Cardiotoxicity Assessment Through Comprehensive Heart Imaging to Predict Heart Failure

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age13-39
SponsorHari Narayan

About this trial

Anthracycline chemotherapies (e.g. doxorubicin, daunorubicin) are commonly given to treat pediatric cancer, and carry 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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

English and Spanish speaking male and female subjects, ages 13-39 years old

Diagnosis of cancer at age <22 years

Previously treated with anthracyline therapy for cancer, with diagnosis at least two years prior.

Disqualifiers

Patients who have a contraindication to cardiac MRI, including the presence of non-MRI compatible metallic implants.

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).

Pregnancy (at the time of enrollment).

Trial population

Long-term childhood cancer survivors treated with anthracyline therapy.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Cardiac magnetic resonance imaging (MRI)

    Diagnostic test

    Cardiac magnetic resonance imaging will be performed to evaluate cardiac remodeling, function, and tissue characteristics

  • Accelerometer physical activity monitoring

    Other intervention

    Measurement of physical activity using hip-worn accelerometer.

Treatment groups

150 Participants
are divided into 1 treatment group
Group A: All Study Participants2 interventions

Trial outcomes

Primary outcomes

1

Left ventricular ejection fraction (LVEF)

LVEF is an assessment of left ventricular global systolic function.

Time frame
3 - 5 years

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hari Narayan

Lead sponsor

University of California, San Diego

Sponsor institution