[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT05913999":3,"trial-entities:NCT05913999":114,"trial-summary:NCT05913999":119},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":23,"study_type":24,"primary_purpose":25,"phases":26,"enrollment_info":27,"interventions":30,"primary_outcomes":31,"secondary_outcomes":39,"sex":55,"minimum_age":56,"maximum_age":25,"healthy_volunteers":15,"eligibility_criteria":57,"std_ages":69,"locations":72,"central_contacts":82,"overall_officials":83,"references":87,"see_also_links":113},"NCT05913999","IRBNet 1668650-1","Serial PET MPI in Patients Undergoing Cancer Treatment","Prospective Evaluation of Chemotherapy-Induced Cardiotoxicity by Serial PET Myocardial Perfusion and Blood Flow Assessment - the PRECISION Trial","ENROLLING_BY_INVITATION","2027-07-31","2025-08","2025-08-06","2023-06-01","University of California, Los Angeles","OTHER",false,"This study aims to evaluate the effects of cardiotoxic cancer therapies on myocardial blood flow (MBF) and perfusion in a prospective sample of VA patients.","Up to 60 patients who will be newly initiating chemotherapy are going to be prospectively evaluated using PET myocardial perfusion imaging (MPI) for chemotherapy-induced cardiotoxicity by quantifying MBF and perfusion. Patients will be grouped into 3 categories:\n\n1. Patients undergoing chemotherapy with anthracycline containing regimen.\n2. Patients undergoing chemotherapy with VEGF inhibitor containing regimen.\n3. Patients undergoing chemotherapy with immune check point inhibitor containing regimen.\n\nPatients will undergo PET MPI at 3 different time points:\n\n1. Baseline PET MPI within 1 month prior to initiation of the chemotherapy regimen.\n2. PET MPI at the middle of the chemotherapy regimen.\n3. PET MPI within 1 month following completion of the chemotherapy regimen.\n\nFor PET MPI, the investigators will evaluate for abnormalities such as new perfusion defects, decreases in stress myocardial blood flows and decreases in myocardial flow reserves.\n\nAll study patients will also be analyzed using the following tests:\n\n1. Echocardiogram with strain analysis within +\u002F- 1 week of each PET MPI\n2. Serology - high sensitivity troponin, cardiac C-reactive protein (CRP), brain-type natriuretic peptide (BNP), fasting lipid panel, complete metabolic panel, and complete blood count within +\u002F- 1 week of each PET MPI study.\n3. 12-lead ECG with each PET MPI study.",[19,20,21,22],"Cancer","Chemotherapeutic Toxicity","Coronary Artery Disease","Coronary Microvascular Disease",[],"OBSERVATIONAL",null,[],{"count":28,"type":29},60,"ESTIMATED",[],[32,36],{"measure":33,"description":34,"timeFrame":35},"PET myocardial perfusion imaging (MPI).","Change from baseline in number of patients with perfusion defects measured as % total perfusion deficit (TPD) of the left ventricular myocardium by PET","Baseline (within 1 month prior to the initiation of cancer treatment), during cancer treatment (estimated at 1-6 months), and within 1 month post-cancer treatment completion (approximately 2-9 months)",{"measure":37,"description":38,"timeFrame":35},"PET myocardial blood flow (MBF) measurement.","Change from baseline in number of patients with myocardial blood flow abnormalities measured as stress myocardial blood flow (SMBF) values \\\u003C 2 mL\u002Fmin\u002Fg of left ventricular myocardium by