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RecruitingNCT03790943Cardio-OncoUpdated May 29, 2026

Cardiac Dysfunction in Childhood Cancer Survivors

An observational study in Cardiac Dysfunction, Cardiovascular Diseases and Childhood Cancer, sponsored by University of Bern. Recruiting at 6 sites in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-29.

Sponsored by University of Bern · Observational

From the registry’s dates

  • Started Feb 2018; still recruiting 8 years 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
18 Years and older
Sex
All
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Study summary

This multicenter, prospective cohort study evaluates early cardiac dysfunction in adult survivors of childhood cancer. The hypothesis of this study is that cardiac dysfunction can be detected earlier when using speckle tracking echocardiography as novel echocardiographic technique compared to conventional echocardiography.

Read the detailed description

Cardiovascular disease including cardiac dysfunction is the leading non-malignant cause of death in childhood cancer survivors. Early detection of cardiac dysfunction is important to identify those in need for medical intervention to improve outcome. This study invites adult childhood cancer survivors to a clinical appointment to the University Hospital Bern, Switzerland. A detailed, standardized cardiac assessment including conventional and novel echocardiographic techniques (speckle tracking) as well as cardiopulmonary exercise testing is performed. Cardiac dysfunction is evaluated in survivors who have had cardiotoxic cancer therapy with anthracyclines and/or chest radiation (high risk) and in survivors who have had chemotherapy other than anthracyclines (standard risk).

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Conditions studied

  • Cardiac Dysfunction
  • Cardiovascular Diseases
  • Childhood Cancer

Keywords

  • Childhood cancer survivors
  • Late effects
  • Cardiotoxicity
  • Chemotherapy
  • Anthracyclines
  • Radiation
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In context

Cardiovascular Diseases

5,368 studies on the registry are indexed under Cardiovascular Diseases; 939 are open to participants now.

This study's planned enrollment of 500 is close to the median of 506 across 1,572 observational studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

University of Bern is the lead sponsor of 209 studies on the registry; 47 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

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

Study population

Adult survivors of childhood cancer, formerly treated at the University Children's Hospital Bern or University Children's Hospital Basel or Children's Hospital of Eastern Switzerland or Children´s Hospital Lucerne or University Hospitals of Geneva, with any chemotherapy and/or chest radiation.

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.

This prospective cohort study is nested within the Childhood Cancer Registry (ChCR), a national, population-based cancer registry that includes all children and adolescents in Switzerland who were diagnosed with cancer at age 0-20 years. It includes patients diagnosed with leukemia, lymphoma, central nervous system tumors, and malignant solid tumours or Langerhans cell histiocytosis. Childhood cancer survivors have survived at least 5 years from cancer diagnosis.

Inclusion criteria

Inclusion Criteria:

  • Registered in the ChCR
  • Formerly treated at the Department of Pediatric Hematology/Oncology of one of five participating centers
  • Treated with any chemotherapy and/or chest radiation
  • Survived ≥ 5 years since most recent cancer diagnosis (primary cancer, relapse(s), secondary cancer) at time of examination
  • Diagnosed at age ≤ 20 years
  • ≥ 18 years of age at time of study participation
  • Resident in Switzerland
  • Written

Exclusion criteria

Exclusion Criteria:

  • Study participants will be excluded if they do not meet the above mentioned inclusion criteria or refuse to participate in the study.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No

Interventions

  • Diagnostic testcardiac assessment

    Personal history, physical examination including anthropometry with hip/waist-ratio, electrocardiogram, echocardiography, 1-minute-sit-to-stand test, questionnaires on health-related quality of life (SF-36), diet, physical activity, and fatigue

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What researchers measure

Primary outcomes

  1. Prevalence of cardiac dysfunction

    Conventional echocardiography: left ventricular ejection fraction (%)

    Time frame: Baseline and longitudinal follow-up where clinically indicated

  2. Prevalence of cardiac dysfunction

    Speckle tracking echocardiography: longitudinal (LS), circumferential (CS), and radial strain (RS)

    Time frame: Baseline and longitudinal follow-up where clinically indicated

  3. Prevalence of impaired exercise capacity

    Cardiopulmonary exercise testing: peak oxygen consumption, percent-predicted carbon dioxide production

    Time frame: Baseline

  4. Treatment-related risk factors

    Cumulative doses of anthracyclines, steroids, and alkylating agents (mg/m2)

    Time frame: Baseline

  5. Treatment-related risk factors

    Dose of chest radiation (Gray)

    Time frame: Baseline

07

Study locations

5 of 6 sites recruiting
  • Department of Cardiology, University Hospital Basel
    Basel, Canton of Basel-City 4031, Switzerland
    Recruiting
    • Gabriela Kuster, MD · Contact
  • Institute of Social and Preventive Medicine, University of Bern
    Bern, Canton of Bern 3012, Switzerland
    Active, not recruiting

    Not enrolling at this site.

  • Department of Cardiology, Inselspital Bern
    Bern, 3010, Switzerland
    Recruiting
    • Stephan Dobner, MD · Contact
    • Thomas Suter, MD · Principal investigator
  • Department of Cardiology, University Hospitals of Geneva
    Geneva, 1205, Switzerland
    Recruiting
    • Nana K Poku, MD · Contact
  • Department of Cardiology, Lucerne Cantonal Hospital
    Lucerne, 6000, Switzerland
    Recruiting
    • Reto Kurmann, MD · Contact
  • Department of Cardiology, Cantonal Hospital of St. Gallen
    Sankt Gallen, 9007, Switzerland
    Recruiting
    • Eva Scheler, MD · Contact
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References and documents

Publications

  • Schindera C, Kuehni CE, Pavlovic M, Haegler-Laube ES, Rhyner D, Waespe N, Roessler J, Suter T, von der Weid NX. Diagnosing Preclinical Cardiac Dysfunction in Swiss Childhood Cancer Survivors: Protocol for a Single-Center Cohort Study. JMIR Res Protoc. 2020 Jun 10;9(6):e17724. doi: 10.2196/17724. PubMed 32269016 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03790943
Lead sponsor
University of Bern
Collaborators
University Hospital, Basel, Switzerland, Insel Gruppe AG, University Hospital Bern, Cantonal Hospital of St. Gallen, Luzerner Kantonsspital, University Hospital, Geneva, University Children's Hospital Basel
Responsible party
Sponsor
First posted
Jan 2, 2019
Start date
Feb 13, 2018
Primary completion
Apr 23, 2029 (estimated)
Completion
Apr 23, 2029 (estimated)
Last update
May 29, 2026

Study contacts

Claudia E Kuehni, MD
Contact
claudia.kuehni@unibe.ch
+41 31 684 35 07
Christina Schindera, MD
Contact
christina.schindera@unibe.ch
+41 31 684 37 71
Claudia E Kuehni, MD
principal investigator · University of Bern

Oversight

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

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