Early Identification and Evaluation of Cyclophosphamide Cardiotoxicity
NCT05150080 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2021-12-08
Summary
Hematopoietic stem cell transplantation is an important method for the treatment of hematological diseases and cyclophosphamide is a commonly used chemotherapeutic agent for transplant pretreatment. The incidence of severe cardiovascular events after high-dose cyclophosphamide exposure ranges from 7% to 28% with mortality from 11% to 43%. Thus, an non-invasive, sensitive and reliable method in detecting cardiac function is significant to balance the cardiac risk and the potential cancer treatment benefits. In previous studies, we demonstrated that strain values analyzed by speckle tracking echocardiography decreased significantly after high-dose cyclophosphamide exposure, even though left ventricular ejection fraction remained stable and within normal range. We follow up the hematopoietic cell transplantation patients with cyclophosphamide: to analyze the cut-off values of the parameters of speckle tracking multilayer analysis in predicting early cardiotoxicity induced by cyclophosphamide; to detect the cut-off values of the plasma miRNAs levels in predicting early cardiotoxicity induced by anthracycline.
The purpose of our study is to find out non-invasive, reliable and sensitive echocardiographic parameters and plasma biomarkers for early detection and prediction cyclophosphamide -induced cardiac toxicity and to be helpful to target patients at high risk of cardiotoxicity, who could benefit from closer monitoring or earlier initiation of cardioprotective therapy.
Conditions
- Cardio-oncology
- Hematopoietic Stem Cell Transplantation
- Cardiotoxicity
- Cyclophosphamide
- Echocardiography
Sponsors & Collaborators
-
Kai Mu
lead OTHER
Principal Investigators
-
MU Kai · Qianfoshan Hospital
Eligibility
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-07-10
- Primary Completion
- 2022-04-01
- Completion
- 2022-06-01
Countries
- China
Study Locations
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