Anthracycline-induced cardiotoxicity in breast cancer patients undergoing chemotherapy. This condition refers to damage to the heart muscle caused by anthracycline-based chemotherapeutic agents, leading to a decline in cardiac function and potential development of heart failure.. Cardiomyopathy due to drug and external agent
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Female individuals with a minimum age of 18 years old Documented breast cancer diagnosis based on imaging and pathology findings Scheduled to receive the first time anthracycline-based chemotherapy
Exclusion criteria
Exclusion criteria: Prior Statin use or Statin use is indicated based on guidelines history of congestive heart failure (CHF) or cardiomyopathy Unexplained persistent elevation of transaminases (>3 times upper limits of normal) Concomitant use of oral cyclosporine Metastatic invasion of cancer to other organs Previous cycles of chemotherapy Any contraindication for statin use Pregnancy or breastfeeding inability or disagreement to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of this study is the incidence of CTRCD, defined by a decrease in LVEF of 10% or more, resulting in an LVEF below 55%. Timepoint: 12 months after enrollment. Method of measurement: Echocardiography. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in LVEF and Global-longitudinal strains (GLS). Timepoint: at 3, 6, and 12 months after enrollment. Method of measurement: Echocardiography.;Changes in Troponin, N-terminal pro b-type Natriuretic Peptide (NT-proBNP), and High-sensitivity C-reactive Protein (hsCRP) serum level. Timepoint: at 3, 6, and 12 months after enrollment. Method of measurement: Laboratory marker, biochemistry kits.;Incidence of DVT, PE, HF, and MACE following anthracycline treatment. Timepoint: 12 months follow-up. Method of measurement: History and Medical document evaluation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shiraz University of Medical Sciences