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An Integrated Consent Model Study to Compare Two Standard of Care Schedules for Monitoring Cardiac Function in Patients Receiving Trastuzumab for Early Stage Breast Cancer (OTT 15-05)

Primary Purpose

Breast Cancer

Status
Completed
Phase
Phase 4
Locations
Canada
Study Type
Interventional
Intervention
LVEF 3 month
LVEF 4 month
Sponsored by
Ottawa Hospital Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Breast Cancer focused on measuring cardiac toxicities

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically confirmed early stage HER2-positive breast cancer
  • Planned trastuzumab therapy for early stage breast cancer
  • ≥18 years of age
  • Able to provide verbal consent
  • Normal LVEF (>53%) before trastuzumab therapy

Exclusion Criteria:

• Contraindication to transthoracic echocardiography or MUGA

Sites / Locations

  • The Ottawa Hospital
  • The Ottawa Hospital Cancer Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

LVEF 3 month

LVEF 4 month

Arm Description

cardiac evaluation (by either transthoracic echocardiography or MUGA) every 3 months

cardiac evaluation (by either transthoracic echocardiography or MUGA) every 4 months

Outcomes

Primary Outcome Measures

LVEF results
Changes in LVEF results compared to baseline (by echocardiography or MUGA) throughout the course of trastuzumab based therapy

Secondary Outcome Measures

Full Information

First Posted
February 18, 2016
Last Updated
March 1, 2021
Sponsor
Ottawa Hospital Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT02696707
Brief Title
An Integrated Consent Model Study to Compare Two Standard of Care Schedules for Monitoring Cardiac Function in Patients Receiving Trastuzumab for Early Stage Breast Cancer
Acronym
OTT 15-05
Official Title
An Integrated Consent Model Study to Compare Two Standard of Care Schedules for Monitoring Cardiac Function in Patients Receiving Trastuzumab for Early Stage Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
June 2016 (undefined)
Primary Completion Date
May 2020 (Actual)
Study Completion Date
July 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ottawa Hospital Research Institute

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Several large adjuvant trastuzumab trials have demonstrated improved overall survival, in participants with early stage breast cancer, with a 33% decrease in risk of death. However, retrospective analyses of participant outcomes in these trials have demonstrated increased risk of cardiotoxicity (i.e damage to the heart) in a small number of patients (4-8%). At this time, investigators are unable to predict which participants are at increased risk of cardiac-related treatment complications. Currently all patients receive regular cardiac imaging throughout their one year of trastuzumab treatment. At this time, the optimal monitoring schedule for trastuzumab-related cardiotoxicity remains unknown, and several published consensus guidelines are currently in use as "standard of care.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
cardiac toxicities

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LVEF 3 month
Arm Type
Active Comparator
Arm Description
cardiac evaluation (by either transthoracic echocardiography or MUGA) every 3 months
Arm Title
LVEF 4 month
Arm Type
Active Comparator
Arm Description
cardiac evaluation (by either transthoracic echocardiography or MUGA) every 4 months
Intervention Type
Procedure
Intervention Name(s)
LVEF 3 month
Intervention Description
cardiac evaluation (by either transthoracic echocardiography or MUGA) every 3 months
Intervention Type
Procedure
Intervention Name(s)
LVEF 4 month
Intervention Description
cardiac evaluation (by either transthoracic echocardiography or MUGA) every 4 months
Primary Outcome Measure Information:
Title
LVEF results
Description
Changes in LVEF results compared to baseline (by echocardiography or MUGA) throughout the course of trastuzumab based therapy
Time Frame
at year one

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed early stage HER2-positive breast cancer Planned trastuzumab therapy for early stage breast cancer ≥18 years of age Able to provide verbal consent Normal LVEF (>53%) before trastuzumab therapy Exclusion Criteria: • Contraindication to transthoracic echocardiography or MUGA
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Olexiy Aseyey, MD
Organizational Affiliation
The Ottawa Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Ottawa Hospital
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
Facility Name
The Ottawa Hospital Cancer Centre
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K2H 8L6
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34940066
Citation
Dent S, Fergusson D, Aseyev O, Stober C, Pond G, Awan AA, McGee SF, Ng TL, Simos D, Vandermeer L, Saunders D, Hilton JF, Hutton B, Clemons M. A Randomized Trial Comparing 3- versus 4-Monthly Cardiac Monitoring in Patients Receiving Trastuzumab-Based Chemotherapy for Early Breast Cancer. Curr Oncol. 2021 Dec 3;28(6):5073-5083. doi: 10.3390/curroncol28060427.
Results Reference
derived

Learn more about this trial

An Integrated Consent Model Study to Compare Two Standard of Care Schedules for Monitoring Cardiac Function in Patients Receiving Trastuzumab for Early Stage Breast Cancer

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