Doxorubicin induced cardiomyopathy is the most common and serious side effect associated with doxorubicin treatment in cancer patients receiving doxorubicin. Studies have been shown that Empagliflozin can reduce cardiovascular mortality and hospitalization for heart failure in patients with heart failure with or without diabetes and current clinical trials indicate that SGLT2 inhibitors protect against heart failure outcomes and can reduce cardiac remodeling even in patients without diabetes. Empagliflozin had beneficial effects on the outcome of the cardiomyopathy and also has anti-tumor activity in animal studies, but clinical studies are still lacking. We are going to investigate the cardioprotective effect of Empagliflozin against doxorubicin induced cardiomyopathy. Objective: * Evaluate the prophylactic effect of using Empagliflozin "a selective inhibitor of the sodium glucose co-transporter 2 (SGLT2)" against doxorubicin induced cardiotoxicity in patients receiving doxorubicin-based chemotherapy. * Monitor the safety of adding empagliflozin to doxorubicin-based chemotherapy.
Age range
18 Years – 75 Years
Sex
ALL
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''Cardiac troponin T''
Timeframe: Baseline and one time at the end of chemotherapy (3 to 5 days after the last dose of doxorubicin).
Echocardiography (ECHO)
Timeframe: Baseline, after each 3 doses of doxorubicin-based chemotherapy and 3 months after the end of chemotherapy.
Abdelrahman Ahmed Abdelsalam Attia Mahmoud