AzTrials
AzTrials

CardiotoxicityPhase 3NCT03418961

S1501 Dual Observational and Randomized Cohort Study of Patients With Metastatic HER-2+ Breast Cancer at Risk of Cardiac Toxicity

A Phase 3 study testing Carvedilol, Laboratory Biomarker Analysis and Patient Observation in people with Cardiotoxicity and HER2/Neu Positive, run by SWOG Cancer Research Network at 590 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This trial has two cohorts of patients with human epidermal growth factor receptor (HER)-2-positive breast cancer that has spread to other places in the body. All patients must be receiving trastuzumab-based treatment. Both cohorts are being observed for cardiac toxicity. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Carvedilol, Laboratory Biomarker Analysis and Patient Observation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
491 participants
Where
590 sitesin 4 countries
Study dates
1 Nov 2017to 15 Sep 2027
Phase
Phase 3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • STEP 1 REGISTRATION
  • Patients must:
  • Have metastatic breast cancer, AND
  • Be initiating within 11 calendar days of Step 1 Registration OR be continuing trastuzumab-based HER-2 targeted therapy without concurrent anthracyclines, AND
  • Be receiving the trastuzumab-based HER-2 targeted therapy for metastatic disease in first, second, third-, or fourth-line setting. Patients may have brain metastasis. There is no limit for number of doses of HER-2 targeted therapy prior to registration.
  • Examples of eligible HER-2 targeted therapy:
Show all 42Show fewer
  • Trastuzumab or a trastuzumab biosimilar
  • Trastuzumab + chemotherapy or hormonal therapy
  • Trastuzumab + other HER-2 targeted agent with or without chemotherapy (such as pertuzumab, lapatinib, and tucatinib)
  • Ado-trastuzumab (Kadcyla®)
  • Fam-trastuzumab deruxtecan (Enhertu) NOTE: Patients on lapatinib without trastuzumab are not eligible. Planned treatment with concurrent HER-2 targeted therapy and anthracyclines is not permitted.
  • Patients must be at increased risk for cardiotoxicity defined by at least one of the following:
  • Previous anthracycline exposure OR
  • 1 or more of the following risk factors for heart disease:
  • LVEF 50-54% by local ECHO read*
  • Age ≥ 65
  • BMI ≥ 30 kg/m2
  • Current or prior anti-hypertensive therapy
  • Diagnosis of coronary artery disease (CAD)
  • Diagnosis of diabetes mellitus
  • Diagnosis of atrial fibrillation/flutter Note: ECHO can be performed at any time prior to registration with the most recent being sent.
  • Patients must not have taken within 21 days prior to Step 1 Registration, be currently taking at the time of Step 1 Registration or planning to take once registered to Step 1 a beta blocker, ARB, or ACE inhibitor, in order to be randomized (Arms 1 and 2).
  • Patients enrolling in the observational cohort (Arm 3) must be currently taking a beta blocker, ARB, or ACE inhibitor at the time of Step 1 Registration.
  • Patients must have a Zubrod Performance status of 0-2
  • Patients must have a complete physical examination and medical history within 28 days prior to registration
  • Patients must have LVEF >= 50% echocardiogram (2D or 3D) within 28 days prior to registration. The echocardiogram must be obtained from a S1501 validated ECHO laboratory (lab) and submitted for central review by the S1501 ECHO core lab.
  • If a 3D echocardiogram is performed at baseline, sites must ensure that standard 2D images, including 40chamber and 2-chamber views, are also obtained and submitted at subsequent timepoints.
  • All follow-up echocardiograms (every 12 weeks) must be performed using 2D imaging to allow for standardized assessments. Follow-up scans must be completed at a site that can provide 2D images per protocol requirements. The echocardiograms cannot be submitted for central read until after Step 1 registration is complete.
  • Patients must have adequate hepatic function as evidenced by all of the following within 28 days prior to registration:
  • Serum bilirubin < 3.0 x institutional upper limit of normal (IULN)
  • Serum glutamic oxaloacetic transaminase (SGOT)/aspartate aminotransferase (AST) and serum glutamic pyruvic transaminase (SGPT)/alanine aminotransferase (ALT) < 5.0 x IULN
  • Patients must not be dialysis dependent
  • No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, prostate cancer on active surveillance, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years
  • Patients must not be pregnant or nursing due to potential fetal or nursing infant harm; women/men of reproductive potential must have agreed to use an effective contraceptive method, a woman is considered to be of "reproductive potential" if she has had menses at any time in the preceding 12 consecutive months; in addition to routine contraceptive methods, "effective contraception" also includes heterosexual celibacy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) defined as a hysterectomy, bilateral oophorectomy or bilateral tubal ligation; however, if at any point a previously celibate patient chooses to become heterosexually active during the time period for use of contraceptive measures outlined in the protocol, he/she is responsible for beginning contraceptive measures
  • Patients must be willing to submit blood specimens
  • Sites must seek additional patient consent for the future use of specimens
  • Patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines
  • For participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and CIRB regulations.
  • As a part of the OPEN registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system
  • STEP 2 REGISTRATION (Randomization)
  • Patients must not be registered to step 2 until confirming via RAVE EDC that the patient's LVEF by echocardiogram was >= 50% by central review. Patients must be registered within 21 calendar days of submission of the ECHO study/
  • Site must verify that there is no known change in the step 1 eligibility since initial registration

Who cannot join

None listed.

