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Trial registered on ANZCTR
Registration number
ACTRN12611000153910
Ethics application status
Approved
Date submitted
3/02/2011
Date registered
9/02/2011
Date last updated
23/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Early Cardiac Changes During Chemotherapy in Breast Cancer
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Scientific title
Early Cardiac Changes During Anthracycline and/or Trastuzumab Therapy in Breast Cancer
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Secondary ID [1]
253546
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None
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Universal Trial Number (UTN)
U1111-1119-2755
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chemotherapy induced Cardiomyopathy
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Breast Cancer
261126
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Condition category
Condition code
Cardiovascular
259230
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0
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Other cardiovascular diseases
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Cancer
259231
259231
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0
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Breast
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Cardiac MRI, Echocardiography, serum biomarkers at baseline, 1 month (during chemotherapy), 3 and 12 months (post chemotherapy). This will take approximately 90 minutes. We will perform these interventions to identify sub-clinical changes of probable significance for development of later manifest ventricular dysfunction.
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Intervention code [1]
257994
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Not applicable
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Reduction in global longitudinal strain as measured by 2D speckle and Tissue velocity echocardiography (comparison will be made between baseline and 3 month scans).
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Assessment method [1]
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Timepoint [1]
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baseline and 3 month scans
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Secondary outcome [1]
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Presence and magnitude of myocardial fibrosis (as % of total LV mass) as assessed by 12 month CMR scan
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Assessment method [1]
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Timepoint [1]
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12 month CMR scan
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Secondary outcome [2]
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Presence and magnitude of myocardial oedema (as % of total LV mass) as assessed by 1 and 3 month CMR scan
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Assessment method [2]
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Timepoint [2]
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1 and 3 month CMR scan
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Secondary outcome [3]
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Reduction in global radial and circumferential strain as measured by 2D speckle and Tissue velocity echocardiography(comparison will be made between baseline and 3 month scans).
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Assessment method [3]
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Timepoint [3]
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baseline and 3 month scans
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Secondary outcome [4]
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Increase in Troponin T at 1 and 3 months, will be detected in a subset of patients that corresponds to increased signal intensity on STIR imaging and late gadolinium at 3 months
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Assessment method [4]
273083
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Timepoint [4]
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1 and 3 months
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Eligibility
Key inclusion criteria
All patients with new diagnosis of HER2 positive early breast cancer planned for standard chemotherapy with anthracyclines and/or trastuzumab, or, patients with recurrent breast cancer planned for chemotherapy with anthracyclines and/or trastuzumab that have not had chemotherapy in the last 5 years.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with recurrent breast cancer that have received chemotherapy in the last 5 years, patients that don't meet safety requirements for cardiac MRI.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
29/07/2010
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Actual
5/08/2010
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Date of last participant enrolment
Anticipated
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Actual
12/10/2012
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Date of last data collection
Anticipated
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Actual
1/12/2012
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Sample size
Target
100
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment postcode(s) [1]
3608
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5042
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Recruitment postcode(s) [2]
3609
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5000
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Recruitment postcode(s) [3]
3610
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5037
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Flinders Medical Centre
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Address [1]
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Department Cardiovascular Medicine
Flinders Medical Centre
1 Flinders Drive
BEDFORD PARK
SA 5042
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Joseph Selvanayagam
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Address
Department Cardiovascular Medicine
Flinders Medical Centre
1 Flinders Drive
BEDFORD PARK
SA 5042
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
257575
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Country [1]
257575
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Southern Adelaide Health Service / Flinders University Human Research Ethics Committee
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Ethics committee address [1]
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Human Research Ethics Southern Adelaide Health Service SA Health Room 2A221 - Inside Human Resources Flinders Medical Centre 1 Flinders Drive Bedford Park SA 5042
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Ethics committee country [1]
260410
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Australia
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Date submitted for ethics approval [1]
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19/01/2010
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Approval date [1]
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29/03/2010
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Ethics approval number [1]
260410
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24/10/2011
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Summary
Brief summary
We wish to study and determine early predictors of cardiac toxicity during combined trastuzumab and/or anthracycline chemotherapy in patients with breast cancer by way of precise assessment of sub-clinical right (RV) and LV systolic and diastolic function. Volume measurements and determination of oedema and myocardial fibrosis will be performed by CMR and advanced echocardiography in order to identify sub-clinical changes of probably significance for development of later manifest ventricular dysfunction. Secondary aim is to correlate observed cardiovascular changes with cumulative dose chemotherapy, age and pre-existing cardiovascular risk factors and biochemical markers or cardiac dysfunction and fibrosis. We hypothesise that: - CMR images will show evidence of myocardial oedema, before patients develop chemotherapy induced cardiomyopathy - tagging imaging techniques will demonstrate lowered active diastolic function - degree of cardiac dysfunction will be proportional to number of chemotherapy cycles conducted - CMR and advanced echo will allow for identification of patients at high risk of heart disease - Abnormalities seen on advanced echo and features of fibrosis on CMR will correspond with abnormal biochemical markers
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Trial website
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Trial related presentations / publications
. Grover S, Leong DP, Chakrabarty A, Joerg L, Kotasek D, Cheong K, Joshi R, Joseph MX, DePasquale C, Koczwara B, Selvanayagam JB. Left and right ventricular effects of anthracycline and trastuzumab chemotherapy: a prospective study using novel cardiac imaging and biochemical markers. Int J Cardiol. 2013;168(6):5465-7. 14. Grover S, Lou PW, Bradbrook C, Cheong K, Kotasek D, Leong DP, Koczwara B, Selvanayagam JB. Early and late changes in markers of aortic stiffness with breast cancer therapy. Int Med Journal. 2015 Feb;45(2):140-7.
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Public notes
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Contacts
Principal investigator
Name
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Prof Joseph Selvanayagam
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Address
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Flinders Drive. Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61 8 8204 5619
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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suchi grover
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Address
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Flinders Clinical Research - Imaging
Level 3A
Mark Oliphant Building
Laffer Drive
BEDFORD PARK
SA 5042
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Country
15410
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Australia
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Phone
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+61 8 8201 7700
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Fax
15410
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+61 8 8201 7701
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Suchi Grover
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Address
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Flinders University
C/O Flinders Clinical Research - Imaging
Level 3A
Mark Oliphant Building
Laffer Drive
BEDFORD PARK
SA 5042
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Country
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Australia
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Phone
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+61 8 8201 7700
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Fax
6338
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+61 8 8201 7701
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Email
6338
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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