STOP Heart Disease in Breast Cancer Survivors Trial

Breast Cancer Clinical Trial

— STOP  

Official title:

Statin Therapy Operates to Prevent (STOP) Heart Disease in Breast Cancer Survivors Trial

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT02674204
• Other study ID #: IIT2015-12-Goodman-STOP
• Status: Terminated
• Phase: Phase 2
• Start date: May 5, 2016
• Est. completion date: May 25, 2018

Study information

• Verified date: May 2019
• Source: Cedars-Sinai Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to to examine the effects of atorvastatin, a type of statin, on changes to the heart among women undergoing breast cancer treatment. Atorvastatin may reduce or eliminate the harmful effects of chemotherapy treatment to the heart tissue of breast cancer patients.

Description:

This is a placebo-controlled study. It will compare the effects of atorvastatin against the effects of a placebo (an inactive substance, such as, a sugar pill) on changes to the heart before and during breast cancer treatment. Participants will be in the study for approximately a year and a half, and the study will enroll up to 60 patients. During that time, there will be six visits that may coincide with standard of care visits. Participants will also receive telephone calls from study staff during the study intervention and a follow-up phase to check-in with them.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 2
• Est. completion date: May 25, 2018
• Est. primary completion date: May 25, 2018
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Female patients with newly diagnosed stage 1-3 breast cancer

• Histologically confirmed HER2, ER, and PR status

• Recommended to undergo trastuzumab treatment, with or without anthracycline. Patients will be eligible for up to 3 weeks after starting treatment.

• Age minimum 18 years

• Able and willing to read, understand, and sign an informed consent form (ICF) and medical release form

• Willing and able to comply with trial protocol and follow-up

• ECOG performance status 0-1 (Karnofsky = 70%)

Exclusion Criteria:

• Prior use of statin medication within the past year

• Not using statin medication but is eligible for statin therapy based on the 2013 ACC/AHA guidelines (LDL cholesterol >190, or LDL <190 and ASCVD risk >7.5%; http://tools.acc.org/ASCVD-Risk-Estimator/) and is > 50 years old; or is eligible for statin therapy based on the 2013 ACC/AHA guidelines and is 40-50 years old and wishes to be placed on statin therapy

• History of adverse effects, intolerance, or allergic reactions attributed to statin medication

• Current use of gemfibrozil, cyclosporine, clarithromycin, itraconazole, erythromycin, the hepatitis C protease inhibitor telaprevir, HIV protease inhibitors, colchicine, or red yeast rice

• Current use of any other investigational agent

• Pregnant or intention to get pregnant during the next 18 months. Pregnant women are excluded from this study because atorvastatin is a lipid-lowering agent with the potential for teratogenic or abortifacient effects, and MRI is contraindicated in pregnant women.

• History of diabetes, severe lung disease, renal disease (creatinine > 1.8 mg/dL or CrCl = 50 mL/min), or hepatic disease (AST and ALT > 3 times upper normal limits)

• Abnormal baseline echocardiogram or cardiac MRI (detection of congenital heart disease; ischemic heart disease; moderate or severe valvular heart disease; cardiomyopathy; EF < 55%)

• Previously known or diagnosed heart disease (e.g. congenital; valvular; coronary artery disease; history of myocardial infarction or acute coronary syndrome; cardiomyopathy, including infiltrative, hypertensive, hypertrophic, dilated, constrictive pericarditis, or other cardiomyopathy)

• Left ventricular dysfunction (EF < 55%)

• Prior non-cardiac illness with an estimated life expectancy < 4 years

• Known active infection with HIV

• Allergy or contraindication to MRI testing, including claustrophobia, metallic parts in body the prohibiting MRI, prior gadolinium contrast reaction, or uncontrolled moderate hypertension (sitting blood pressure >160/95 mm Hg with measurements recorded on at least 2 occasions).

• Has metallic breast expanders in place at the time of screening

• Concurrent illness which in the opinion of the investigators would compromise either the patient or the integrity of the data

Related Conditions & MeSH terms

• Breast Cancer
• Breast Neoplasms
• Cardiotoxicity
• Heart Disease
• Heart Diseases
• Myocardial Dysfunction

Intervention

Drug:
• Atorvastatin
Atorvastatin calcium, a synthetic lipid-lowering agent, is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase. This enzyme catalyzes the conversion of HMG-CoA to mevalonate, an early and rate-limiting step in cholesterol biosynthesis.
• Placebo
A substance that has no therapeutic effect, and will be used as a control in testing the study agent.

Locations

Country	Name	City	State
United States	Cedars-Sinai Medical Center	Los Angeles	California

Sponsors (2)

Lead Sponsor	Collaborator
Cedars-Sinai Medical Center	California Breast Cancer Research Program

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Global Circumferential Strain (GCS) Measured by Cardiac MRI (CMRI)		baseline to 12 months post initiation of statin intervention
Secondary	Change in Global Longitudinal Strain as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Peak Left Ventricular Twist as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Peak Left Ventricular Torsion as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Left Ventricular Untwisting Rate as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Left Ventricular Ejection Fraction as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Left Ventricular End Diastolic Volume as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Left Ventricular End Systolic Volume as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Cardiac Output as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Left Ventricular Mass as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Left Ventricular Concentricity as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Native T1 as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Post Contrast T1 as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Extracellular Volume as Measured by CMRI		Baseline to 12 months of follow-up
Secondary	Change in Native T2 as Measured by CMRI		Baseline to 12 months of follow-up