PET",[40,43,46,49,52],{"measure":41,"description":42,"timeFrame":35},"Transthoracic echocardiography (TTE) global left ventricular systolic function.","Change from baseline in number of patients with global systolic dysfunction measured as % left ventricular ejection fraction by TTE.",{"measure":44,"description":45,"timeFrame":35},"Transthoracic echocardiography (TTE) focal left ventricular systolic function.","Change from baseline in number of patients with focal systolic dysfunction measured as % left ventricular global longitudinal strain by TTE.",{"measure":47,"description":48,"timeFrame":35},"Transthoracic echocardiography (TTE) focal left atrial systolic function.","Change from baseline in number of patients with focal systolic dysfunction measured as % left atrial strain by TTE.",{"measure":50,"description":51,"timeFrame":35},"Electrocardiogram (ECG) findings.","Change from baseline in number of patients with any of the following ECG changes:\n\n* new T-wave inversions\n* new ST-segment deviations \\>\u002F= 1mm\n* new left bundle branch block",{"measure":53,"description":54,"timeFrame":35},"Metabolic or cardiac function abnormalities as determined by blood work findings","Change from baseline in number of patients with changes in the values of serological tests indicative of metabolic or cardiac function abnormalities including one or more of the following:\n\n* high sensitivity troponin (ng\u002FL)\n* cardiac C-reactive protein (mg\u002FL)\n* brain-type natriuretic peptide (pg\u002FmL)\n* fasting lipid panel: total cholesterol (mg\u002FdL), low-density lipoprotein cholesterol (mg\u002FdL), high-density lipoprotein cholesterol (mg\u002FdL), triglycerides (mg\u002FdL)\n* complete metabolic panel: total protein (g\u002FdL), albumin (g\u002FdL), total bilirubin (mg\u002FdL), direct bilirubin (mg\u002FdL), aspartate aminotransferase (IU\u002FL), alanine transaminase (IU\u002FL), alkaline phosphatase (IU\u002FL), sodium (mmol\u002FL), potassium (mmol\u002FL), chloride (mmol\u002FL), bicarbonate (mmol\u002FL), blood urea nitrogen (mg\u002FdL), creatinine (mg\u002FdL), glucose (mg\u002FdL)\n* complete blood count: white blood cell count (k\u002FuL), hemoglobin (g\u002FdL), hematocrit (%), platelet (k\u002FuL)","ALL","18 Years",{"inclusion":58,"exclusion":61,"raw_text":68},[59,60],"Veterans Affairs oncology patients who will be initiating chemotherapy","Ability to give consent",[62,63,64,65,66,67],"Prior chemotherapy","Prior coronary revascularization (percutaneous coronary intervention, coronary artery bypass grafting)","Anyone with previous invasive or CT (computed tomography) angiogram demonstrating any lesion ≥ 50% stenosis","Known cardiomyopathy defined as rest ejection fraction \\\u003C 50%","History of heart and\u002For another organ transplant","Pregnancy or breast-feeding status","Inclusion Criteria:\n\n* Veterans Affairs oncology patients who will be initiating chemotherapy\n* Ability to give consent\n\nExclusion Criteria:\n\n* Prior chemotherapy\n* Prior coronary revascularization (percutaneous coronary intervention, coronary artery bypass grafting)\n* Anyone with previous invasive or CT (computed tomography) angiogram demonstrating any lesion ≥ 50% stenosis\n* Known cardiomyopathy defined as rest ejection fraction \\\u003C 50%\n* History of heart and\u002For another organ transplant\n* Pregnancy or breast-feeding