Ivabradine to Prevent Anthracycline-induced Cardiotoxicity

NCT ID: NCT04030546

Last Updated: 2019-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-01

Study Completion Date

2020-12-31

Brief Summary

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The aim of this study is to investigate protective effects of ivabradine in adult cancer patients undergoing anthracycline-based chemotherapy.

Detailed Description

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Cancer treatment with anthracyclines may cause heart damage and can lead to heart failure. There are drugs which may protect against cardiotoxic effects of anthracyclines (renin-angiotensin inhibitors and beta blockers), but they are not tolerated due to hypotension. Ivabradine is heart rate lowering drug without effect on blood pressure which was approved for treatment of angina pectoris and heart failure. The aim of this study is to investigate protective effects of ivabradine in cancer patients undergoing anthracycline-based chemotherapy.

Ivabradine selectively inhibits If currents in the sinus node and prolongs the duration of spontaneous depolarization. That controls the heart's contractions and regulates the heart rate. Additionally, ivabradine might preserve myocardial function and contractility without effect on blood pressure. Ivabradine was approved for symptomatic treatment of chronic stable angina pectoris and chronic heart failure.

The aim of this study is to investigate protective effects of ivabradine in adult cancer patients undergoing anthracycline-based chemotherapy.

Conditions

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Patients With Cancer

Keywords

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anthracycline chemotherapy cardiotoxicity heart failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Ivabradine

Patients will receive ivabradine just before anthracycline chemotherapy, 5 mg per oral twice daily, until the last chemotherapy session

Group Type ACTIVE_COMPARATOR

Ivabradine

Intervention Type DRUG

Ivabradine capsule

Usual care

Patient will receive usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ivabradine

Ivabradine capsule

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* cancer patients undergoing anthracyclines based chemotherapy;
* heart rate (HR) \> 70 times per minute;
* Written informed consent.

Exclusion Criteria

* Contraindications for ivabradine administration;
* HR\<70 times per minute;
* Incapability to complete informed consent;
* Severe valve disease;
* Left ventricular ejection fraction (LVEF)≤ 30 %;
* Other severe conditions;
* Poor echogenicity.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vilnius University

OTHER

Sponsor Role lead

Responsible Party

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Sigita Aidietiene

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sigita Aidietiene, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Vilnius University

Locations

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Vilnius University Hospital Santaros klinikos

Vilnius, , Lithuania

Site Status RECRUITING

Countries

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Lithuania

Central Contacts

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Sigita Aidietiene, MD, PhD

Role: CONTACT

Phone: 37052365214

Email: [email protected]

Egle Ciburiene, MD

Role: CONTACT

Phone: 37052365214

Email: [email protected]

Facility Contacts

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Egle Ciburiene, MD

Role: primary

Sigita Aidietiene, MD, PhD

Role: backup

Other Identifiers

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ICO

Identifier Type: -

Identifier Source: org_study_id