Mechanisms, Predictors, and Social Determinants of Cardiotoxicity in Prostate Cancer
Conditions
Prostate Cancer, Cardiotoxicity, Drug-Related Side Effects and Adverse Reactions, Cardiovascular DiseasesSummary
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
- Bonnie Ky, MD, MSCE
- 215-573-6606
- [email protected]
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)
Secondary Outcome Measures
Cancer therapy-related cardiac dysfunction (CTRCD)
Symptomatic Heart Failure (HF)
Change in Longitudinal Strain
Change in Circumferential Strain
Change in Diastolic function
Change in Left Ventricular (LV) Mass
Change in Relative LV Wall Thickness
Change in Ventricular-Arterial Coupling
Change in LV Twist
Change in LV Torsion
Change in NTproBNP
Change in high-sensitivity troponin (hsTnT)
Change in patient reported fatigue
Change in patient reported quality of life
Change in patient reported activity level
Timeline
Last Updated
October 10, 2024Start Date
October 27, 2021Today
January 16, 2025Completion Date ( Estimated )
October 1, 2028
Sponsors of this trial
Lead Sponsor
Abramson Cancer Center at Penn MedicineCollaborating Sponsors
American Heart Association