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CompletedNCT03259711SERENAUpdated Oct 18, 2018

Comparison of Cardiotoxicity Induced by Selective Estrogen REceptor Modulators and aNti-Aromatase

An observational study in Cardiac Affections, sponsored by Groupe Hospitalier Pitie-Salpetriere. Completed at 1 site in France. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2018-10-18.

Sponsored by Groupe Hospitalier Pitie-Salpetriere · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
20,000
Ages
18 Years to 100 Years
Sex
All
01

Study summary

Selective estrogen receptor modulators and aromatase inhibitors for the treatment of breast cancer seems to have an impact on the cardio-vascular system. This study investigates reports of cardiovascular toxicities for treatment including Anatomical Therapeutic Chemical (ATC) classification: L02 in the European pharmacovigilance database, Eudravigilance.

Read the detailed description

Hormone replacement therapies and contraceptive pills are responsible of a wide range of cardio-vascular side effects, particularly thrombo-embolic disorders and ischemic heart disease. The difference of incidence and type of cardio-vascular events between men and women are strongly related to sex hormones. This study investigates the main characteristics of patients affected by cardiovascular side effects (of which ventricular arrhythmia's, QT prolongation and Torsade de Pointe) imputed to drugs classified as L02 according to ATC.

02

Conditions studied

  • Cardiac Affections

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Keywords

  • Cardiotoxicity
  • selective estrogen receptor modulators
  • aromatase inhibitors
  • hormone replacement therapy
  • estrogen
03

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The population is selected in the Eurodravigilance database from 01/2002 to 08/2017 and included patients treated with hormonal therapies L02 in the ATC classification.

Inclusion criteria

  • Case reported in the Eudravigilance from 01/2002 to 08/2017
  • Adverse event reported were including the MedDRA terms: SOC Cardiac Affections and the HLT Death and Sudden Death

Exclusion criteria

Exclusion Criteria:

-

04

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
20,000 participants (actual)
Patient registry
No

Interventions

  • DrugHormonal therapies L02 in the ATC classification

    Hormonal therapies L02 in the ATC classification

05

What researchers measure

Primary outcomes

  1. Analysis of disproportionality of reports for cardiotoxicity associated with selective estrogen receptor modulators as compared to aromatase inhibitors by performing a case- non-case study

    Time frame: Immediate evaluation

Secondary outcomes

  1. Type of cardiotoxicity (ventricular arrhythmia's, QT prolongation and Torsade de Pointe) depending on the category and type of hormonal therapy (selective estrogen receptor modulators or aromatase inhibitors)

    Time frame: Immediate evaluation

  2. Disproportionality analysis of the reporting of drug-induced ventricular arrhythmia's with selective estrogen receptor modulators as compared to aromatase inhibitors

    Time frame: Immediate evaluation

  3. Disproportionality analysis of the reporting of drug- induced QT prolongation with selective estrogen receptor modulators as compared to aromatase inhibitors

    Time frame: Immediate evaluation

  4. Disproportionality analysis of the reporting of drug-induced Torsade de Pointe with selective estrogen receptor modulators as compared to aromatase inhibitors

    Time frame: Immediate evaluation

06

Study locations

1 site
  • Centre Régional de Pharmaco-vigilance - Paris, Pitié-Salpétrière
    Paris, Ile De France, France
07

References and documents

Publications

  • Grouthier V, Lebrun-Vignes B, Glazer AM, Touraine P, Funck-Brentano C, Pariente A, Courtillot C, Bachelot A, Roden DM, Moslehi JJ, Salem JE. Increased long QT and torsade de pointes reporting on tamoxifen compared with aromatase inhibitors. Heart. 2018 Nov;104(22):1859-1863. doi: 10.1136/heartjnl-2017-312934. Epub 2018 May 2. PubMed 29720397 ↗
08

Registry details

Key details

Study ID
NCT03259711
Lead sponsor
Groupe Hospitalier Pitie-Salpetriere
Responsible party
Joe Elie Salem (MD, PhD, Groupe Hospitalier Pitie-Salpetriere) — Principal investigator
First posted
Aug 24, 2017
Start date
Jan 2001
Primary completion
Aug 14, 2017
Completion
Aug 14, 2017
Last update
Oct 18, 2018

Study contacts

Joe-Elie Salem, MD, PhD
principal investigator · Centre Régional de Pharmaco-vigilance - Paris, Pitié-Salpétrière

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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