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Status unknownNCT04055636PROMETEYUpdated Oct 18, 2021

Observational Trial of Cardiotoxicity in Patients Undergoing Chemotherapy.

An observational study in Cardiotoxicity, Heart Failure and Dilated Cardiomyopathy, sponsored by Moscow State University of Medicine and Dentistry. Status unknown at 1 site in Russian Federation. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2021-10-18.

Sponsored by Moscow State University of Medicine and Dentistry · Observational

The sponsor has not verified this record recently (last verified Sep 2021), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
18 Years to 90 Years
Sex
All
01

Study summary

Advances in treatment have led to improved survival of patients with cancer, but have also increased morbidity and mortality due to cancer treatment side effects. Cardiotoxicity is one the most frequent side effect which may lead to premature morbidity and death among cancer survivors. The most concerning cardiovascular complications of cancer therapy is myocardial dysfunction, leading to heart failure, and fatal arrhythmias, especially those induced by QT-prolonging drugs.

PROMETEY (PROspective Multidisciplinary obsErvational Trial of cardiotoxicity in patiEnts undergoing anticancer therapy) - is Russian multicenter observational study assessing cardiotoxicity and its clinical, biochemical and genetic factors in patients on cancer therapy.

The objectives of the study are:

  • to reveal prevalence of cardiotoxic effects of cancer therapy in routine clinical practice in Russian Federation,
  • to assess contribution of these effects to mortality of patients on cancer therapy,
  • to evaluate clinical and economic consequences of cardiotoxicity in patients with cancer,
  • to develop an individualized model of cardiotoxicity risk factors based on clinical and laboratory parameters.

Patients: 400 cancer patients with toxic cardiomyopathy and 100 patients with idiopathic or family dilated cardiomyopathy.

Study duration: 60 months. All patients will undergo complex examination after signing informed consent form(ICF): physical exam, echocardiography with speckle tracking analysis, ambulatory 48-hours ECG monitoring, biochemistry, analysis of biomarkers of myocardial injury, fibrosis and inflammation.

Primary endpoint: all-cause mortality, heart transplantation, cardioverter-defibrillator implantation, hospitalization with heart failure decompensation.

Secondary endpoints:

  • thromboembolism,
  • fatal/ nonfatal myocardial infarction, stroke,
  • sudden cardiac death,
  • surgical therapy of heart failure or arrhythmias,
  • cardiovascular death,
  • all-cause mortality,
  • heart transplantation,
  • cardioverter-defibrillator implantation.
02

Conditions studied

  • Cardiotoxicity
  • Heart Failure
  • Dilated Cardiomyopathy
03

In context

Cardiomyopathies

1,176 studies on the registry are indexed under Cardiomyopathies; 287 are open to participants now.

This study's planned enrollment of 500 is above the median of 153 across 515 observational studies indexed under Cardiomyopathies.

Browse Cardiomyopathies studies →

Lead sponsor

Moscow State University of Medicine and Dentistry is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Male and female more than 18 years old with verified cancer or with non-toxic dilated cardiomyopathy (control group).

Inclusion criteria

  • written informed consent form (ICF),
  • Eastern Cooperative Oncology Group (ECOG) scale 0-3,
  • patients with verified cancer on or planned to be on chemotherapy including anthracyclines,
  • sufficient bone marrow function, including: absolute neutrophils > 1.5*10\^9/l, platelets > 100*10\^9/l, hemoglobin > 9 g/dl,
  • sufficient liver function, including: total bilirubin \< 1.5*upper normal value, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 2.5 upper normal value,
  • sufficient renal function, including: creatinine clearance > 50 ml/min.

For control group:

  • verified non-toxic dilated cardiomyopathy.

Exclusion criteria

Exclusion Criteria:

  • refusal of patient,
  • sepsis,
  • coma, delirium,
  • mental disorders,
  • left chest radiation therapy,
  • metastases in central nervous system.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • cancer survivors with heart failure and/or fatal arrhythmias

    Patients undergoing cancer therapy for the last 3-4 years with signs of heart failure and/or life-threatening arrhythmias. Administered interventions: physical examination, echocardiography with speckle tracking analysis, 48-hour ECG monitoring, blood samples analysis for biochemistry, biomarkers of myocardial damage, fibrosis and inflammation.