Trial locations and contacts

590 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

313 sites in 4 countries

United States300 sites, 74 recruiting
  • Pali Momi Medical Center

    ‘Aiea, Hawaii, 96701

    Suspended
  • Queen's Cancer Center - Pearlridge

    ‘Aiea, Hawaii, 96701

    Suspended
  • The Cancer Center of Hawaii-Pali Momi

    ‘Aiea, Hawaii, 96701

    Suspended
  • Providence Regional Cancer System-Aberdeen

    Aberdeen, Washington, 98520

    Suspended
  • Cleveland Clinic Akron General

    Akron, Ohio, 44307

    Site Public Contact, 866-223-8100, CancerAnswer@ccf.org

    Kathryn M. Leininger

    Recruiting
  • University of New Mexico Cancer Center

    Albuquerque, New Mexico, 87102

    Site Public Contact, 505-925-0348, HSC-ClinicalTrialInfo@salud.unm.edu

    Jacklyn M. Nemunaitis

    Recruiting
  • Lehigh Valley Hospital-Cedar Crest

    Allentown, Pennsylvania, 18103

    Site Public Contact, 610-402-9543, Morgan_M.Horton@lvhn.org

    Tareq Al Baghdadi

    Recruiting
  • Community Hospital of Anaconda

    Anaconda, Montana, 59711

    Suspended
  • Anchorage Associates in Radiation Medicine

    Anchorage, Alaska, 98508

    Suspended
  • Alaska Breast Care and Surgery LLC

    Anchorage, Alaska, 99508

    Suspended
  • Alaska Oncology and Hematology LLC

    Anchorage, Alaska, 99508

    Suspended
  • Alaska Women's Cancer Care

    Anchorage, Alaska, 99508

    Suspended
  • Anchorage Oncology Centre

    Anchorage, Alaska, 99508

    Suspended
  • Katmai Oncology Group

    Anchorage, Alaska, 99508

    Suspended
  • Providence Alaska Medical Center

    Anchorage, Alaska, 99508

    Suspended
  • Saint Joseph Mercy Hospital

    Ann Arbor, Michigan, 48106

    Site Public Contact, 734-712-7251, MCRCwebsitecontactform@stjoeshealth.org

    Tareq Al Baghdadi

    Recruiting
  • University of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan, 48109

    Site Public Contact, 800-865-1125

    Erin F. Cobain

    Recruiting
  • Kaiser Permanente-Deer Valley Medical Center

    Antioch, California, 94531

    Active, not recruiting
  • Duluth Clinic Ashland

    Ashland, Wisconsin, 54806

    Active, not recruiting
  • Emory University Hospital Midtown

    Atlanta, Georgia, 30308

    Suspended
  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia, 30322

    Site Public Contact, 404-778-1868

    Kevin M. Kalinsky

    Recruiting
  • Emory Saint Joseph's Hospital

    Atlanta, Georgia, 30342

    Suspended
  • Northside Hospital

    Atlanta, Georgia, 30342

    Site Public Contact, 404-303-3355, ClinicalTrials@northside.com

    Amelia B. Zelnak

    Recruiting
  • MultiCare Auburn Medical Center

    Auburn, Washington, 98001

    Suspended
  • Rush - Copley Medical Center

    Aurora, Illinois, 60504

    Suspended
  • Virginia Mason Bainbridge Island Medical Center

    Bainbridge Island, Washington, 98110

    Active, not recruiting
  • Saint Alphonsus Medical Center-Baker City

    Baker City, Oregon, 97814

    Suspended
  • Saint Louis Cancer and Breast Institute-Ballwin

    Ballwin, Missouri, 63011

    Site Public Contact, 314-251-7058

    Jay W. Carlson

    Recruiting
  • Flaget Memorial Hospital

    Bardstown, Kentucky, 40004

    Suspended
  • LSU Health Baton Rouge-North Clinic

    Baton Rouge, Louisiana, 70805

    Site Public Contact, 225-765-7659, research@ololrmc.com

    Marshall P. Stagg

    Recruiting
  • Louisiana Hematology Oncology Associates LLC

    Baton Rouge, Louisiana, 70809

    Site Public Contact, 225-215-1353, clinicalresearch@marybird.com

    Victor T. Lin

    Recruiting
  • Mary Bird Perkins Cancer Center

    Baton Rouge, Louisiana, 70809

    Site Public Contact, 225-215-1353, clinicalresearch@marybird.com

    Victor T. Lin

    Recruiting
  • Ochsner Health Center-Summa

    Baton Rouge, Louisiana, 70809

    Active, not recruiting
  • Our Lady of the Lake Physicians Group - Medical Oncology

