Status:
RECRUITING
REmote iSchemic condItioning in Lymphoma PatIents REceiving ANthraCyclinEs
Lead Sponsor:
Fundación Centro Nacional de Investigaciones Cardiovasculares Carlos III
Collaborating Sponsors:
European Commission
Conditions:
Anthracycline-induced Cardiac Toxicity
Lymphoma
Eligibility:
All Genders
18-99 years
Phase:
NA
Brief Summary
Multinational, prospective, proof of concept phase II, double-blinded, sham-controlled, randomized clinical trial (RCT) to evaluate the efficacy and safety of Remote Ischaemic PreConditioning (RIPC) i...
Detailed Description
Multinational, prospective, proof of concept phase II, double-blinded, sham-controlled, randomized clinical trial (RCT) to evaluate the efficacy and safety of Remote Ischaemic PreConditioning (RIPC) i...
Eligibility Criteria
Inclusion
- ≥18 years old NHL, HL or breast cancer diagnosis Scheduled to undergo chemotherapy including ≥ 240 mg/k2 cumulative dose of anthracyclines.
- Pre-chemo LVEF \>40% on screening echocardiography.
- Presence of ≥1 of the following risk factors for developing cardiotoxicity:
- Previous coronary artery disease (any of the following):
- Previous coronary revascularisation (PCI or CABG) or Medical history of previous significant nonrevascularized coronary stenosis Previous Acute Coronary Syndrome / Acute Myocardial Infarction with a LVEF \> 40 LVEF 41-54% Age ≥ 65 years old Previous diagnosis of arterial hypertension (with or without treatment) Chronic kidney disease (estimated glomerular filtration rate \<60ml/min/1.73m2) Current or former smoker. Obesity (BMI≥30 kg/m2) LVH on screening echocardiography (LV thickness ≥12mm). High alcohol intake (≥21 alcoholic beverages per week) Sinus rhythm on screening ECG Previous diagnosis of diabetes (except those treated with sulfonylureas or those with neuropathy) Previous non-anthracycline-based chemotherapy Signed Informed Consent Form (ICF)
Exclusion
- History of any of the following diseases:
- Any cancer who received anthracyclines treatment before the index episode.
- Previous clinical diagnosis of heart failure.
- Permanent atrial fibrillation (AF).
- Severe valvular or sub-valvular heart disease.
- Severe peripheral arterial disease in the upper extremities or arteriovenous (AV) shunt in the arm selected for RIPC.
- Clinical diagnosis of diabetes neuropathy
- Contraindication for CMR:
- Severe claustrophobia.
- Any device which is known to threaten or pose hazard in all MR environments (http://www.mrisafety.com/).
- Patients with implanted biomedical cardiac devices: pacemakers, ICDs or CRT.
- Severe thrombocytopenia (platelets \<50,000/µL) on any blood test within the previous 3 months.
- Patients participating in other clinical trials.
- Impossibility to consent or undergo study follow-ups.
Key Trial Info
Start Date :
January 18 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2026
Estimated Enrollment :
608 Patients enrolled
Trial Details
Trial ID
NCT05223413
Start Date
January 18 2022
End Date
December 1 2026
Last Update
September 18 2025
Active Locations (24)
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1
Aarhus University
Aarhus, Denmark
2
Hospital Jaques Monod, El Havre
Montivilliers, France
3
Henri Becquerel
Rouen, France
4
University Hospital Duesseldorf UDUS
Düsseldorf, Germany