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Trial Title: Characterization and Kinetic of Chemotherapy-induced Cardiovascular Toxicity in Breast Cancer

NCT ID: NCT05803889

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Cardiac evaluation
Description: In order to obtain information on the body composition of the patients, a body composition measurement will be performed. A resting cardiac echocardiography will be performed to record myocardial deformations in a non-vulnerable way. A non-invasive evaluation of arterial function will be performed by ultrasound on the femoral artery during a standardized passive movement of the leg. An assessment of myocardial deformations will also be performed under submaximal exercise conditions (at a target heart rate of 120 beats per minute, low to moderate exercise intensity). All of these measurements will be performed during evaluation 1 and reproduced in the same way during the 4 other sessions planned during (evaluation 2, 3 and 4) and after the treatment (evaluation 5).
Arm group label: EC + Tax group

Intervention type: Other
Intervention name: Cardiac evaluation
Description: The same measurements as the EC + Tax group will be performed but only once, at the end of the treatment.
Arm group label: Trastuzumab group

Summary: The combination of epirubicin-cyclophosphamide (EC) and paclitaxel (Tax) is one of the main chemotherapy treatments used in breast cancer patients. These treatments, which can be combined with anti-HER2 therapy using trastuzumab, are frequently associated with side effects including cardiac toxicity. However, this cardiac toxicity has only been demonstrated several months after treatment and using global indices such as ejection fraction. The assessment of myocardial dysfunction using regional deformations and the kinetic of this dysfunction during chemotherapy treatment has never been performed. In order to counteract these myocardial dysfunctions, it is essential to better describe the kinetic of the cardiac toxicity by initiating measurements since the beginning of the treatment, in order to be able to propose adapted countermeasures (e.g. exercise training) in parallel with the chemotherapy.

Criteria for eligibility:

Study pop:
Population composed of a group of breast cancer patients undergoing chemotherapy with EC and Tax, and a group of breath cancer patients undergoing Trastuzumab treatment.

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: Epirubicin-cyclophosphamide + paclitaxel group: - Female ≥ 18 years - Stage I to III breast cancer - Patient being planned for (neo)adjuvant therapy combining EC and Taxol on a weekly basis - Enrolled in a social security plan - Able to speak, read and understand French Trastuzumab group: - Female ≥ 18 years of age - Stage I to III breast cancer - Patient treated with trastuzumab - Enrolled in a social security plan - Able to speak, read and understand French Exclusion Criteria: For both groups: Epirubicin-cyclophosphamid + paclitaxel group and trastuzumab group - Implantation of a pacemaker - Contraindications to exercise - Protected adult - Psychiatric, musculoskeletal or neurological problems - Pregnant or breastfeeding woman - Uncontrolled high blood pressure - Body Mass Index > 35 kg/m²

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Institut de cancérologie Strasbourg Europe

Address:
City: Strasbourg
Zip: 67033
Country: France

Status: Recruiting

Contact:
Last name: Valerie SARTORI

Phone: 368767223

Phone ext: 33
Email: v.sartori@icans.eu

Contact backup:
Last name: Manon VOEGELIN

Phone: 368767360

Phone ext: 33
Email: m.voegelin@icans.eu

Investigator:
Last name: Roland SCHOTT
Email: Principal Investigator

Start date: September 21, 2023

Completion date: January 1, 2024

Lead sponsor:
Agency: Institut de cancérologie Strasbourg Europe
Agency class: Other

Collaborator:
Agency: UR 3072
Agency class: Other

Source: Institut de cancérologie Strasbourg Europe

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05803889

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