TerminatedPhase 2

Early Cardiac Toxicity of Adjuvant CT in Elderly BC.

Stopped: Slow recruitment

Belgium2 participantsStarted 2011-03

Plain-language summary

The primary objective is to evaluate the difference in cardiac strain rate evolution in elderly early BC patients treated with (neo) adjuvant anthracycline-based chemotherapy compared with a non-anthracycline regimen (Taxotere-cyclophosphamide) CT. This study also will compare the serum biomarkers profile during and after the (neo) adjuvant CT in both treatment arms, assess whether MRI allows detecting earlier than standard echocardiography the signs of cardiotoxicity, during and after adjuvant (neo) CT, assess whether brain PET-CT allows detecting regional functional impairment in patients receiving CT, evaluate cognitive function before and after (neo) adjuvant CT in both treatment arms, evaluate distress and functional autonomy before and after (neo) adjuvant CT in both treatment arms, evaluate psychological state and burden of primary caregivers before and after (neo) adjuvant CT in both treatment arms, evaluate primary caregivers abilities to detect patients' distress and functional autonomy before and after (neo) adjuvant CT in both treatment arms, evaluate the short and long-term toxicity profile of the regimens, estimate the 10-year risk of relapse and/or death using the Adjuvant!Online tool, and estimate the Framingham risk score for Hard Coronary Heart Disease (10-year risk).

Who can participate

Age range65 Years

SexFEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

1. Patient selection criteria * Female aged equal or more than 65 years. * Histological diagnosis of early BC for which the treating physician considers (neo) adjuvant chemotherapy to be beneficial. Recommended situations are: * Triple negative BC if pT \> 1cm. * HER-2 positive BC if pT1 \> 1cm; and trastuzumab will be given after study chemotherapy. * "Luminal B" cancers defined as ER+, PgR + or neg, Ki-67 ≥ 14%, and pT1 \> 1cm. * "Luminal A" cancers (ER+, PgR+ and Ki-67 \< 14%) will be considered only if ≥ 4 nodes. * Poor response to a preoperative endocrine therapy. * WHO performance status equal or less than 1. * Baseline LVEF equal or more than 50% measured by echocardiography. * Adequate organ function including: * neutrophils more or equal to 1.5 x 109/L. * platelets more or equal to100 x 109/L. * bilirubin \< 1.25 x upper limit of normal (ULN) for the institution. * transaminases: AST \< 2.5 x ULN , ALT \< 2.5 x ULN and alkaline phosphatase ≤ 2.5 x ULN for the institution. * Estimated creatinine clearance \> 30ml/min (using the Crockoft and Gault formula) (See Appendix E) . * No previous exposure to chemotherapy in this neoadjuvant or adjuvant setting. * No serious cardiac illness or medical conditions as judged by the investigator including, but not confined to:Symptomatic ventricular arrhythmias,Clinical and/or ECG evidence of myocardial infarction within the last 12 months,Coronary artery disease requiring medicat…

What they're measuring

The difference between cardiac strain rates measured at baseline and after 4 cycles of chemotherapy.

Timeframe: Before chemotherapy, after chemotherapy, at 6 months, one , two and 3 years from randomization.

Trial details

NCT IDNCT01301040

SponsorJules Bordet Institute

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2013-03