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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05349058
Registration number
NCT05349058
Ethics application status
Date submitted
21/04/2022
Date registered
27/04/2022
Titles & IDs
Public title
Assessment of Myocardial Injury in Patients Treated With Immune Checkpoint Inhibitors
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Scientific title
Assessment of Myocardial Injury in Patients Treated With Immune Checkpoint Inhibitors
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Secondary ID [1]
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MIICI2022/1.3
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Universal Trial Number (UTN)
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Trial acronym
MIICI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Myocarditis
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Immune Checkpoint Inhibitors
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Cardiotoxicity
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0
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Myocardial Injury
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Condition category
Condition code
Cardiovascular
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0
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Other cardiovascular diseases
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Cardiovascular
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0
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Other cardiovascular diseases
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Skin
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0
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Other skin conditions
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Intervention/exposure
Study type
Observational [Patient Registry]
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Drugs - Immune Checkpoint Inhibitors
ICI patients - Patients receiving an Immune Checkpoint Inhibitor as treatment for their malignancy
Treatment: Drugs: Immune Checkpoint Inhibitors
Patients receive Immune Checkpoint Inhibitor as per oncology protocol
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Cardiac Troponin I (cTn I)
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Assessment method [1]
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Change in cTnI
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Timepoint [1]
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6 weeks
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Secondary outcome [1]
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N-terminal prohormone brain natriuretic peptide (NT-ProBNP)
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Assessment method [1]
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Change in NT-ProBNP
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Timepoint [1]
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6 weeks
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Secondary outcome [2]
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Global and regional left ventricular (LV) and right ventricular (RV) dysfunction
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Assessment method [2]
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Changes in LV ejection fraction (LVEF), Global Longitudinal Strain (GLS), Right Ventricular Free Wall Strain (RV FWS)
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Timepoint [2]
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6 weeks
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Secondary outcome [3]
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Major Adverse Cardiac Event (MACE)
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Assessment method [3]
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Any occurrence of MACE. Which can be defined as composite of cardiovascular mortality, heart failure, hemodynamically significant arrhythmias or heart block at 3 months
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Timepoint [3]
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3 months
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Secondary outcome [4]
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Myocardial injury (CMR)
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Assessment method [4]
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Myocardial injury as assessed by cardiac MRI. The measurements of LGE, T1 and T2 mapping
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Timepoint [4]
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6 weeks
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Eligibility
Key inclusion criteria
* Written informed consent will be obtained before any assessment is performed
* = 18 years of age, male or female
* Patients planned for treatment with ICI (PD-1 and /or PD-L1) for malignancy
* Treatment naïve to ICI
* Asymptomatic cardiac status
* LVEF =55% by echocardiography during the screening period or within 6 months prior to study entry
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any prior echocardiographic measurement of LVEF <55%
* Prior diagnosis and treatment for cardiac disease (myocardial infarction or angina, cardiomyopathy / heart failure, valvular heart disease)
* Elevated NT-proBNP > 600 pg/ml (> 900 pg/ml in the presence of atrial fibrillation).
* Life expectancy of less than 6 months
* Severe respiratory diseases requiring long-term oxygen therapy
* Patients enrolled in another clinical trial
* Pregnant and lactating women
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
17/01/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/12/2023
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Flinders Medical Centre - Adelaide
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Recruitment postcode(s) [1]
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5042 - Adelaide
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Funding & Sponsors
Primary sponsor type
Other
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Name
Flinders University
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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Flinders Medical Centre
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Address [1]
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Country [1]
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Other collaborator category [2]
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Government body
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Name [2]
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Lyell McEwin Hospital
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
ICI's have become the first-line treatment for patients with various malignancies. Although case studies represent fulminant myocarditis, there is uncertainty in prevalence of subclinical myocardial injury induced by ICI's. In this prospective study, ICI treatment naïve patients with no significant prior cardiovascular history were enrolled. Primary outcome was the prevalence and severity of cardiac Troponin I (cTnI) at 6 weeks following ICI. Secondary outcomes were change in global longitudinal strain (GLS) and right ventricular free wall strain (RV FWS) measured by echocardiography, myocardial injury as assessed by cardiovascular magnetic resonance (CMR) and major adverse cardiac events (MACE). MACE defined as composite of cardiovascular mortality, heart failure, hemodynamically significant arrhythmias or heart block at 3 months.
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Trial website
https://clinicaltrials.gov/study/NCT05349058
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Joseph B Selvanyagam, Md, PhD
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Address
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Flinders Univeristy
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Joseph B Selvanyagam, MD, PhD
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Address
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Country
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Phone
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08 8177 1599
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
No data will be shared to others
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05349058