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CompletedNCT03387540RAFALEUpdated Sep 26, 2019

Evaluation of Reporting of Immune Checkpoint Inhibitor Associated Cardio-vascular Adverse Reactions

An observational study in Myocarditis and Cardiac Complication, sponsored by Groupe Hospitalier Pitie-Salpetriere. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-26.

Sponsored by Groupe Hospitalier Pitie-Salpetriere · Observational

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Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
104
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 31 studies in Myocarditis with a site in France — 11 open to participants now, 13 under way, 2 of them phase 3. Myocarditis · France.

Enrollment
14th of 19
104 · median 500
Started
2017
with 2 others
Observational
19 of 31
8 open now
Registered
5th of 31
by date
Lead sponsor
5 of 31
Groupe Hospitalier Pitie-Salpetriere

Among the 31 studies in Myocarditis with a site in France, this one is the 14th largest by enrollment of the 19 observational ones that give a count, is one of 3 that started in 2017, is one of 19 observational ones, and was the 5th registered.

Myocarditis

174 studies on the registry are indexed under Myocarditis; 75 are open to participants now.

Browse Myocarditis studies →

Open to participants now

11 of the 31 studies in Myocarditis with a site in France are open now. Recruiting first, the newest first:

6 more — sign in →

All 11 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 53 Myocarditis studies recruiting now, 31 (58%) set no upper age limit and 6 (11%) stop at 75 or younger; 15 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Immune checkpoint inhibitors (ICIs) might have high grade immune-related adverse events (irAEs) on the cardio-vascular system. This study investigates reports of cardio-vascular toxicity with treatment including anti-PD1, Anti-PDL-1, and Anti CTLA4 classes using the World Health Organization (WHO) database VigiBase.

Read the detailed description

ICIs have dramatically improved clinical outcomes in multiple cancer types and are increasingly being tested in earlier disease settings and used in combination. However, irAEs can occur. Here the investigators use VigiBase (http://www.vigiaccess.org/), the World Health Organization (WHO) database of individual safety case reports, to identify cases of cardiovascular adverse drug reaction following treatment with ICIs.

03

Conditions studied

  • Myocarditis
  • Cardiac Complication

Browse trials for

Keywords

  • Anti-PD-1
  • Anti-PD-L1
  • Anti CTLA-4
  • Immune checkpoint inhibitors
04

Who can participate

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

Study population

Patients treated with an ICI for a cancer

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017
  • Adverse event reported were including the MedDRA terms: Cardiac and vascular investigations (excl enzyme tests) (HLGT), Vascular disorders (SOC), Skeletal and cardiac muscle analyses (HLT), Sudden death (PT), Sudden cardiac death (PT), Cardiac disorders (SOC), Cardiac arrhythmias (HLGT), Cardiac disorder signs and symptoms (HLGT), Cardiac neoplasms (HLGT), Cardiac valve disorders (HLGT), Congenital cardiac disorders (HLGT), Coronary artery disorders (HLGT), Endocardial disorders (HLGT), Heart failures (HLGT), Myocardial disorders (HLGT), Pericardial disorders (HLGT)
  • Patients treated with ICIs included in the ATC: Ipilimumab (L01XC11), Nivolumab (L01XC17), Pembrolizumab (L01XC18), Durvalumab (L01XC28), Avelumab (L01XC31), Atezolizumab (L01XC32).

Exclusion criteria

Exclusion Criteria:

  • Chronology not compatible between the drug and the toxicity
05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
104 participants (actual)
Target follow-up
2 Days
Patient registry
Yes

Groups and cohorts

  • Myocarditis induced by Immune check point inhibitor

    Case reported in the World Health Organization (WHO) of myocarditis of patient treated by ICI, with a chronology compatible with the drug toxicity

    Drug: ICI

Interventions

  • DrugICI

    Immune checkpoint inhibitor targeting either PD-1, PD-L1 or CTLA-4, and included in the following list (ATC classification): Ipilimumab (L01XC11), Nivolumab (L01XC17), Pembrolizumab (L01XC18), Durvalumab (L01XC28), Avelumab (L01XC31), Atezolizumab (L01XC32).

