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Trial Title: Protection of Cardiovascular Function With Crocin in BrEast Cancer Patients Undergoing Radiotherapy and Chemotherapy

NCT ID: NCT05504148

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
Breast cancer
Cancer therapy-related cardiac dysfunction
Crocin
Echocardiography
Speckle tracking technology

Study type: Interventional

Study phase: N/A

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Inclusion criteria: 1. Age 25-80 years old, female; 2. Patients diagnosed with breast cancer by histopathology; 3. Patients who plan to receive adjuvant radiotherapy/chemotherapy or combined adjuvant trastuzumab or pertuzumab targeted therapy; 4. Patients who completed at least 6 cycles of treatment after enrollment; Exclusion criteria: 1. pregnant or breastfeeding women; 2. Patients with poor echocardiographic image quality; 3. Persistent atrial fibrillation and severe arrhythmia affect the collection and analysis of ultrasound data; 4. Patients who are participating in other clinical studies. Eligible patients were randomly divided into 1:1 group and divided into crocin group and placebo control group. Both groups of subjects received crocin or placebo on the basis of standard anti-tumor treatment.

Primary purpose: Prevention

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: crocin
Description: Take saffron total glucosides tablets for 8 days during each chemotherapy (started on the 1st day before radiotherapy/chemotherapy), 4 tablets/time, 3 times a day.
Arm group label: Crocin group

Intervention type: Drug
Intervention name: Placebo
Description: Take placebo piece during for 8 days during each chemotherapy (started on the 1st day before radiotherapy/chemotherapy), 4 tablets/time, 3 times a day
Arm group label: placebo group

Summary: The potential cardiovascular toxicity of tumor treatment and its resulting cardiovascular events have gradually become an important health risk for tumor survivors. Prevention and early identification of cardiovascular toxicity has now become one of the bottlenecks in improving the prognosis of cancer patients. Compared to conventional echocardiographic indicators, new ultrasound technology based on speckle tracking imaging (STI) has shown superiority in the diagnosis, risk stratification and prognosis evaluation of cardiovascular diseases. Crocin, one of the main active components of saffron, has been found protective effect on cardiovascular toxicity in basic studies. This is a randomized, double-blind, placebo-controlled, single-center clinical study to observe the effect of crocin on cardiovascular function caused by breast cancer treatment. One hundred and twenty breast cancer patients planning to undergo radiotherapy or chemotherapy will be included and randomly divided into a crocin group and a placebo group to observe the effect of total saffron tablets on cardiovascular function in patients with early breast cancer radiotherapy and chemotherapy. Participants will take crocin or placebo (4 tablets/time, 3 times a day) during each cycle of chemotherapy for 8 days, started on the 1st day before radiotherapy/chemotherapy. Follow-up was performed every 3 months after enrollment, and the follow-up period was 6 months. Primary study endpoints include the differences between groups in the difference in LVEF and GLS measured by echocardiography at the end of the experiment compared to baseline. Secondary study endpoint include the differences in the incidence rates of serum troponin exceeding the upper limit of normal value and NT-proBNP higher than the normal age reference value, the frequency and duration of chest tightness, chest pain and palpitation, the degree of arrhythmia and ST-T changes displayed by dynamic electrocardiogram, the other echocardiographic parameters (the E/e', global circumferential strain, global radial strain, 3D-GAS, LV torsion, LV rotation/derotation velocity, SDI, RVFWS, and indexes of left ventricular diastolic function and right ventricular function) at the end of the experiment compared to baseline between the two groups.

Criteria for eligibility:
Criteria:
Inclusion criteria: 1. Age 25-80 years old, female; 2. Patients diagnosed with breast cancer by histopathology; 3. Patients who plan to receive adjuvant radiotherapy/chemotherapy or combined adjuvant trastuzumab or pertuzumab targeted therapy; 4. Patients who completed at least 6 cycles of treatment after enrollment; Exclusion criteria: 1. pregnant or breastfeeding women; 2. Patients with poor echocardiographic image quality; 3. Persistent atrial fibrillation and severe arrhythmia affect the collection and analysis of ultrasound data; 4. Patients who are participating in other clinical studies.

Gender: Female

Minimum age: 25 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Qilu Hospital of Shandong University

Address:
City: Jinan
Zip: 250012
Country: China

Status: Recruiting

Contact:
Last name: Lijuan Bu, PhD

Phone: +86-18560088816
Email: qlyykyc@163.ocm

Start date: March 29, 2021

Completion date: September 25, 2023

Lead sponsor:
Agency: Qilu Hospital of Shandong University
Agency class: Other

Source: Qilu Hospital of Shandong University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05504148

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