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RecruitingNCT06331806Updated Jun 24, 2024

Myocardial Fibrosis Identification in Patients With Anthracycline-induced Cardiotoxicity

An interventional study of Evaluation of myocardial fibrosis in Cardiomyopathy Due to Drug, sponsored by European Institute of Oncology. Recruiting at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-06-24.

Sponsored by European Institute of Oncology · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as recruiting.
  • Registered 6 years after the study started (first participant enrolled Feb 2018, registered Mar 2024).
  • Started Feb 2018; still recruiting 8 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is an interventional study for patients who had developed Anthracycline-Induced Cardiotoxicity (AIC) during or after anthracycline-containing therapy, referred to the Cardioncology Unit for heart failure treatment

Read the detailed description

The main aim of this interventional study is to evaluate biochemical and imaging markers of fibrosis in patients who had previously developed AIC during or after anthracycline-containing therapy.

Anthracycline-induced cardiomyopathy (AIC) is define as a reduction in Left Ventricular Ejection Fraction (LVEF) >10% units from baseline and below 50%, assessed by echocardiography, during or after anthracycline-containing therapy.

All patients will undergo:

  • at time 0

    • an echocardiogram with LVEF evaluation (biplane method)
    • a single blood sample.
  • at time 1 - a Cardiac Magnetic Resonance (RMC) with contrast agent (T1 mapping technique) (time 1 = within 72 hours from blood sample).
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Conditions studied

  • Cardiomyopathy Due to Drug
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 100 is above the median of 51 across 609 interventional studies indexed under Cardiomyopathies.

Browse Cardiomyopathies studies →

Lead sponsor

European Institute of Oncology is the lead sponsor of 178 studies on the registry; 113 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients who developed AIC during or after anthracycline-containing therapy assessed by LVEF valuation by echocardiography.

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years
  • Contraindications to contrast medium magnetic resonance imaging
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Other
    Evaluation of myocardial fibrosis

    Echocardiogram with left ventricular ejection fraction (LVEF) evaluation (biplane method) and CMR with contrast media agent

    Diagnostic Test: Evaluation of myocardial fibrosis

Interventions

  • Diagnostic testEvaluation of myocardial fibrosis

    echocardiogram with left ventricular ejection fraction (LVEF) evaluation (biplane method) and CMR with contrast media agent

06

What researchers measure

Primary outcomes

  1. Evaluation of blood levels of Suppression Of Tumorigenicity 2 (ST2)

    Evaluation of blood levels of Suppression Of Tumorigenicity 2 (ST2) gene as biomarker of fibrosis

    Time frame: 1 month

  2. Evaluation of blood levels of Galectin-3 (Gal-3)

    Evaluation of blood levels of Galectin-3 (Gal-3) as biomarker of fibrosis

    Time frame: 1 month

  3. Evaluation of Enhanced Liver Fibrosis score (ELF)

    Evaluation of Enhanced Liver Fibrosis score (ELF) as biomarker of fibrosis ELF score is a "marker set" constituted by 3 markers of fibrosis: lhyaluronic acid, amino-terminal propeptide of type III procollagen, and tissue inhibitor of metalloproteinase 1, firstly utilized in the diagnosis and assessment of the severity of liver

    Time frame: 1 month

  4. Evaluation of CMR imaging marker of fibrosis

    Evaluation at CMR of Myocardial T1 before and after contrast media infusion and Myocardial extracellular volume

    Time frame: 1 month

Secondary outcomes

  1. Evaluation of improvement in left ventricular ejection fraction (LVEF) absolute points from baseline

    evaluation of the response to heart failure treatment in terms of improvement in left ventricular ejection fraction (LVEF) absolute points from baseline

    Time frame: 1 month

  2. Evaluation of levels of Troponin I (TnI) and B-type Natriuretic Peptide (BNP)

    Troponin I (TnI) and B-type Natriuretic Peptide (BNP) are biomarkers already utilized in the early diagnosis and monitoring of AIC and recognized prognostic indexes in patients with heart failure.

    Time frame: 1 month

  3. Evaluation of levels of cytochrome C

    cytochrome C is a marker of mitochondrial dysfunction

    Time frame: 1 months

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06331806
Lead sponsor
European Institute of Oncology
Responsible party
Sponsor
First posted
Mar 26, 2024
Start date
Feb 22, 2018
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
Jun 24, 2024

Study contacts

Daniela Cardinale, MD
Contact
daniela.cardinale@ieo.it
+39 0257489748
Daniela Cardinale, MD
principal investigator · European Institute of Oncology

Oversight

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

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