This study also gives Pembrolizumab, Nivolumab, Ipilimumab, Durvalumab, Atezolizumab. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Cardio-vascular toxicity of ICIs.

    Identification and report of the cardio-vascular toxicity of ICIs. The research includes the report with MedDRA terms: SOC Cardiac Disorders, SOC Vascular Disorders, Sudden death (PT), Cardiac and vascular investigations (excl enzyme tests) (HLGT), Skeletal and cardiac muscle analyses (HLT). Drugs investigated are ICIs: Ipilimumab (L01XC11), Nivolumab (L01XC17), Pembrolizumab (L01XC18), Durvalumab (L01XC28), Avelumab (L01XC31), Atezolizumab (L01XC32).

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

Secondary outcomes

  1. Causality assessment of reported cardiovascular events according to the WHO system

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

  2. Description of the type of cardiotoxicity depending on the category of ICIs

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

  3. Description of the duration of treatment when the toxicity happens (role of cumulative dose)

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

  4. Description of the drug-drug interactions associated with adverse events

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

  5. Description of the pathologies (cancer) for which the incriminated drugs have been prescribed

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

  6. Description of the population of patients having a cardio-vascular adverse event

    Time frame: Case reported in the World Health Organization (WHO) database of individual safety case reports to 12/31/2017

07

Study locations

1 site
  • AP-HP, Pitié-Salpêtrière Hospital, Department of Pharmacology, CIC-1421, Pharmacovigilance Unit, INSERM.
    Paris, 75013, France
08

References and documents

Publications

  • Dressler D, Potter H. Molecular mechanisms in genetic recombination. Annu Rev Biochem. 1982;51:727-61. doi: 10.1146/annurev.bi.51.070182.003455. No abstract available. PubMed 6287923 ↗
  • Moslehi JJ, Salem JE, Sosman JA, Lebrun-Vignes B, Johnson DB. Increased reporting of fatal immune checkpoint inhibitor-associated myocarditis. Lancet. 2018 Mar 10;391(10124):933. doi: 10.1016/S0140-6736(18)30533-6. No abstract available. PubMed 29536852 ↗
  • Moslehi JJ, Salem JE, Sosman JA, Lebrun-Vignes B, Johnson DB. Reporting of immune checkpoint inhibitor-associated myocarditis - Authors' reply. Lancet. 2018 Aug 4;392(10145):384-385. doi: 10.1016/S0140-6736(18)31556-3. No abstract available. PubMed 30102170 ↗
  • Salem JE, Manouchehri A, Moey M, Lebrun-Vignes B, Bastarache L, Pariente A, Gobert A, Spano JP, Balko JM, Bonaca MP, Roden DM, Johnson DB, Moslehi JJ. Cardiovascular toxicities associated with immune checkpoint inhibitors: an observational, retrospective, pharmacovigilance study. Lancet Oncol. 2018 Dec;19(12):1579-1589. doi: 10.1016/S1470-2045(18)30608-9. Epub 2018 Nov 12. PubMed 30442497 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2017 to primary completion in Dec 2017, 0 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 22, 2017
First posted
Jan 2, 2018
StartActual
Dec 2, 2017
Primary completionActual
Dec 4, 2017
CompletionActual
Dec 31, 2017
Last update
Sep 26, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 26, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03387540
Lead sponsor
Groupe Hospitalier Pitie-Salpetriere
Collaborators
Institute of Cardiometabolism and Nutrition, France, Vanderbilt University, Vanderbilt University Medical Center
Responsible party
Joe Elie Salem (Principle investigator, Groupe Hospitalier Pitie-Salpetriere) — Principal investigator
First posted
Jan 2, 2018
Start date
Dec 2, 2017
Primary completion
Dec 4, 2017
Completion
Dec 31, 2017
Last update
Sep 26, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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