Cardiac Disease, Cardiac Toxicity, Lung Cancer Stage II, Lung Cancer Stage III, Radiation Toxicity
Conditions
Brief summary
Patients with loco-regional NSCLC planned for curative treatment with chemoradiotherapy will be invited to participate in a prospective study; besides routine treatment, the patients will be followed with an ECG and cardiac MR for at least two years after radiotherapy treatment.
Detailed description
Definitive chemo-radiotherapy is the treatment of choice for loco-regional advanced non-small cell lung cancer (LA-NSCLC). However, the treatment is associated with a range of side effects with radiation pneumonitis and esophagitis. In addition, the toxicity of the heart in lung cancer patients treated with radiotherapy has been offered less consideration. Therefore, it is essential to investigate the possible early and late toxicity to the heart and the baseline cardiac status of these patients. This study will describe cardiac comorbidity before radiotherapy treatment by a thorough history. Furthermore, we will evaluate heart function and evaluate possible heart disease by an ECG and cardiac MR. Patients will be followed with ECG and cardiac MR for two years after radiotherapy, detecting structural changes caused by radiotherapy and subclinical disease after radiotherapy.
Interventions
Cardiac Magnetic Resonance scan and ECG
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 Years * Inoperable and histologically/cytologically verified NSCLC. * Planned treatment with curative intent. * Capable of completing study procedures ECG and Cardiac MR. * Able of giving written and informed consent before study procedures are initiated.
Exclusion criteria
* Vulnerable patients. * Patients with operable devices as pacemaker/ICD and cochlear implant or other conditions where MR scan is contraindicated. * Claustrophobia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiovascular specific mortality | 2 years. | Assesed by patient interview and review of medical record |
| Overall survival | 2 Years | All cause mortality |
| Change in Left Ventricular Ejection Fraction | Baseline, at 6, 12 and 24 months. | Change from baseline, evaluated by cardiac MR |
| Number of participants with treatment related adverse events and cardiac disease after radiotherapy as assesed by CTCAE v4.0. | 2 years. | Assesed by patient interview and review of medical record. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Late enhacment | At Baseline, 6, 12 and 24 months. | Evaluated by cardiac MR. |
| LVEDV changes | 2 years | Left ventricular enddiastolic change in cMR |
| LVESV changes | 2 years | Left ventricular endsystolic change in cMR |
| LV mass in gram | 2 years | Left ventricular mass in gram. |
Countries
Denmark