Status:

TERMINATED

Ability of L-carnitine to Prevent Heart Damage in Breast Cancer Patients Receiving Anthracycline Chemotherapy

Lead Sponsor:

Ottawa Heart Institute Research Corporation

Collaborating Sponsors:

Canadian Institutes of Health Research (CIHR)

Conditions:

Heart Failure

Eligibility:

FEMALE

18+ years

Phase:

PHASE2

PHASE3

Brief Summary

Breast cancer is very common and afflicts 1 in 9 North American women. The treatment of breast cancer often requires the use of chemotherapy including "anthracyclines". Anthracyclines can damage the h...

Eligibility Criteria

Inclusion

  • Female patients must have histologically or cytologically indicated breast cancer (stages I, II, III) eligible for adjuvant anthracycline chemotherapy \[FEC100 or AC-Taxol(paclitaxel) every 21 days.
  • HER2 negative or HER2 positive breast cancer by immunohistochemistry (IHC3+) and/or fluorescent in-situ hybridization.
  • Eastern cooperative oncology group (ECOG) performance status = 0, 1, 2
  • Age ≥ 18 years old.
  • Ability to understand and the willingness to sign a written informed consent document.
  • The effects of L-carnitine on the developing human fetus at the recommended therapeutic dose are unknown. For this reason, women of child-bearing potential must agree to use adequate contraception prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.

Exclusion

  • Patients with evidence of metastatic breast cancer.
  • Resting LV ejection fraction \< 50%.
  • Patients having received previous anthracycline therapy or contraindication to anthracycline.
  • Patients having a contraindication to L-carnitine therapy
  • Dexrazoxane therapy at the time of enrollment.
  • Patients with abnormal baseline bloodwork:
  • hemoglobin ≤ 100 mg/L
  • platelets ≤ 100 x 10\^9/L
  • white blood cells ≤ 4 x 10\^9/L
  • creatinine, AST, ALT, bilirubin \> 1.5 x the upper normal limits
  • Participation in another randomized clinical trial.
  • Patients having significant cardiac disease (previous myocardial infarction, congestive heart failure, or hemodynamically significant valvular heart disease) that would limit compliance with study requirements.
  • Patients taking medication that may affect LV function (b-blockers, amiodarone, ACE-inhibitors, calcium channel blockers, or digoxin).
  • Patients with symptoms of heart failure.
  • Patients unable to participate in a study requiring long term follow up.
  • Pregnant or lactating women.

Key Trial Info

Start Date :

March 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2011

Estimated Enrollment :

36 Patients enrolled

Trial Details

Trial ID

NCT00247975

Start Date

March 1 2006

End Date

October 1 2011

Last Update

August 16 2022

Active Locations (1)

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1

University of Ottawa Heart Institute

Ottawa, Ontario, Canada, K1Y 4W7