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NCT05118178: ANTEC

Atherosclerosis in Chemotherapy-related Cardiotoxicity

Completed Last updated 25 June 2025
What this trial tests

trial testing echocardiography, computed tomography in Cardiotoxicity in 80 participants. Completed in 15 March 2025.

Timeline
15 November 2021
Primary endpoint
15 September 2024
15 March 2025

Quick facts

Lead sponsorMaria Sklodowska-Curie National Research Institute of Oncology
StatusCompleted
Study typeOBSERVATIONAL
Enrollment80
Start date15 November 2021
Primary completion15 September 2024
Estimated completion15 March 2025
Sites1 location across Poland

Drugs / interventions tested

Conditions studied

Sponsor

Maria Sklodowska-Curie National Research Institute of Oncology

Who can join

Eligibility, any sex, with Cardiotoxicity or Atherosclerosis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Cardiological complications of oncological treatment, including the most serious of them cardiotoxicity and heart failure, constitute a significant and still unsolved clinical problem. A history of hypercholesterolaemia and coronary artery disease in cancer patients, is one of the risk factors for cardiotoxicity. In recent years, a protective effect of statin treatment on the development of heart failure in cancer patients has been observed. ANTEC (Atherosclerosis iN chemoTherapy-rElated Cardiotoxicity) is a prospective observational study aimed at assessing the impact of the advancement of atherosclerotic lesions in the coronary arteries assessed in computed tomography on the development of left ventricular systolic dysfunction in cancer patients at high risk of myocardial damage. A group of 80 patients diagnosed with cancer before starting high-dose anthracycline chemotherapy (doxorubicin ≥ 240 mg / m2 or epirubicin ≥ 600 mg / m2 body weight), without a history of heart failure and coronary artery disease, will be included in the study. The total follow-up of patients was planned for 12 months. The primary endpoint is time to onset of left ventricular systolic dysfunction as assessed by echocardiography. The secondary composite endpoints include all-cause death, cardiovascular death, myocardial infarction, and stroke. Additionally, the assessment will include: the severity of atherosclerotic changes in the coronary arteries and the calcification index in computed tomography, the percentage decrease in left ventricular ejection fraction, GLS (global longitudinal strain) in echocardiography, and changes in the concentration of biomarkers involved in inflammatory and atherosclerotic processes. This is the first study of this type, which we hope will contribute to a better understanding of the pathophysiology of cardiotoxicity development and to changing the standards of management of oncological patients and improving survival in this group of patients.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Prognostic value of coronary atherosclerosis and CAC score for the risk of chemotherapy-related cardiac dysfunction (CTRCD): The protocol of ANTEC study.
    Borowiec A, Ozdowska P, Rosinska M, Jagiello-Gruszfeld A, et al · · 2023 · cited 7× · PMID 37590267 · DOI 10.1371/journal.pone.0288146
  2. Coronary artery calcium score and other risk factors in patients at moderate and high risk of cancer therapy-related cardiovascular toxicity.
    Borowiec A, Ozdowska P, Rosinska M, Zebrowska AM, et al · · 2024 · cited 3× · PMID 39342402 · DOI 10.1186/s40959-024-00266-6
  3. Coronary Artery Calcium Score as a Predictor of Anthracycline-Induced Cardiotoxicity: The ANTEC Study.
    Borowiec A, Ozdowska P, Rosinska M, Zebrowska AM, et al · · 2025 · cited 1× · PMID 40872494 · DOI 10.3390/ph18081102
  4. Interleukin-6 in Anthracycline-Related Cardiac Dysfunction: A Comparison with Myeloperoxidase and TNF-Alpha.
    Borowiec A, Ozdowska P, Rosinska M, Zebrowska AM, et al · · 2025 · cited 1× · PMID 40362309 · DOI 10.3390/ijms26094071
  5. Predictive Value of Baseline Left Ventricular Global Longitudinal Strain for Cardiac Dysfunction in Patients with Moderate to High Risk of Cancer Therapy-Related Cardiovascular Toxicity.
    Borowiec A, Ozdowska P, Rosinska M, Zebrowska AM, et al · · 2025 · PMID 41155645 · DOI 10.3390/ph18101530

Verify or expand the search:

Other recruiting trials for Cardiotoxicity

Currently open trials in the same condition.

Other Maria Sklodowska-Curie National Research Institute of Oncology trials

Trials by the same sponsor.

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Data sources for this page

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