status",[70,71],"ADULT","OLDER_ADULT",[73],{"facility":74,"city":75,"state":76,"zip":77,"country":78,"geoPoint":79},"West Los Angeles VA Medical Center","Los Angeles","California","90073","United States",{"lat":80,"lon":81},34.05223,-118.24368,[],[84],{"name":85,"affiliation":13,"role":86},"Rene Packard, MD, PhD","PRINCIPAL_INVESTIGATOR",[88,92,95,98,101,104,107,110],{"pmid":89,"type":90,"citation":91},"33433946","BACKGROUND","Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer Statistics, 2021. CA Cancer J Clin. 2021 Jan;71(1):7-33. doi: 10.3322\u002Fcaac.21654. Epub 2021 Jan 12.",{"pmid":93,"type":90,"citation":94},"27022039","Herrmann J, Yang EH, Iliescu CA, Cilingiroglu M, Charitakis K, Hakeem A, Toutouzas K, Leesar MA, Grines CL, Marmagkiolis K. Vascular Toxicities of Cancer Therapies: The Old and the New--An Evolving Avenue. Circulation. 2016 Mar 29;133(13):1272-89. doi: 10.1161\u002FCIRCULATIONAHA.115.018347.",{"pmid":96,"type":90,"citation":97},"29145954","Chang HM, Moudgil R, Scarabelli T, Okwuosa TM, Yeh ETH. Cardiovascular Complications of Cancer Therapy: Best Practices in Diagnosis, Prevention, and Management: Part 1. J Am Coll Cardiol. 2017 Nov 14;70(20):2536-2551. doi: 10.1016\u002Fj.jacc.2017.09.1096.",{"pmid":99,"type":90,"citation":100},"31397169","Hader SN, Zinkevich N, Norwood Toro LE, Kriegel AJ, Kong A, Freed JK, Gutterman DD, Beyer AM. Detrimental effects of chemotherapy on human coronary microvascular function. Am J Physiol Heart Circ Physiol. 2019 Oct 1;317(4):H705-H710. doi: 10.1152\u002Fajpheart.00370.2019. Epub 2019 Aug 9.",{"pmid":102,"type":90,"citation":103},"19520246","Yeh ET, Bickford CL. Cardiovascular complications of cancer therapy: incidence, pathogenesis, diagnosis, and management. J Am Coll Cardiol. 2009 Jun 16;53(24):2231-47. doi: 10.1016\u002Fj.jacc.2009.02.050.",{"pmid":105,"type":90,"citation":106},"29242396","Murthy VL, Bateman TM, Beanlands RS, Berman DS, Borges-Neto S, Chareonthaitawee P, Cerqueira MD, deKemp RA, DePuey EG, Dilsizian V, Dorbala S, Ficaro EP, Garcia EV, Gewirtz H, Heller GV, Lewin HC, Malhotra S, Mann A, Ruddy TD, Schindler TH, Schwartz RG, Slomka PJ, Soman P, Di Carli MF; SNMMI Cardiovascular Council Board of Directors; ASNC Board of Directors. Clinical Quantification of Myocardial Blood Flow Using PET: Joint Position Paper of the SNMMI Cardiovascular Council and the ASNC. J Nucl Med. 2018 Feb;59(2):273-293. doi: 10.2967\u002Fjnumed.117.201368. Epub 2017 Dec 14. No abstract available.",{"pmid":108,"type":90,"citation":109},"22007073","Murthy VL, Naya M, Foster CR, Hainer J, Gaber M, Di Carli G, Blankstein R, Dorbala S, Sitek A, Pencina MJ, Di Carli MF. Improved cardiac risk assessment with noninvasive measures of coronary flow reserve. Circulation. 2011 Nov 15;124(20):2215-24. doi: 10.1161\u002FCIRCULATIONAHA.111.050427. Epub 2011 Oct 17.",{"pmid":111,"type":90,"citation":112},"21816311","Ziadi MC, Dekemp RA, Williams KA, Guo A, Chow BJ, Renaud JM, Ruddy TD, Sarveswaran N, Tee RE, Beanlands RS. Impaired myocardial flow reserve on rubidium-82 positron emission tomography imaging predicts adverse outcomes in patients assessed for myocardial ischemia. J Am Coll Cardiol. 2011 Aug 9;58(7):740-8. doi: 10.1016\u002Fj.jacc.2011.01.065.",[],{"nct_id":4,"conditions":115,"biomarkers":118},[116,21,22,117],"Chemotherapeutic Agent Toxicity","Malignant Neoplasm",[],{"nct_id":4,"found":15,"summary":25,"prompt_version":25}]