Mechanisms, Predictors, and Social Determinants of Cardiotoxicity in Prostate Cancer

Clinicaltrials.gov ID: NCT05096338
db-list-check Status RECRUITING
b-loader Phase
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 200

Conditions

Prostate Cancer, Cardiotoxicity, Drug-Related Side Effects and Adverse Reactions, Cardiovascular Diseases

Summary

This is an observational study for patients with prostate cancer that will be treated with Androgen Deprivation Therapy. The study will help the investigators learn more about how these medications affect the heart and how those effects relate to patients' medical history and social determinants of health (such as race, gender identity, education, occupation, access to health services and economic resources). Patients on this study will have echocardiograms, blood draws, and answer questions about their symptoms and activity level. Patients will be followed on this study for up to 5 years.

Detailed Description

The investigators propose a prospective longitudinal cohort of prostate cancer patients treated with Androgen Deprivation Therapy (ADT) to determine the associations between social determinants of health (SDOH) and cardiotoxicity risk and to determine wither associations between SDOH and cardiotoxicity risk differs according to race. Patients will be followed with serial echo, blood draw, and surveys prior to start of ADT and then 6 months, 1 year, 2 years, 3 years, and 5 years after start of ADT.

Locations

1 location Found with status Recruiting

Status

  • RECRUITING

Central Contacts

Principal Investigator

  • Bonnie Ky, MD, MSCE

Eligibility Criteria

Inclusion Criteria:

Men older than 18 years of age Prostate cancer diagnosis planned for treatment with ≥6 months of ADT (with or without RT) for clinically localized, biochemically recurrent, or oligometastatic disease. Planned ADT regimens may include: GnRH agonists (goserelin, histrelin, leuprolide, triptorelin) with or without first-generation anti-androgens and GnRH antagonists (degarelix). Additional systemic agents, including second-generation androgen receptor signaling inhibitors, may be used in combination with GnRH agonist/antagonist therapies per provider clinical discretion.

Ability to provide informed consent

Exclusion Criteria:

Prior ADT injection within 6 months prior to enrollment Inability or unwillingness to provide consent

Outcome Measures

Primary Outcome Measures

Change in Left Ventricular Ejection Fraction (LVEF)

Time Frame: through study completion (expected to be 15 years)

Secondary Outcome Measures

Cancer therapy-related cardiac dysfunction (CTRCD)

Time Frame: through study completion (expected to be 15 years)

Symptomatic Heart Failure (HF)

Time Frame: through study completion (expected to be 15 years)

Change in Longitudinal Strain

Time Frame: through study completion (expected to be 15 years)

Change in Circumferential Strain

Time Frame: through study completion (expected to be 15 years)

Change in Diastolic function

Time Frame: through study completion (expected to be 15 years)

Change in Left Ventricular (LV) Mass

Time Frame: through study completion (expected to be 15 years)

Change in Relative LV Wall Thickness

Time Frame: through study completion (expected to be 15 years)

Change in Ventricular-Arterial Coupling

Time Frame: through study completion (expected to be 15 years)

Change in LV Twist

Time Frame: through study completion (expected to be 15 years)

Change in LV Torsion

Time Frame: through study completion (expected to be 15 years)

Change in NTproBNP

Time Frame: through study completion (expected to be 15 years)

Change in high-sensitivity troponin (hsTnT)

Time Frame: through study completion (expected to be 15 years)

Change in patient reported fatigue

Time Frame: through study completion (expected to be 15 years)

Change in patient reported quality of life

Time Frame: through study completion (expected to be 15 years)

Change in patient reported activity level

Time Frame: through study completion (expected to be 15 years)

Timeline

  • Last Updated
    October 10, 2024
  • Start Date
    October 27, 2021
  • Today
    February 5, 2025
  • Completion Date ( Estimated )
    October 1, 2028

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