Immune Checkpoint Inhibitor Associated Cardiovascular Adverse Events in Patients With Cancer
NCT06519292 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 214
Last updated 2025-05-22
Summary
Immune checkpoint inhibitors (ICI) have revolutionized cancer treatment and are now approved for various types of cancer. The most common side effects of ICI are immune-related adverse events which can affect any organ or system in the body. Recently, concerns have also risen about cardiovascular effects of ICI. Retrospective studies showed an 4-5 times increased risk of developing an arterial thromboembolic event.
The mechanisms driving the ICI-associated risks of arterial thromboembolic events such as myocardial infarction and stroke, are unclear. Since the risk of a thromboembolism appears to be increased already during the first months after initiation of ICI, immune-related hypercoagulability or (autoimmune) antiphospholipid antibodies may play a role, but data to support this are lacking. The longer-term risk of arterial thromboembolism may be predominantly driven by (accelerated) atherosclerosis, a chronic low-grade inflammatory disease of the larger arteries. Therefore, this study evaluates the effect of ICI on progression of coronary non-calcifid plaque volume by using computed tomography angiography (CCTA).
Conditions
- Cardiovascular Diseases
- Arterial Thrombosis
- Myocardial Infarction
- Stroke
- Coronary Artery Disease
- Atherosclerosis
- Cancer
Interventions
- DIAGNOSTIC_TEST
-
Coronary computed tomography angiography (CCTA) at baseline
Detailed imaging of coronary arteries
- DIAGNOSTIC_TEST
-
Coronary computed tomography angiography (CCTA) after 1 year
Detailed imaging of coronary arteries
Sponsors & Collaborators
-
Amsterdam UMC
collaborator OTHER -
Hanneke W. M. van Laarhoven
lead OTHER
Principal Investigators
-
H.W.M. van Laarhoven, Prof. Dr. · [email protected]
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-25
- Primary Completion
- 2025-12-31
- Completion
- 2025-12-31
Countries
- Netherlands
Study Locations
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