Chemotherapy, Cancer, Cardiotoxicity, Physioflow
Conditions
Brief summary
PULSE-ECCho will focus on trying to detect cardiotoxicity in cancer patients receiving chemotherapy early on in order to avoid irreversible damage. In addition to that, we will test if the PhysioFlow is non-inferior to the conventional MUGA scan.
Detailed description
Our objective is to compare the PhysioFlow to the MUGA scan and see if the results are statistically the same using both techniques. This is what is known as a non-inferior study. The advantage of PhysioFlow is that it is non-invasive, fast and it is done at the bedside or while the patient is receiving his or her chemotherapy. The patient will be tested with the MUGA scan, as per the standard of care, before chemotherapy is initiated and at every 3 months. The patient will also be tested with the PhysioFlow at the same dates of the MUGA scan. In addition to that, the patients will be tested at each chemotherapy cycle with the PhysioFlow. Should the PhysioFlow indicate the patient has a cardiac toxicity as the patient is receiving chemotherapy, the results will be confirmed with the MUGA scan.
Interventions
None listed
Sponsors
McGill University Health Centre/Research Institute of the McGill University Health Centre
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age above 18 years old 2. Histologically confirmed diagnosis of cancer 3. ECOG 0 to 2 4. Provide written consent after the investigational nature, study design, risks and benefits of the study have been explained 5. Able to adhere to the study visit schedule and other protocol requirements Control Group 1. Age above 18 years old 2. No previous history of cancer 3. ECOG 0 to 2 4. Did not receive chemotherapeutic agents (even if outside the context of cancer) 5. Provide written consent after the investigational nature, study design, risks and benefits of the study have been explained 6. Able to adhere to the study visit schedule and other protocol requirements
Exclusion criteria
1. Age less than 18 years 2. ECOG 3-4 3. Suspected or proven severe aortic insufficiency 4. Patient under cardiopulmonary bypass assistance (I.e.: Left ventricular assisting device) 5. Congenital cardiac deformities ,such as septal defects 6. Refuse to comply with the specified visit schedules and requirements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| comparing the change in ejection fraction measured by physioflow and MUGA scan | at initial diagnosis and after 3 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| acceptance score on the five-point Likert Scale to measure tolerability | up to 24 hrs | At the end of physioflow and or MUGA scan, a questionnaire to assess acceptance was proposed to all patients. The following aspects were evaluated: preparation and information before the imaging examination, degree of preceding concern, comfort, helplessness during the examination, pain experienced, degree of overall satisfaction. Evaluation was performed with a five-point qualitative Likert scale: very low, low, moderate, high, very high |
Countries
Canada
Contacts
Primary ContactRalph Maroun, M.D.
Outcome results
None listed