    Diagnostic Test: Echocardiography with speckle tracking analysis. · Diagnostic Test: 48-hour ECG monitoring. · Diagnostic Test: Blood samples analysis.

  • Cancer survivors without complications

    Patients undergoing cancer therapy for the last 3-4 years without signs of heart failure and/or life-threatening arrhythmias. Administered interventions: physical examination, echocardiography with speckle tracking analysis, 48-hour ECG monitoring, blood samples analysis for biochemistry, biomarkers of myocardial damage, fibrosis and inflammation.

    Diagnostic Test: Echocardiography with speckle tracking analysis. · Diagnostic Test: 48-hour ECG monitoring. · Diagnostic Test: Blood samples analysis.

  • Cancer patients before chemotherapy

    Cancer patients before administered chemotherapy. Interventions: physical examination, echocardiography with speckle tracking analysis, 48-hour ECG monitoring, blood samples analysis for biochemistry, biomarkers of myocardial damage, fibrosis and inflammation.

    Diagnostic Test: Echocardiography with speckle tracking analysis. · Diagnostic Test: 48-hour ECG monitoring. · Diagnostic Test: Blood samples analysis.

  • Patients with non-toxic dilated cardiomyopathy (control).

    Patients with non-toxic dilated cardiomyopathy. Administered interventions: physical examination, echocardiography with speckle tracking analysis, 48-hour ECG monitoring, blood samples analysis for biochemistry, biomarkers of myocardial damage, fibrosis and inflammation.

    Diagnostic Test: Echocardiography with speckle tracking analysis. · Diagnostic Test: 48-hour ECG monitoring. · Diagnostic Test: Blood samples analysis.

Interventions

  • Diagnostic testEchocardiography with speckle tracking analysis.

    Transthoracic echocardiography with speckle tracking analysis.

  • Diagnostic test48-hour ECG monitoring.

    Ambulatory 48-hour electrocardiography monitoring.

  • Diagnostic testBlood samples analysis.

    Analysis of blood samples for biochemistry, biomarkers of myocardial damage, fibrosis and inflammation.

06

What researchers measure

Primary outcomes

  1. All-cause mortality

    Death of patient from all causes.

    Time frame: During all observational period (60 months)

  2. Heart transplantation

    Heart transplantation associated with heart failure or toxic cardiomyopathy decompensation.

    Time frame: During all observational period (60 months).

  3. Cardioverter-defibrillator implantation

    Implantation of cardioverter-defibrillator associated with life-threatening ventricular arrhythmias.

    Time frame: During all observational period (60 months).

  4. Hospitalization with heart failure decompensation

    Hospitalization of patient due to decompensation of heart failure.

    Time frame: During all observational period (60 months)

Secondary outcomes

  1. Thromboembolism.

    Venous thromboembolism associated with cancer disease.

    Time frame: During all observational period (60 months).

  2. Myocardial infarction

    Fatal/nonfatal myocardial infarction.

    Time frame: During all observational period (60 months).

  3. Stroke

    Stroke

    Time frame: During all observational period (60 months).

  4. Sudden cardiac death

    Sudden cardiac death associated with fatal arrhythmias.

    Time frame: During all observational period (60 months).

  5. Surgical therapy of heart failure or arrhythmias

    Surgical therapy of heart failure or arrhythmias.

    Time frame: During all observational period (60 months).

  6. Cardiovascular death

    Death of patient associated with cardiovascular disease.

    Time frame: During all observational period (60 months).

07

Study locations

1 of 1 sites recruiting
  • Moscow State University of Medicine and Dentistry, Department of Hospital Therapy №1
    Moscow, Moscow Region 107095, Russian Federation
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04055636
Lead sponsor
Moscow State University of Medicine and Dentistry
Responsible party
Sponsor
First posted
Aug 14, 2019
Start date
Jun 14, 2019
Primary completion
Jun 2022 (estimated)
Completion
Jun 2024 (estimated)
Last update
Oct 18, 2021

Study contacts

Elena Y Shupenina, PhD
Contact
eshupenina@mail.ru
+79161906122
Yury A Vasyuk, MD
principal investigator · Moscow State University of Medicine and Dentistry

Oversight

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

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This study is status unknown, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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