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Anthracycline chemotherapies (e.g. doxorubicin, daunorubicin) are commonly given to treat pediatric cancer, and carry a risk of cardiotoxicity. Over the long term, children who receive these therapies have an increased risk of heart failure and early cardiovascular death. However, current strategies for identifying patients who are at risk prior to the development of significant changes in heart function are limited. This study will focus on imaging markers of cardiac injury and dysfunction with the goal of developing improved diagnostic tests and treatment strategies.
Anthracycline chemotherapies (e.g. doxorubicin, daunorubicin) are commonly given to treat pediatric cancer, and carry a risk of cardiotoxicity. Over the long term, children who receive these therapies have an increased risk of heart failure and early cardiovascular death. However, current strategies for identifying patients who are at risk prior to the development of significant changes in heart function are limited. This study will focus on imaging markers of cardiac injury and dysfunction with the goal of developing improved diagnostic tests and treatment strategies.
Cardiac remodeling, function, and tissue characteristics will be examined using cardiac MRI in combination with other research assessments to assess the cardiotoxic effects of cancer therapy. Analyses will be performed in a cohort of adolescents and young adults with a history of childhood cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All Study Participants | This is an observational study where all study participants are within a single group. Participants will have testing performed at baseline and again at follow-up >= 3 years after the initial assessment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cardiac magnetic resonance imaging (MRI) | Diagnostic Test | Cardiac magnetic resonance imaging will be performed to evaluate cardiac remodeling, function, and tissue characteristics |
| Measure | Description | Time Frame |
|---|---|---|
| Left ventricular ejection fraction (LVEF) | LVEF is an assessment of left ventricular global systolic function. | 3 - 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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Long-term childhood cancer survivors treated with anthracyline therapy.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hari Narayan, MD | Contact | 8589665855 / 8589331718 | hnarayan@rchsd.org | |
| Cesar Vasquez | Contact | 8589331718 | cvasquez2@rchsd.org |
| Name | Affiliation | Role |
|---|---|---|
| Hari Narayan, MD | University of California San Diego, Rady Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rady Children's Hospital | Recruiting | San Diego | California | 92123 | United States |
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| ID | Term |
|---|---|
| D066126 | Cardiotoxicity |
| D009369 | Neoplasms |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Accelerometer physical activity monitoring | Other | Measurement of physical activity using hip-worn accelerometer. |
|
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| D064419 | Chemically-Induced Disorders |
| D011832 | Radiation Injuries |
| D014947 | Wounds and Injuries |