagnostic tests and treatment strategies.

Description

Anthracycline chemotherapies (e.g. doxorubicin, daunorubicin) is commonly given to treat pediatric cancer, and carries a risk of cardiotoxicity. Over the long term, children who receive these therapies have an increased risk of heart failure and early cardiovascular death. However, current strategies for identifying patients who are at risk prior to the development of significant changes in heart function are limited. This study will focus on imaging markers of cardiac injury and dysfunction with the goal of developing improved diagnostic tests and treatment strategies.

Cardiac shape, function, and tissue characteristics will be examined using cardiac MRI data in combination with standard cardiac assessments (by echocardiography, electrocardiograms, and cardiac MRI) to assess the cardiotoxic effects of cancer therapy. Analyses will be performed in a cross-sectional cohort of adolescents and young adults with a history of childhood cancer.

Details
Condition Heart failure, Heart failure, Heart disease, Heart disease, Breast Cancer - HER2 Positive, Pediatric Cancer, Chronic Shoulder Pain
Age 13years - 25years
Treatment Electrocardiogram, Cardiac magnetic resonance imaging (MRI), Echocardiography
Clinical Study IdentifierNCT04262830
SponsorUniversity of California, San Diego
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

English and Spanish speaking male and female subjects, ages 14-25 years old
Previously treated for cancer, with diagnosis at least two years prior
Patients whose cancer has recurred, persisted, is still detectable, or have developed a secondary cancer will still be eligible

Exclusion Criteria

Patients who have a contraindication to contrast cardiac MRI, including the presence of non-MRI compatible metallic implants and severe renal dysfunction
Medical, psychiatric, and/or social disorder that would prevent successful completion of planned study testing or would preclude the subject from undergoing the cardiac MRI without anesthesia
Patients with a history of congenital heart disease (more significant than a history of patent foramen ovale or patent ductus arteriosus)
Patients with orthodontic braces or metallic implants in the thorax or abdomen/lumbar spine, even if MRI-compatible, will be excluded as these may cause artifacts and limit image quality
Females who are pregnant
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