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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00858039
Registration number
NCT00858039
Ethics application status
Date submitted
6/03/2009
Date registered
9/03/2009
Date last updated
5/11/2014
Titles & IDs
Public title
Cardiotoxicity of Adjuvant Trastuzumab
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Scientific title
Prediction of Cardiotoxicity Using Serum N-terminal Pro-B-type Natriuretic Peptide in Breast Cancer Patients Receiving Adjuvant Trastuzumab
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Secondary ID [1]
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X08-0296
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Universal Trial Number (UTN)
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Trial acronym
CATS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Neoplasms
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Heart Failure
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Condition category
Condition code
Cancer
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Breast
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Her-2 positive ESBC -
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Cardiotoxicity (Cardiac death; grade 3/4 arrhythmia or ischaemia; NYHA Class 3 or 4 heart failure decline in LVEF by >10% to a level <55%; decline in LVEF by >5% to a level <50%)
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Assessment method [1]
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Timepoint [1]
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Until 6 months after completing trastuzumab
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Eligibility
Key inclusion criteria
* Female 18 years or older
* Histologically confirmed, completely excised invasive breast cancer with Her-2 overexpression
* Primary surgery less than twelve weeks prior to registration
* LVEF>50% as assessed by transthoracic echocardiogram or gated heart pool scan
* Eastern Cooperative Oncology Group Performance Status 0-2
* Adjuvant systemic treatment plan comprises at least three cycles of anthracycline chemotherapy AND 52 weeks of trastuzumab
* Before patient registration, informed consent must be given according to local regulations.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pregnancy
* Distant metastases from breast cancer
* Any systemic chemotherapy prior to study entry
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2014
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Sample size
Target
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Accrual to date
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Final
220
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [2]
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Royal North Shore Private Hospital - Sydney
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Recruitment hospital [3]
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Sydney Haematology Oncology Clinic - Sydney
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Recruitment hospital [4]
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Concord Hospital - Sydney
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Liverpool Hospital - Sydney
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Bankstown Hospital - Sydney
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Recruitment hospital [7]
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St George Private Hospital - Sydney
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Recruitment hospital [8]
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Sutherland Hospital - Sydney
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Recruitment hospital [9]
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Macarthur Cancer Therapy Centre - Sydney
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Recruitment hospital [10]
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Nepean Cancer Care Centre - Sydney
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Recruitment hospital [11]
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Tweed Hospital - Tweed Heads
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Recruitment hospital [12]
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Royal Brisbane Hospital - Brisbane
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Recruitment hospital [13]
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Andrew Love Cancer Centre - Geelong
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Recruitment hospital [14]
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Warnambool Hospital - Warnambool
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Recruitment hospital [15]
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The Mount Hospital - Perth
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Recruitment postcode(s) [1]
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2050 - Sydney
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Recruitment postcode(s) [2]
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2065 - Sydney
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Recruitment postcode(s) [3]
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2077 - Sydney
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Recruitment postcode(s) [4]
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2137 - Sydney
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Recruitment postcode(s) [5]
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2170 - Sydney
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Recruitment postcode(s) [6]
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2200 - Sydney
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Recruitment postcode(s) [7]
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2217 - Sydney
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Recruitment postcode(s) [8]
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2232 - Sydney
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Recruitment postcode(s) [9]
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2560 - Sydney
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Recruitment postcode(s) [10]
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2750 - Sydney
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Recruitment postcode(s) [11]
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2485 - Tweed Heads
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Recruitment postcode(s) [12]
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4029 - Brisbane
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Recruitment postcode(s) [13]
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3220 - Geelong
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Recruitment postcode(s) [14]
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- Warnambool
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Recruitment postcode(s) [15]
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6805 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
Royal Prince Alfred Hospital, Sydney, Australia
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Trastuzumab (Herceptin®) increases the chances of cure in patients with Her-2 overexpressing early breast cancer. Unfortunately, both the chemotherapy drugs used in this setting (anthracyclines) and trastuzumab are known to cause cardiac dysfunction in a proportion of patients. Patients who develop heart problems when taking trastuzumab might have to stop this treatment, which could jeopardise their chances of cure. N-terminal pro-B-type natriuretic peptide (NT pro-BNP) is a cardiac biomarker that is measured in the blood, the levels of which have been shown to indicate the presence of heart failure. Some early research has suggested that there may be a correlation between elevated NT pro-BNP and heart damage due to cancer chemotherapy and also trastuzumab. Troponin is another substance measured in the blood that can indicate heart damage. Finally, certain variations in an individual's genetic makeup (called polymorphisms) could put them at increased risk of heart damage from trastuzumab. Here we are studying whether any of these factors (NT pro-BNP levels, troponin levels, or certain genetic polymorphisms) can accurately predict who is at highest risk of trastuzumab-related cardiotoxicity. The principal aim of this study is to evaluate the utility of NT pro-BNP as a predictive biomarker for the development of trastuzumab related cardiotoxicity (TRC). The investigators will also examine if single nucleotide polymorphisms in the HER2 gene or Fc-gamma-receptor genes predict for TRC.
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Trial website
https://clinicaltrials.gov/study/NCT00858039
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Trial related presentations / publications
Goel S, Liu J, Guo H, Barry W, Bell R, Murray B, Lynch J, Bastick P, Chantrill L, Kiely BE, Abdi E, Rutovitz J, Asghari R, Sullivan A, Harrison M, Kohonen-Corish M, Beith J. Decline in Left Ventricular Ejection Fraction Following Anthracyclines Predicts Trastuzumab Cardiotoxicity. JACC Heart Fail. 2019 Sep;7(9):795-804. doi: 10.1016/j.jchf.2019.04.014. Epub 2019 Aug 7.
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Public notes
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Contacts
Principal investigator
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Jane Beith, MBBS FRACP PhD
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Address
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Sydney South West Area Health Service (Royal Prince Alfred Hospital)
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00858039
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