Nicotinamide Riboside and Prevention of Cancer Therapy Related Cardiac Dysfunction in Breast Cancer Patients

NCT ID: NCT05732051

Last Updated: 2023-03-17

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-16

Study Completion Date

2035-09-30

Brief Summary

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Breast cancer is the most common form of cancer in women. Modern breast cancer treatments have led to increased survival, but at the same time, increased risk for cardiotoxicity and development of heart failure. In this study, the investigators want to evaluate whether nicotinamide riboside can prevent cancer-related cardiac dysfunction in metastatic breast cancer patients scheduled for anthracycline therapy. Further, the investigators will evaluate change in signs of skeletal muscle injury and functional capacity.

Detailed Description

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The trial is prospective, randomised, double-blind and placebo-controlled. The primary objective is change in left ventricular ejection fraction (LVEF), determined by cardiac MRI (CMR). Secondary objectives are change in circulating high-sensitivity cardiac troponin I and T (hs-TnI and hs-TnT), Creatine Kinase (CK) and myoglobin, and various measurements of change in left ventricular systolic function determined by CMR and echocardiography. Additional assessments are evaluation of the patient's functional capacity and the patients will be asked to fill out questionnaires to assess quality of life.

60 patients will be randomised in a 1:1 ratio. The duration of blinded therapy will depend on the duration of anthracycline therapy. All patients will be examined at baseline and 3 months, and if the patient is scheduled for extended anthracycline therapy, an additional examination will be performed at 6 months.

Conditions

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Breast Cancer Metastatic Breast Cancer Cancer Therapy-Related Cardiac Dysfunction Cardiotoxicity Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double-blind, randomised, placebo-controlled
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The IMP and matching placebos will be provided by the manufacturers of ChromaDex. The Data Safety Committee will have the treatment allocation list.

Study Groups

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Treatment Arm

The patients randomised into this arm of the trial will receive 500 mg Nicotinamide Riboside b.i.d. The duration of blinded therapy will depend on the duration of anthracycline therapy, and will for some patients last for 3 months, others for 6 months.

Group Type ACTIVE_COMPARATOR

Nicotinamide Riboside

Intervention Type DIETARY_SUPPLEMENT

Nicotinamide Riboside 500mg b.i.d as long as the patient is receiving anthracycline therapy

Placebo Control Arm

The patients randomised into this arm of the trial will receive a matching placebo b.i.d. The duration of treatment is equivalent to the description in the treatment arm.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Matching placebo b.i.d as long as the patient is receiving anthracycline therapy

Interventions

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Nicotinamide Riboside

Nicotinamide Riboside 500mg b.i.d as long as the patient is receiving anthracycline therapy

Intervention Type DIETARY_SUPPLEMENT

Placebo

Matching placebo b.i.d as long as the patient is receiving anthracycline therapy

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Niagen (serial number 85932490, registration number 4606519)

Eligibility Criteria

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Inclusion Criteria

* Women with metastatic breast cancer (stage IV breast cancer) scheduled for anthracycline-containing chemotherapy
* Eastern Cooperative Oncology Group performance status 0-2

Exclusion Criteria

* Age \<18 years
* Acute myocardial infarction within the last three months
* Participation in another pharmaceutical clinical trial of an investigational medicinal product (IMP) less than 4 weeks prior to inclusion or use of other investigational drugs within 5 half-lives of enrollment, whichever is longer
* Conditions that would affect the participants to comply with the study protocol as psychiatric or mental disorders, alcohol abuse or other substance abuse, suspected poor drug compliance, language barriers
* Life expectancy \< 6 months
* Known allergy to any of the components in the Nicotinamide Riboside (Niagen®) tablet
* Contraindications or inability to undergo CMR examination
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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ChromaDex, Inc.

INDUSTRY

Sponsor Role collaborator

Norwegian Cancer Society

OTHER

Sponsor Role collaborator

Norwegian Breast Cancer Association

UNKNOWN

Sponsor Role collaborator

Helse Sor-Ost

OTHER_GOV

Sponsor Role collaborator

University Hospital, Akershus

OTHER

Sponsor Role lead

Responsible Party

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Torbjorn Omland

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Torbjørn Omland, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Akershus

Locations

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Akershus University Hospital

Lørenskog, Akershus, Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Torbjørn Omland, MD, PhD

Role: CONTACT

+47 40107050

Victoria Vinje, MD

Role: CONTACT

+47 92033665

Facility Contacts

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Torbjørn Omland, MD, PhD

Role: primary

+47 40107050

Victoria Vinje, MD

Role: backup

+47 92033665

Other Identifiers

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2021/156064(REK)

Identifier Type: -

Identifier Source: org_study_id

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