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Trial registered on ANZCTR
Registration number
ACTRN12618002015224
Ethics application status
Approved
Date submitted
27/11/2018
Date registered
17/12/2018
Date last updated
21/06/2021
Date data sharing statement initially provided
17/12/2018
Date results provided
21/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The role of serum cardiac biomarkers and left ventricular strain imaging for detecting early radiation induced myocardial damage
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Scientific title
The role of serum cardiac biomarkers and left ventricular strain imaging for detecting early radiation induced myocardial damage
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Secondary ID [1]
296720
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None
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Universal Trial Number (UTN)
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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:
Left ventricular dysfunction
310583
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Breast Cancer
310584
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Radiation Therapy
310585
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Condition category
Condition code
Cardiovascular
309296
309296
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0
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Other cardiovascular diseases
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Cancer
309297
309297
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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
False
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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
Patients will have an ECG performed prior to commencing radiation therapy and at the end of their treatment course. Patients will undergo blood sampling at Day 1 to Day 5 of the first week of radiation therapy which will be performed on arrival for their treatment. Following the first week blood will be sampled only on Day 1 of the subsequent weeks for the duration of the treatment schedule. Patients will also undergo cardiac ultrasound with transthoracic echocardiography with a machine capable of calculating strain rates on the images obtained. This will be performed prior to commencing radiation therapy, immediately after finishing the 6-week course of radiation therapy and at least 12-months after treatment and will be assessed by a cardiologist for reduction in left ventricular function.
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Intervention code [1]
313028
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Early Detection / Screening
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To measure the change in serum high-sensitivity troponin and NT-pro BNP levels in patients during radiation therapy
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Assessment method [1]
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Timepoint [1]
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Serum testing at enrolment and at the end of radiation therapy (6 weeks)
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Secondary outcome [1]
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To measure the change in left ventricular strain rate in patients undergoing radiation therapy using global longitudinal strain and strain rate on transthoracic echocardiography.
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Assessment method [1]
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Timepoint [1]
354462
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6 weeks post-enrolment (end of radiation therapy)
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Eligibility
Key inclusion criteria
All women over the age of 18 years with left sided breast cancer undergoing radiation therapy at the Olivia Newton John Cancer and Wellness Centre
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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 who are receiving adjuvant chemotherapy or Herceptin. Patients who are unable to provide informed consent will be excluded. Additionally, patients who withdraw their consent at any stage will be excluded from the rest of the study.
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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
Normalised data will be expressed as mean ± standard deviation. Continuous data will be evaluated by Student’s t-test or Mann-Whitney U test as appropriate. Categorical data will be expressed as n (%) and analyzed using Fisher’s exact test. Differences in paired samples will be evaluated by Wilcoxon signed-rank test. Two-tailed p-values <0.05 will be considered significant. A sample size calculation has not been performed for this preliminary investigation, as it is a pilot study.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
14/02/2018
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Date of last participant enrolment
Anticipated
24/12/2018
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Actual
4/02/2019
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Date of last data collection
Anticipated
3/02/2020
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Actual
3/02/2020
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
12566
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Austin Health - Austin Hospital - Heidelberg
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Recruitment postcode(s) [1]
24945
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
301300
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Charities/Societies/Foundations
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Name [1]
301300
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Austin Health Medical Research Foundation
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Address [1]
301300
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Austin Health Cardiology Department
145 Studley Rd
Heidelberg 3084
Victoria
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Country [1]
301300
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Austin Health Medical Research Foundation
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Address
Austin Health Cardiology Department
145 Studley Rd
Heidelberg 3084
Victoria
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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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N/A
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Address [1]
300953
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N/A
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Country [1]
300953
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302043
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AUSTIN HEALTH HUMAN RESEARCH ETHICS COMMITTEE
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Ethics committee address [1]
302043
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Austin Health Cardiology Department 145 Studley Rd Heidelberg 3084 Victoria
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Ethics committee country [1]
302043
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Australia
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Date submitted for ethics approval [1]
302043
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20/11/2017
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Approval date [1]
302043
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12/12/2017
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Ethics approval number [1]
302043
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HREC/17/Austin/533
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Summary
Brief summary
The purpose of this study is to determine the role of blood molecules and imaging in the detection of early heart damage in women undergoing radiation treatment. Who is it for? You may be eligible for this study if you are over the age of 18 years, have left sided breast cancer and are undergoing radiation therapy at the Olivia Newton John Cancer and Wellness Centre in Melbourne. Study details All participants in this study will have a blood test on day 1 to 5 of the first week of radiation treatment and then on day 1 of each subsequent week. This will be to measure the levels of blood molecules related to heart damage. Participants will also have a heart ultrasound (echocardiogram) before they start treatment and when they finish treatment. The intention of this study is to identify early damage to the heart muscle during radiation therapy. If we can identify those patients with early damage we can follow them into the future to ensure they do not develop symptomatic heart disease.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Terase Lancefield
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Address
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Austin Health Cardiology Department
145 Studley Rd
Heidelberg 3084
Victoria
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Country
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Australia
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Phone
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+61 3 94565000
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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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Alexandra Murphy
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Address
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Austin Health Cardiology Department
145 Studley Rd
Heidelberg 3084
Victoria
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Country
88935
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Australia
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Phone
88935
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+61 3 94965000
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Fax
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Email
88935
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[email protected]
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Contact person for scientific queries
Name
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Alexandra Murphy
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Address
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Austin Health Cardiology Department
145 Studley Rd
Heidelberg 3084
Victoria
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Country
88936
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Australia
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Phone
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+61 3 94965000
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Fax
88936
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Email
88936
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data collected will be used in this study only.
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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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