Cardiac DysfunctionCardiovascular DiseasesChildhood Cancer
Investigational drug(s) / intervention(s)
cardiac assessment
cardiac assessment: Personal history, physical examination including anthropometry with hip/waist-ratio, electrocardiogram, echocardiography, 1-minute-sit-to-stand test, questionnaires on health-related quality of life (SF-36), diet, physical activity, and fatigue
Study summary
This multicenter, prospective cohort study evaluates early cardiac dysfunction in adult survivors of childhood cancer. The hypothesis of this study is that cardiac dysfunction can be detected earlier when using speckle tracking echocardiography as novel echocardiographic technique compared to conventional echocardiography.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
This prospective cohort study is nested within the Childhood Cancer Registry (ChCR), a national, population-based cancer registry that includes all children and adolescents in Switzerland who were diagnosed with cancer at age 0-20 years. It includes patients diagnosed with leukemia, lymphoma, central nervous system tumors, and malignant solid tumours or Langerhans cell histiocytosis. Childhood cancer survivors have survived at least 5 years from cancer diagnosis.
Inclusion Criteria:
* Registered in the ChCR
* Formerly treated at the Department of Pediatric Hematology/Oncology of one of five participating centers
* Treated with any chemotherapy and/or chest radiation
* Survived ≥ 5 years since most recent cancer diagnosis (primary cancer, relapse(s), secondary cancer) at time of examination
* Diagnosed at age ≤ 20 years
* ≥ 18 years of age at time of study participation
* Resident in Switzerland
* Written informed consent
Exclusion Criteria:
* Study participants will be excluded if they do not meet the above mentioned inclusion criteria or refuse to participate in the study.
Primary outcome measure(s)
Prevalence of cardiac dysfunction — Baseline and longitudinal follow-up where clinically indicated Conventional echocardiography: left ventricular ejection fraction (%)
Prevalence of cardiac dysfunction — Baseline and longitudinal follow-up where clinically indicated Speckle tracking echocardiography: longitudinal (LS), circumferential (CS), and radial strain (RS)
Prevalence of impaired exercise capacity — Baseline Cardiopulmonary exercise testing: peak oxygen consumption, percent-predicted carbon dioxide production
Treatment-related risk factors — Baseline Cumulative doses of anthracyclines, steroids, and alkylating agents (mg/m2)
Treatment-related risk factors — Baseline Dose of chest radiation (Gray)
Trial sites (6)
Facility
City
Region
Status
Department of Cardiology, University Hospital Basel
Basel
Canton of Basel-City
Recruiting
Institute of Social and Preventive Medicine, University of Bern
Bern
Canton of Bern
Active Not Recruiting
Department of Cardiology, Inselspital Bern
Bern
Switzerland
Recruiting
Department of Cardiology, University Hospitals of Geneva
Geneva
Switzerland
Recruiting
Department of Cardiology, Lucerne Cantonal Hospital
Lucerne
Switzerland
Recruiting
Department of Cardiology, Cantonal Hospital of St. Gallen
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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