- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02674204
STOP Heart Disease in Breast Cancer Survivors Trial (STOP)
May 1, 2019 updated by: Marc Goodman, Cedars-Sinai Medical Center
Statin Therapy Operates to Prevent (STOP) Heart Disease in Breast Cancer Survivors Trial
The purpose of this study is to to examine the effects of atorvastatin, a type of statin, on changes to the heart among women undergoing breast cancer treatment.
Atorvastatin may reduce or eliminate the harmful effects of chemotherapy treatment to the heart tissue of breast cancer patients.
Study Overview
Status
Terminated
Intervention / Treatment
Detailed Description
This is a placebo-controlled study.
It will compare the effects of atorvastatin against the effects of a placebo (an inactive substance, such as, a sugar pill) on changes to the heart before and during breast cancer treatment.
Participants will be in the study for approximately a year and a half, and the study will enroll up to 60 patients.
During that time, there will be six visits that may coincide with standard of care visits.
Participants will also receive telephone calls from study staff during the study intervention and a follow-up phase to check-in with them.
Study Type
Interventional
Enrollment (Actual)
2
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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California
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Los Angeles, California, United States, 90048
- Cedars-Sinai Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Female patients with newly diagnosed stage 1-3 breast cancer
- Histologically confirmed HER2, ER, and PR status
- Recommended to undergo trastuzumab treatment, with or without anthracycline. Patients will be eligible for up to 3 weeks after starting treatment.
- Age minimum 18 years
- Able and willing to read, understand, and sign an informed consent form (ICF) and medical release form
- Willing and able to comply with trial protocol and follow-up
- ECOG performance status 0-1 (Karnofsky ≥ 70%)
Exclusion Criteria:
- Prior use of statin medication within the past year
- Not using statin medication but is eligible for statin therapy based on the 2013 ACC/AHA guidelines (LDL cholesterol >190, or LDL <190 and ASCVD risk >7.5%; http://tools.acc.org/ASCVD-Risk-Estimator/) and is > 50 years old; or is eligible for statin therapy based on the 2013 ACC/AHA guidelines and is 40-50 years old and wishes to be placed on statin therapy
- History of adverse effects, intolerance, or allergic reactions attributed to statin medication
- Current use of gemfibrozil, cyclosporine, clarithromycin, itraconazole, erythromycin, the hepatitis C protease inhibitor telaprevir, HIV protease inhibitors, colchicine, or red yeast rice
- Current use of any other investigational agent
- Pregnant or intention to get pregnant during the next 18 months. Pregnant women are excluded from this study because atorvastatin is a lipid-lowering agent with the potential for teratogenic or abortifacient effects, and MRI is contraindicated in pregnant women.
- History of diabetes, severe lung disease, renal disease (creatinine > 1.8 mg/dL or CrCl ≤ 50 mL/min), or hepatic disease (AST and ALT > 3 times upper normal limits)
- Abnormal baseline echocardiogram or cardiac MRI (detection of congenital heart disease; ischemic heart disease; moderate or severe valvular heart disease; cardiomyopathy; EF < 55%)
- Previously known or diagnosed heart disease (e.g. congenital; valvular; coronary artery disease; history of myocardial infarction or acute coronary syndrome; cardiomyopathy, including infiltrative, hypertensive, hypertrophic, dilated, constrictive pericarditis, or other cardiomyopathy)
- Left ventricular dysfunction (EF < 55%)
- Prior non-cardiac illness with an estimated life expectancy < 4 years
- Known active infection with HIV
- Allergy or contraindication to MRI testing, including claustrophobia, metallic parts in body the prohibiting MRI, prior gadolinium contrast reaction, or uncontrolled moderate hypertension (sitting blood pressure >160/95 mm Hg with measurements recorded on at least 2 occasions).
- Has metallic breast expanders in place at the time of screening
- Concurrent illness which in the opinion of the investigators would compromise either the patient or the integrity of the data
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Study Agent
One atorvastatin 20 mg oral capsule per day
|
Atorvastatin calcium, a synthetic lipid-lowering agent, is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase.
This enzyme catalyzes the conversion of HMG-CoA to mevalonate, an early and rate-limiting step in cholesterol biosynthesis.
Other Names:
|
Placebo Comparator: Control
One matching placebo daily
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A substance that has no therapeutic effect, and will be used as a control in testing the study agent.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in Global Circumferential Strain (GCS) Measured by Cardiac MRI (CMRI)
Time Frame: baseline to 12 months post initiation of statin intervention
|
baseline to 12 months post initiation of statin intervention
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in Global Longitudinal Strain as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Peak Left Ventricular Twist as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Peak Left Ventricular Torsion as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
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Change in Left Ventricular Untwisting Rate as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Left Ventricular Ejection Fraction as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Left Ventricular End Diastolic Volume as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
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Change in Left Ventricular End Systolic Volume as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Cardiac Output as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Left Ventricular Mass as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Left Ventricular Concentricity as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Change in Native T1 as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
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Change in Post Contrast T1 as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
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Baseline to 12 months of follow-up
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Change in Extracellular Volume as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
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Change in Native T2 as Measured by CMRI
Time Frame: Baseline to 12 months of follow-up
|
Baseline to 12 months of follow-up
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Marc Goodman, PhD, Cedars-Sinal Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 5, 2016
Primary Completion (Actual)
May 25, 2018
Study Completion (Actual)
May 25, 2018
Study Registration Dates
First Submitted
January 21, 2016
First Submitted That Met QC Criteria
February 2, 2016
First Posted (Estimate)
February 4, 2016
Study Record Updates
Last Update Posted (Actual)
May 15, 2019
Last Update Submitted That Met QC Criteria
May 1, 2019
Last Verified
May 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Chemically-Induced Disorders
- Pathologic Processes
- Cardiovascular Diseases
- Skin Diseases
- Neoplasms
- Neoplasms by Site
- Wounds and Injuries
- Breast Diseases
- Drug-Related Side Effects and Adverse Reactions
- Radiation Injuries
- Heart Diseases
- Breast Neoplasms
- Cardiotoxicity
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Atorvastatin
Other Study ID Numbers
- IIT2015-12-Goodman-STOP
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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