Cardiac Impairments Following Pediatric Cardiotoxic Anti-cancer Treatment

NCT ID: NCT05261256

Last Updated: 2023-12-05

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

ENROLLING_BY_INVITATION

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-02-01

Study Completion Date

2024-12-31

Brief Summary

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This study aims at investigating the feasibility of recruitment and application of a method regarding early detection of subclinical changes in cardiac health after completion of acute cancer treatment during childhood and adolescence.

Detailed Description

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Cardiovascular late effects following treatment for pediatric cancer are problematic. Early detection of subclinical changes is hardly possible using conventional diagnostic methods, but seems to be feasible during physical strain (exercise stress echocardiography).

This feasibility study examines as main objective the recruitment strategy and investigation method in 10-25-year olds in the first and fifth year after the end of acute anti-cancer therapy (n=40 participants with a history of childhood cancer and n=40 control subjects). The heart function is examined by means of exercise stress echocardiography and spiroergometry in comparison with healthy age- and gender-matched control subjects.

Secondary aims are the evaluation of aditional echocardiography markers and levels of physical activity.

Conditions

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Cardiovascular Diseases Pediatric Cancer

Keywords

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Childhood cancer Cardiac impairments Late effects Early detection Prevention Stress echocardiography

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Participants treated for pediatric cancer

This group includes children, adolescents and young adults treated for pediatric cancer who received anthracyclines and/or chest radiation during treatment.

Exercise stress echocardiography

Intervention Type DIAGNOSTIC_TEST

Study participants perform an exercise stress echocardiography on a semi-supine bicycle ergometer using using a continuous incremental bicycle protocol with a work rate increment every 3 minutes according to gender and weight.

Healthy control subjects

This group includes healthy children, adolescents and young adults without a history of pediatric cancer as age-and gender-matched control subjects.

Exercise stress echocardiography

Intervention Type DIAGNOSTIC_TEST

Study participants perform an exercise stress echocardiography on a semi-supine bicycle ergometer using using a continuous incremental bicycle protocol with a work rate increment every 3 minutes according to gender and weight.

Interventions

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Exercise stress echocardiography

Study participants perform an exercise stress echocardiography on a semi-supine bicycle ergometer using using a continuous incremental bicycle protocol with a work rate increment every 3 minutes according to gender and weight.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Aged between 10 and 25 years
* Body height of ≥1,40m (required for performing the examination on the semi supine bicycle ergometer)
* Signed informed assent (minor participant) and consent (legal guardian and full-aged participant)


* Completion of acute cancer treatment with anthracyclines and/or chest radiation
* End of treatment 12 months and five years ago (± three months)
* Medical approval for study participation


\- Appropriate as matched pair with respect to age and gender

Exclusion Criteria

* Known cardiovascular diseases (incoherent with cardiotoxic treatment)
* Inability to follow study instructions (e.g., mental retardation, language)
* Acute orthopedic injury (e.g., bone fracture) or orthopedic impairments that preclude examination on a bicycle ergometer (e.g., instable prosthetic device)

All participants receive a basic physical and cardiological examination at rest as part of the study protocol to ensure capability before performing the exercise stress echocardiography.
Minimum Eligible Age

10 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ludwig-Maximilians - University of Munich

OTHER

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role lead

Responsible Party

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Sabine Kesting

Dr. rer. medic.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Renate Oberhoffer-Fritz, Prof. Dr. med.

Role: STUDY_CHAIR

Institute of Preventive Pediatrics, Department of Sport and Health Sciences, TUM

Locations

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Institute of Preventive Pediatrics, Department of Sport and Health Sciences, Technical University of Munich, Germany

Munich, , Germany

Site Status

Countries

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Germany

Other Identifiers

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German Heart Foundation

Identifier Type: -

Identifier Source: org_study_id