Cardiotoxicity and cardiovascular disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To be eligible participating in this study, patients must meet all the following criteria: * Previous history of Hodgkin or mediastinal non-Hodgkin lymphoma treated with mediastinal radiotherapy with or without anthracycline-containing chemotherapy * Planned visit at the BETER clinic * Written informed consent * Age >
Exclusion criteria
Exclusion criteria: 4.3 * Exclusion criteria;Not currently under treatment for malignant disease (unless basal cell carcinoma)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameter/endpoint The main study parameter is the blood concentrations of a panel of biomarkers of cardiac toxicity including NT-proBNP, ST2, GDF15, Galectin 3, hsTn. The main studied endpoint is an increase in cardiac symptoms, as observed with standard evaluation at the BETER poli and scores on the PROMs. This is the case, if one of the following occurs: - KCCQ: a mean difference over time of 5 points on the KCCQ Overall Summary Scale reflects a clinically significant change in heart failure status. - SAQ-7: A change in one of the scales of at least 10 points is the minimum clinically relevant change. - Anamnesis: the physician at the BETER clinic concludes a change in heart failure related symptoms at the second visit compared to the visit of inclusion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters/endpoints * Changes on MRI, indicating possible early cardiac damage. * Changes on the ECG. * Scores on the individual PROMs (with the validated KCCQ: heart failure, with the validated SAQ-7: coronary artery disease). * General health status as measured with the validated EQ-5D. * Late cardiac clinical toxicities (observed during the entire follow-up at the BETER poli). * Presence of deviations observed on the MRI of Visit 2 that were not present at Visit 1 | — |
Countries
Netherlands