Study Stopped
lack of recruitment
Early Detection of Cardiac Toxicity of Trastuzumab (Herceptin ®) in Patients Treated for Breast Carcinoma: Value of Magnetic Resonance Imaging
MRTOX
1 other identifier
interventional
19
1 country
4
Brief Summary
The main objective of this study is to compare the proportions of late enhancement in patients with Left ventricular (LV) dysfunction as Herceptin ® and in a control group consisting of patients who did not have LV dysfunction after 6 months under the same treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Feb 2012
Longer than P75 for phase_2
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 15, 2011
CompletedFirst Posted
Study publicly available on registry
September 19, 2011
CompletedStudy Start
First participant enrolled
February 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2017
CompletedJuly 28, 2017
July 1, 2017
3.5 years
September 15, 2011
July 27, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportions of late enhancement in patients with LV dysfunction as Herceptin ® and in a control group consisting of patients who did not have LV dysfunction after 6 months under the same treatment.
A cardiac MRI is considered positive if demonstrated a late hyperintense from 15 to 20 minutes after injection of gadolinium chelate, whatever its size, topography subepicardial (intramyocardial) and without vascular systematization. The primary endpoint is the proportion of delayed enhancement in the LV dysfunction group and the control group.
2 years
Secondary Outcomes (1)
Proportion of patients recovering at 6 months in the absence of late enhancement signal in MRI heart after injection of gadolinium and compare the results of biological assays
2 years
Study Arms (2)
LV dysfunction group
OTHERCardiac MRI
Control group
OTHERCardiac MRI
Interventions
The examinations will be conducted on an MRI with a dedicated antenna heart, by a physician with expertise in cardiac MRI. After establishing a good quality ECG synchronization, the following sequences are carried out successively: * Sequences locating anatomical * T2 black blood (such as ESF) * rapid sequence of cine-MRI (such as balanced FFE) vertical and horizontal long axis and short axis of the base to the apex * T1-weighted sequence with inversion recovery for the assessment of possible consequences of cell damage.
Eligibility Criteria
You may qualify if:
- Women over 18 years
- Free and informed consent signed
- Histologically confirmed adenocarcinoma of the breast, metastatic or non-metastatic
- LVEF\> 50% angioscintigraphy before the start of treatment with Herceptin ®,
- Overexpression of HER2 in the invasive component of the primary tumor (3 + 2 + according to ICH or with confirmation of positivity by FISH or CISH)
- Patient receiving treatment with Herceptin ®,
You may not qualify if:
- Heart disease or serious medical conditions do not allow to administer Herceptin ® (documented history of heart failure, angina requiring treatment, severe dyspnoea at rest or oxygen dependency),
- History of ischemic heart disease or myocarditis
- Known allergy to trastuzumab, murine proteins or any of the excipients
- Patients with an indication against the MRI (claustrophobia, ferromagnetic foreign body, pacemaker or implantable defibrillator, known allergy to gadolinium salts)
- Renal impairment (creatinine clearance \<60 ml / min according to the MDRD formula)
- Arrhythmia atrial fibrillation,
- Contraindications to the administration of Dotarem ®,
- Patient unable to give informed consent,
- Adult Trust,
- Pregnant or lactating
- Patient unable to undergo a medical for geographical, social or psychological.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Centre François Baclesse
Caen, 14076, France
Centre Georges-François Leclerc
Dijon, France
Clinique du Bois
Lille, France
CHU de NANCY
Nancy, 54511, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
MANRIQUE Alain, Pr
GIP Cyceron
- PRINCIPAL INVESTIGATOR
SWITSERS Odile, Dr
Centre François Baclesse
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 15, 2011
First Posted
September 19, 2011
Study Start
February 1, 2012
Primary Completion
August 1, 2015
Study Completion
May 1, 2017
Last Updated
July 28, 2017
Record last verified: 2017-07