Doxorubicin Induced Cardiomyopathy
Conditions
Keywords
Anthracyclines, Doxorubuicn, Cardiotoxicity
Brief summary
This study aims at evaluating the role of Atorvastatin in prevention of Anthracycline induced cardiotoxicity
Detailed description
The study participants are female patients with breast cancer receiving Anthracycline based chemotherapy. They will be divided into 2 groups , the first group will receive 40 mg oral atorvastatin through out the study , while the other group will receive a placebo. Full echocardiographic study including 3D echocardiography will be done to all patients before starting their chemotherapy and after 6 months.
Interventions
40 mg oral dose of atorvastatin , lipid lowering drug with other pleotropic effects
Placebo
Sponsors
Study design
Masking description
Single blind
Eligibility
Inclusion criteria
* Female patients diagnosed with histology proven breast cancer with an indication to primary systemic therapy or adjuvant regimens based on anthracyclines
Exclusion criteria
* Patients with impaired LV systolic function (EF below 50%) * Patients with severe valvular heart disease * Patients previously diagnosed with coronary artery disease * Patients with baseline elevated liver enzymes * Patients with prior chemotherapy or radiation therapy * Pregnant females
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of cancer therapy related cardiac dysfunction among the two groups | Six months | cancer therapy related cardiac dysfunction defined as drop in ejection fraction more than 10% and to a value below 53% assessed by 3D echocardiography |
Secondary
| Measure | Time frame |
|---|---|
| Changes in left ventricular ejection fraction assessed by 3D echocardiography among the two groups | Six months |
| Changes in left ventricular volumes assessed by 3D echocardiography among the two groups | Six months |
| Changes in left ventricular diastolic function among the two groups | Six months |
Countries
Egypt