cardiomyopathy heart failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) 100 children with cancer receiving anthracyclines according to their treatment protocol 2) A subgroup of 30 children, aged > 8 years, diagnosed with Hodgkin Lymphoma, Ewing Sarcoma, Osteosarcoma or Soft Tissue Sarcoma who have MRI evaluation as part of their tumor response evaluation. 3) a signed informed consent
Exclusion criteria
Exclusion criteria: Children with 1) severe comorbidity 2) congenital heart disease 3) a history of thoracic radiation or chemotherapy for other malignancies 4) general contraindications for MRI for the patients in the MRI study group. 5) Patients who need anaesthesia for MRI scanning
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcome definitions for the pilot study 1.Echocardiography systolic dysfunction at pretreatment, 3-4 months after start treatment and 1-year post start treatment: • A change in left ventricular ejection fraction (EF) (echocardiography), defined as a decline in EF of >10% from baseline measurement or a decrease to a value 10% from baseline measurement or to a value 15% decline in GLS from baseline measurement 2.Presence of myocardial fibrosis (MRI) at pretreatment, 3-4 months after start treatment and 1-year post start treatment expressed by increased myocardial T1 values and/or ECV (extracellular volume). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Abnormal blod biomarkers pretreatment, after 3-4 months of treatment, 1 year after start of treatment 2. ECG abnormalities pretreatment, after 3-4 months of treatment, 1 year after start of treatment | — |
Countries
Netherlands