About this trial
Cardiotoxicity is heart damage that arises from certain drugs, such as those used for cancer treatment and develops in approximately 10% of patients with breast cancer who are treated with anthracyclines. It has been suggested that sodium-glucose transporter-2 (SGLT2) inhibitors may reduce the damage to the heart caused by anthracycline chemotherapy. The investigators wish to determine whether dapagliflozin (SGLT2 inhibitor) taken daily during chemotherapy will reduce the rate of cardiotoxicity.
Eligibility criteria
Qualifiers
Patients with breast cancer between 18-70 years of age.
Patients with low to medium cardiovascular risk.
Patients scheduled for adjuvant or neo-adjuvant anthracycline therapy.
Patients who are able to give written informed consent to take part in the study.
Disqualifiers
Patients with a known intolerance of dapagliflozin
Patients with high cardiovascular risk as specified by the most recent cardio-oncology guidelines.
Patients with significant renal impairment (estimated glomerular filtration rate <45 mL/min/1.73 m2).
Patients with a previous cancer diagnosis.
Trial design
Treatments tested in this trial
- Sodium-glucose transport-2 (SGLT-2) inhibitors
- Standard medical treatment
Treatment groups
Sponsors and collaborators
University of Aberdeen
Lead sponsor
NHS Grampian
Collaborator