Cardiovascular Diagnostic in Assessment of Risk HDS and HCT in Patients With Haemoblasts.
Cardiovascular Diagnostic in Assessment of Risk High Dose Chemotherapy and Hematopoietic Cell Transplantation in Patients With Haemoblasts.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Cancer and cardiovascular (CV) disease are the most prevalent diseases in the developed world. Evidence increasingly shows that these conditions are interlinked through common risk factors, coincident in an ageing population, and are connected biologically through some deleterious effects of anticancer treatment on CV health. Anticancer therapies can cause a wide spectrum of short- and long-term cardiotoxic effects such as heart failure, arrhythmias, systolic and diastolic dysfunction, valvular disease, pericarditis, myocarditis, ischemic heart disease, cardiomyopathy, stroke, hypertension.
A number of studies have shown that autologous and allogeneic hematopoietic cell transplantation (HCT) contribute to an increased incidence of cardiovascular disease (CVD) and worsening of cardiovascular risk factors (CVRFs) that could contribute to further CVD over time. These observations combined with a notable increase in the number of survivors after HCT in recent years highlight the need for studies aimed at modifying risk or preventing these outcomes by changing specific approaches and/or post-HCT interventions.
The aim of this study is to evaluate the prognostic value of cardiological diagnostic, such as electrocardiography, echocardiography with the determination of global longitudinal strain, cardiopulmonary exercise test, and diagnostic of endothelial function by Angioscan for the prediction of cardiovascular complications after high dose chemotherapy and hematopoietic cell transplantation in patients with haemoblasts.
This is an observational, prospective single- centre, non-randomized study. In this research included patients with haemoblasts. Before and after hematological treatment, all patients undergo a cardiological examination, including examination, history taking, measurement of blood pressure, as well as instrumental examination, including ECG, echocardiography with the determination of global longitudinal deformation, cardiopulmonary pulmonary test, assessment of endothelial function by Angioscan. In addition, all subjects take blood for troponin T and NT-proBNP.
Patients were followed-up from 3 to 12 month after hematopoietic cell transplantation.
In this study was included patients with confirmed hemoblastosis. Written informed consent was obtained from all subjects.
Inclusion criteria were being over 18 yers of age and expected for high dose chemotherapy and hematopoietic cell transplantation, Exclusion criteria were patient's refusal.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Maria G. Poltavskaya, PhD
- Phone Number: +7 (916) 617-84-30
- Email: m.poltavskaya@yandex.ru
Study Contact Backup
- Name: Nadezhda A. Potemkina
- Phone Number: +7 (916) 918-24-45
- Email: na_potemkina@mail.ru
Study Locations
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-
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Moscow, Russian Federation
- Sechenov University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Study Population
Patients were followed-up from 3 to 12 month after hematopoietic cell transplantation.
In this study was included patients with confirmed hemoblastosis. Written informed consent was obtained from all subjects.
Inclusion criteria were being over 18 yers of age and expected for high dose chemotherapy and hematopoietic cell transplantation, Exclusion criteria were patient's refusal.
Description
Inclusion Criteria:
- Subject being over 18 yers of age
- Subject expected for high dose chemotherapy and hematopoietic cell transplantation
Exclusion Criteria:
- Subject's refusal
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Formerly Arm Label
to evaluate the possibility of cardiovascular studies in predicting the risk of complications after autologous hematopoietic stem cell transplantation in patients with hematological malignancies
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We use electrocardiography, echocardiography with the determination of global longitudinal strain, cardiopulmonary exercise test, and diagnostic of endothelial function by Angioscan for the prediction of cardiovascular complications after high dose chemotherapy and hematopoietic cell transplantation in patients with haemoblasts.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cardiac death
Time Frame: Up to 5 years or in the moment of hematopoietic cell transplantation
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Cardiac death after hematopoietic cell transplantation
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Up to 5 years or in the moment of hematopoietic cell transplantation
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Death
Time Frame: Up to 5 years or in the moment of hematopoietic cell transplantation
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Death after hematopoietic cell transplantation
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Up to 5 years or in the moment of hematopoietic cell transplantation
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All cardiovascular complications
Time Frame: Up to 5 years or in the moment of hematopoietic cell transplantation
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Cardiovascular complications after hematopoietic cell transplantation
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Up to 5 years or in the moment of hematopoietic cell transplantation
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change ejection fraction by 10% of the original
Time Frame: Through study completion, an average of 5 years after hematopoietic cell transplantation
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Change ejection fraction by 10% of the original after hematopoietic cell transplantation
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Through study completion, an average of 5 years after hematopoietic cell transplantation
|
|
Change GLS by 12% of the original
Time Frame: Through study completion, an average of 5 years after hematopoietic cell transplantation
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Change GLS by 12% of the original after hematopoietic cell transplantation
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Through study completion, an average of 5 years after hematopoietic cell transplantation
|
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Development of diastolic dysfunction
Time Frame: Through study completion, an average of 5 years after hematopoietic cell transplantation
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Development of diastolic dysfunction after hematopoietic cell transplantation
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Through study completion, an average of 5 years after hematopoietic cell transplantation
|
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Change anaerobic threshold<9,5 ml/kg/min
Time Frame: Through study completion, an average of 5 years after hematopoietic cell transplantation
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Change anaerobic threshold<9,5 ml/kg/min before and after hematopoietic cell transplantation
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Through study completion, an average of 5 years after hematopoietic cell transplantation
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Change NTproBNP >125 mmol/l
Time Frame: Before and through study completion, an average of 5 years after hematopoietic cell transplantation
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Change NTproBNP >125 mmol/l before and after hematopoietic cell transplantation
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Before and through study completion, an average of 5 years after hematopoietic cell transplantation
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Change Troponin T>14 pg/ml
Time Frame: Before and through study completion, an average of 5 years after hematopoietic cell transplantation
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Change Troponin T>14 pg/ml before and after hematopoietic cell transplantation
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Before and through study completion, an average of 5 years after hematopoietic cell transplantation
|
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Change GLS <18%
Time Frame: Before hematopoietic cell transplantation
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Change GLS <18% before hematopoietic cell transplantation
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Before hematopoietic cell transplantation
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Change ejection fraction <52%
Time Frame: Before hematopoietic cell transplantation
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Change ejection fraction <52% before hematopoietic cell transplantation
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Before hematopoietic cell transplantation
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Nadezhda A. Potemkina, Sechenov University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2409
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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