Use of Dapagliflozin in Primary Prevention of Cardiotoxicity of Anthracycline Chemotherapy in Breast Cancer Patients
NCT07245069 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2025-11-24
Summary
The goal of this randomized, double-blind, placebo-controlled clinical trial is to determine whether dapagliflozin, a sodium-glucose cotransporter-2 (SGLT-2) inhibitor, can help prevent anthracycline-induced cardiotoxicity caused by anthracycline chemotherapy in adult women with breast cancer receiving (neo)adjuvant treatment.
The main questions the study aims to answer are:
i) Does dapagliflozin reduce the decline in left ventricular function (measured by LVEF, GLS, and myocardial work) during and after anthracycline therapy? ii) Does dapagliflozin lessen the deteriorating effect of chemotherapy on endothelial function and arterial stiffness? iii) Does dapagliflozin effect levels of cardiac injury and inflammation biomarkers (e.g., hs-troponin T, NT-proBNP, ST-2, GDF-15, galectin-3, IL-6, MPO)?
Researchers will compare dapagliflozin 10 mg daily with placebo to see whether those receiving dapagliflozin experience less heart and vascular impairment during treatment.
Participants will:
* Take either dapagliflozin or placebo once daily during anthracycline chemotherapy.
* Undergo heart and vascular ultrasound, and a 6-minute walk test before chemotherapy and again at 24 and 52 weeks.
* Provide blood samples before, during and after chemotherapy to measure cardiac biomarkers.
* Complete multiple questionnaires on quality of life.
Conditions
- Heart Failure
- Anthracycline-induced Cardiac Toxicity
- Endothelial Function (FMD)
- Arterial Stiffness
- Breast Cancer
Interventions
- DRUG
-
Dapagliflozin 10 mg
Forgixa® 10 mg daily
- DRUG
-
Lactose tablet daily
Sponsors & Collaborators
-
University Medical Centre Ljubljana
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-01
- Primary Completion
- 2028-11-30
- Completion
- 2029-02-28
Countries
- Slovenia
Study Locations
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