Overview

This trial is active, not recruiting.

Conditions heart failure, cancer treatment induced left ventricular dysfunction
Treatments echocardiograms, electrocardiogram, symptom questionnaire, telephone follow-up
Sponsor M.D. Anderson Cancer Center
Start date September 2012
End date September 2018
Trial size 45 participants
Trial identifier NCT02543294, 2012-0379

Summary

The goal of this clinical trial is to learn if heart function remains normal after stopping heart failure medication in patients who have received chemotherapy.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose treatment
Arm
(Experimental)
Participants undergo echocardiograms with contrast done at baseline and at months 2, 4, 6, 12, 18, and 30. Electrocardiogram performed at baseline. Symptom questionnaire completed at baseline and at months 1, 2, 4, 6, 12, 18, and 30. Telephone follow-up by study staff at months 3 and 5.
echocardiograms ECHO
Participants undergo echocardiograms with contrast done at baseline and at months 2, 4, 6, 12, 18, and 30.
electrocardiogram ECG
Electrocardiogram performed at baseline.
symptom questionnaire Survey
Symptom questionnaire completed at baseline and at months 1, 2, 4, 6, 12, 18, and 30.
telephone follow-up
Telephone follow-up by study staff at months 3 and 5.
(Experimental)
Participants undergo echocardiograms with contrast done at baseline and at months 2, 4, 6, 12, 18, and 30. Electrocardiogram performed at baseline. Symptom questionnaire completed at baseline and at months 1, 2, 4, 6, 12, 18, and 30. Telephone follow-up by study staff at months 3 and 5.
echocardiograms ECHO
Participants undergo echocardiograms with contrast done at baseline and at months 2, 4, 6, 12, 18, and 30.
electrocardiogram ECG
Electrocardiogram performed at baseline.
symptom questionnaire Survey
Symptom questionnaire completed at baseline and at months 1, 2, 4, 6, 12, 18, and 30.
telephone follow-up
Telephone follow-up by study staff at months 3 and 5.
(Experimental)
Participants undergo echocardiograms with contrast done at baseline and at months 2, 4, 6, 12, 18, and 30. Electrocardiogram performed at baseline. Symptom questionnaire completed at baseline and at months 1, 2, 4, 6, 12, 18, and 30. Telephone follow-up by study staff at months 3 and 5.
echocardiograms ECHO
Participants undergo echocardiograms with contrast done at baseline and at months 2, 4, 6, 12, 18, and 30.
electrocardiogram ECG
Electrocardiogram performed at baseline.
symptom questionnaire Survey
Symptom questionnaire completed at baseline and at months 1, 2, 4, 6, 12, 18, and 30.
telephone follow-up
Telephone follow-up by study staff at months 3 and 5.

Primary Outcomes

Measure
Maintenance of Left Ventricular Ejection Fraction (LVEF) After Discontinuance of Heart Failure (HF) Medications
time frame: 6 months

Secondary Outcomes

Measure
Changes in Cardiac Biomarkers After Discontinuance of Heart Failure (HF) Medications
time frame: 6 months

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: 1. Cancer survivors with no evidence of disease for at least 6 months as determined by the oncologist and no longer receiving cancer treatment. 2. Prior diagnosis of CILVD with recovered LVEF (i.e. improved to > 50%) for at least 6 months with recommended HF medications (ACE-I or ARB and/or B-blocker). 3. Absence of other causes of cardiomyopathy (e.g. ischemia, hypertension, amyloidosis, or hemochromatosis) per chart review of the clinician's documentation 4. Documented normal LVEF for at least 6 months after the initiation of recommended HF therapy. 5. Age 18 - 80 years. HF clinical guidelines is supported by evidenced-based data from clinical trials which includes individuals up to 80 years of age. 6. Residence within the United States. 7. Ability to read and write English, because the MD Anderson Symptom Inventory -Heart Failure (MDASI-HF) instrument (Fadol et al., 2008) has been validated in English only. Exclusion Criteria: 1. Participants will be excluded if they have a recurrence that requires anti-cancer treatment. 2. Have a documented history of hypertension, coronary artery disease, myocardial infarction, diabetes mellitus, amyloidosis or hemochromatosis. 3. Exhibiting HF symptoms (e.g. shortness of breath, edema). 4. Pregnancy

Additional Information

Official title REcovery of Left Ventricular Dysfunction in CAncer Patients (RECAP Trial)
Principal investigator Anecita Fadol, PHD, MSN
Description If you agree to take part in this study, the following baseline tests and procedures will be performed on Day 1: - Your complete medical history will be recorded. - You will have a physical exam, including measurement of your vital signs (blood pressure, heart rate, and breathing rate). - You will complete a questionnaire about any symptoms you may be having. The questionnaire should take about 5-10 minutes to complete. - You will have an echocardiogram (ECHO) and an electrocardiogram (ECG) to check your heart function. - You will have blood (about 3 tablespoons) drawn for routine tests. If you can become pregnant, part of this blood draw will be used for a pregnancy test. To take part in this study, you must not be pregnant. - You will be given instructions on how to gradually wean yourself off of your heart failure medication. - You will be given a machine that you will use to measure your blood pressure at home. You will be asked to monitor your blood pressure and heart rate at home daily and keep the results in a diary. You should bring your diary to each study visit. At Month 1: - You will have a physical exam, including measurement of your vital signs. - You will complete the questionnaire about any symptoms you may be having. - You will have blood (about 2 teaspoons) drawn for routine tests. At Months 2, 4, 6, 12, 18, and 30: - You will have a physical exam, including measurement of your vital signs. - You will complete the questionnaire about any symptoms you may be having. - You will have an ECHO. - You will have blood (about 2 teaspoons) drawn for routine tests. At Months 3 and 5, you will have a telephone follow-up with a member of the research team. Length of Study Participation: You may continue taking part in the study for up to 6 continuous months with follow-up visits at Months 12, 18, and 30. You will no longer be able to take part if the disease gets worse, if intolerable side effects occur, or if you are unable to follow study directions. This is an investigational study. Up to 45 participants will be enrolled in this study. All will take part at MD Anderson.
Trial information was received from ClinicalTrials.gov and was last updated in November 2016.
Information provided to ClinicalTrials.gov by M.D. Anderson Cancer Center.