ClinicalTrials.gg
Not yet recruitingNCT07254221ROSUBREASTUpdated Dec 10, 2025

Rosuvastatin for Prevention of Anthracycline-induced Cardiac Dysfunction in Breast Cancer Patients

A Phase 4 interventional study of Rosuvastatin 20 mg/day and Placebo tablets similar to rosuvastatin 20mg tablets in Anthracycline-induced Cardiac Toxicity, Breast Cancer and Anthracycline Related Cardiotoxicity in Breast Cancer, sponsored by Shiraz University of Medical Sciences. Not yet recruiting at 7 sites in Iran. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-10.

Sponsored by Shiraz University of Medical Sciences · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This study, called "ROSUBREAST", is a multicenter, double-blind, randomized clinical trial evaluating whether rosuvastatin (20 mg daily) can protect the heart in women with breast cancer receiving anthracycline-based chemotherapy. A total of 400 participants will be randomly assigned to receive either rosuvastatin or placebo for 12 months. The main goal is to determine whether rosuvastatin can prevent cancer treatment-related cardiac dysfunction (CTRCD), defined as a significant drop in heart pumping function. The study will also assess changes in cardiac strain, blood biomarkers, symptoms of heart failure, quality of life, and possible side effects.

Read the detailed description

Introduction: Anthracycline-induced cardiotoxicity significantly threatens the long-term cardiac health of breast cancer patients undergoing chemotherapy. Statins have shown potential cardioprotective effects without compromising cancer treatment efficacy. The ROSUBREAST study aims to evaluate the efficacy of rosuvastatin in preventing CTRCD in breast cancer patients receiving anthracycline-based chemotherapy. Methods: This multicenter, two-arm, double-blinded, superiority, parallel-group, randomized, placebo controlled clinical trial will be conducted across seven oncocardiology centers in Iran. A total of 400 participants will be enrolled and will be randomly assigned in a 1:1 ratio to receive either rosuvastatin (20 mg daily) or no intervention for 12 months. The primary endpoint is the incidence of CTRCD, defined as a ≥10% reduction in left ventricular ejection fraction (LVEF) to below the lower normal limit (53%). Secondary endpoints include changes in Global Longitudinal Strain (GLS), biomarkers (Troponin, NT-proBNP, hsCRP), and development of heart failure (HF). Ancillary endpoints are quality-of-life assessments and adverse effects of treatment. Conclusion: The ROSUBREAST study seeks to provide evidence on the cardioprotective role of rosuvastatin in breast cancer patients undergoing anthracycline-based chemotherapy, potentially informing clinical guidelines and improving patient outcomes.

02

Conditions studied

  • Anthracycline-induced Cardiac Toxicity
  • Breast Cancer
  • Anthracycline Related Cardiotoxicity in Breast Cancer
  • Anthracycline-induced Cardiotoxicity

Keywords

  • Breast cancer
  • rosuvastatin
  • statin therapy,
  • cancer-related treatment cardiac dysfunction
  • anthracycline induced cardiomyopathy
  • cardiac dysfunction
  • cardiotoxicity
  • chemotherapy
  • anthracycline
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 400 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Shiraz University of Medical Sciences is the lead sponsor of 130 studies on the registry; 6 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
Female
Accepts healthy volunteers
No

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

  • Female individuals with ≥18 years of age
  • Documented breast cancer diagnosis based on imaging and pathology findings
  • Scheduled to receive the first time anthracycline-based chemotherapy

Exclusion criteria

Exclusion Criteria:

  • Baseline \< 50%
  • Prior Statin use or Statin use is indicated based on guidelines
  • history of congestive heart failure (CHF) or cardiomyopathy
  • Pregnancy or breastfeeding
  • Unable to provide
  • Unexplained persistent elevation of transaminases (>3 times )
  • Concomitant use of oral cyclosporine
  • invasion of cancer to other organs
  • Previous cycles of chemotherapy
  • Any for statin use
Terms in these criteria, in plain language(5)

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
400 participants (estimated)

Study arms

  • Active comparator
    Intervention

    Consumption of 20 milligrams rosuvastatin daily

    Drug: Rosuvastatin 20 mg/day

  • Placebo comparator
    Placebo

    Placebo (placebo tablets similar to rosuvastatin)

    Drug: Placebo tablets similar to rosuvastatin 20mg tablets

Interventions

  • DrugRosuvastatin 20 mg/day

    Drug page: Rosuvastatin

    Consumption of rosuvastatin 20mg tablets every day

  • DrugPlacebo tablets similar to rosuvastatin 20mg tablets

    consumption of placebo tablets similar to rosuvastatin 20mg

06

What researchers measure

Primary outcomes

  1. CTRCD (cancer treatment-related cardiac dysfunction)

    CTRCD is defined as a reduction of ≥10 percentage points in LVEF by echocardiography to \<53% or a \>15% relative decline in global longitudinal strain (GLS) compared with baseline strain.

    Time frame: 12 months after randomization

Secondary outcomes

  1. changes in LVEF

    Time frame: 3, 6, and 12 months after randomization

  2. changes in Global Longitudinal Strain (GLS)

    Time frame: 3, 6, and 12 months after randomization

  3. changes in Troponin level

    Time frame: 3, 6, and 12 months after randomization

  4. changes in N-terminal pro b-type Natriuretic Peptide (NT-proBNP) level

    Time frame: 3, 6, and 12 months after randomization

  5. changes in High-sensitivity C-reactive Protein (hsCRP) level

    Time frame: 3, 6, and 12 months after randomization

Other outcomes

  1. major adverse cardiovascular events (MACE)

    Time frame: 12 months after randomization

07

Study locations

7 sites
  • Motahari Breast Cancer Clinic
    Shiraz, Fars 71344-1864, Iran
  • Kowsar Hospital, Fars Heart Foundation
    Shiraz, Fars, Iran
  • Toba Oncology Department, Mazandaran University of Medical Sciences
    Sari, Mazandaran, Iran
  • Modarres Hospital, Shahid Beheshti University of Medical Sciences
    Tehran, Tehran Province, Iran
  • Rajaee Hospital, Iran University of Medical Sciences
    Tehran, Tehran Province, Iran
  • Sina Hospital, Tehran University of Medical Sciences
    Tehran, Tehran Province, Iran
  • Taleghani Hospital, Shahid Beheshti University of Medical Sciences
    Tehran, Tehran Province, Iran
08

References and documents

Individual participant data

Plan to share: Yes — The IPD used in the main analyses of CSR will be shared upon reasonable request from the principal investigator and confirmation by trial management committee (TMC).

Supporting information: Study protocol, Clinical study report

Time frame: The IPD can be shared after the release of CSR.

Access criteria: Reseaonable request for IPD sharing from the principal investigator will be assessed in TMC. If the commiittee agreed and confirmed the IPD sharing, the IPD will be shared through a suitable platform.

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 Dec 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07254221
Responsible party
Armin Attar (Prof. Armin Attar, Shiraz University of Medical Sciences) — Principal investigator
First posted
Nov 28, 2025
Start date
Feb 1, 2026 (estimated)
Primary completion
Apr 21, 2028 (estimated)
Completion
Apr 21, 2028 (estimated)
Last update
Dec 10, 2025

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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