    Baton Rouge, Louisiana, 70809

    Site Public Contact, 225-765-7659, research@ololrmc.com

    Marshall P. Stagg

    Recruiting
  • Medical Center of Baton Rouge

    Baton Rouge, Louisiana, 70816

    Active, not recruiting
  • Louisiana Hematology Oncology Associates

    Baton Rouge, Louisiana, 70817

    Site Public Contact, 225-215-1353, clinicalresearch@marybird.com

    Victor T. Lin

    Recruiting
  • Our Lady of the Lake Medical Oncology

    Baton Rouge, Louisiana, 70817

    Site Public Contact, 225-765-7659, research@ololrmc.com

    Marshall P. Stagg

    Recruiting
  • Woman's Hospital

    Baton Rouge, Louisiana, 70817

    Site Public Contact, 225-215-1353, Clinicalreserach@marybird.com

    Victor T. Lin

    Recruiting
  • Bronson Battle Creek

    Battle Creek, Michigan, 49017

    Suspended
  • McLaren Cancer Institute-Bay City

    Bay City, Michigan, 48706

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • UHHS-Chagrin Highlands Medical Center

    Beachwood, Ohio, 44122

    Site Public Contact, 800-641-2422, CTUReferral@UHhospitals.org

    Bahar Moftakhar

    Recruiting
  • Indu and Raj Soin Medical Center

    Beavercreek, Ohio, 45431

    Active, not recruiting
  • UM Upper Chesapeake Medical Center

    Bel Air, Maryland, 21014

    Site Public Contact, 443-643-3010

    Ashkan Bahrani

    Recruiting
  • Overlake Medical Center

    Bellevue, Washington, 98004

    Suspended
  • PeaceHealth Saint Joseph Medical Center

    Bellingham, Washington, 98225

    Site Public Contact, 360-788-8223

    Charles W. Drescher

    Recruiting
  • Sanford Joe Lueken Cancer Center

    Bemidji, Minnesota, 56601

    Active, not recruiting
  • Saint Charles Health System

    Bend, Oregon, 97701

    Suspended
  • Lehigh Valley Hospital - Muhlenberg

    Bethlehem, Pennsylvania, 18017

    Site Public Contact, 610-402-9543, Morgan_M.Horton@lvhn.org

    Tareq Al Baghdadi

    Recruiting
  • Billings Clinic Cancer Center

    Billings, Montana, 59101

    Suspended
  • Sanford Bismarck Medical Center

    Bismarck, North Dakota, 58501

    Active, not recruiting
  • McLaren Cancer Institute-Bloomfield

    Bloomfield, Michigan, 48302

    Suspended
  • Illinois CancerCare-Bloomington

    Bloomington, Illinois, 61704

    Suspended
  • Prisma Health Cancer Institute - Spartanburg

    Boiling Springs, South Carolina, 29316

    Suspended
  • Saint Alphonsus Cancer Care Center-Boise

    Boise, Idaho, 83706

    Site Public Contact, 734-712-3671, stephanie.couch@stjoeshealth.org

    John M. Schallenkamp

    Recruiting
  • Saint Luke's Cancer Institute - Boise

    Boise, Idaho, 83712

    Suspended
  • Central Care Cancer Center - Bolivar

    Bolivar, Missouri, 65613

    Suspended
  • Parkland Health Center-Bonne Terre

    Bonne Terre, Missouri, 63628

    Suspended
  • Bozeman Deaconess Hospital

    Bozeman, Montana, 59715

    Suspended
  • Essentia Health Saint Joseph's Medical Center

    Brainerd, Minnesota, 56401

    Active, not recruiting
  • Cox Cancer Center Branson

    Branson, Missouri, 65616

    Suspended
  • Harrison HealthPartners Hematology and Oncology-Bremerton

    Bremerton, Washington, 98310

    Suspended
  • Harrison Medical Center

    Bremerton, Washington, 98310

    Suspended
  • Saint Joseph Mercy Brighton

    Brighton, Michigan, 48114

    Suspended
  • Trinity Health IHA Medical Group Hematology Oncology - Brighton

    Brighton, Michigan, 48114

    Suspended
  • Henry Ford Cancer Institute-Downriver

    Brownstown, Michigan, 48183

    Site Public Contact, 313-916-3721, CTOResearch@hfhs.org

    Haythem Y. Ali

    Recruiting
  • Saint Joseph Regional Cancer Center

    Bryan, Texas, 77802

    Suspended
  • Bryn Mawr Hospital

    Bryn Mawr, Pennsylvania, 19010

    Active, not recruiting
  • Providence Saint Joseph Medical Center/Disney Family Cancer Center

    Burbank, California, 91505

    Suspended
  • Highline Medical Center-Main Campus

    Burien, Washington, 98166

    Suspended
  • Lahey Hospital and Medical Center

    Burlington, Massachusetts, 01805

    Site Public Contact, 781-744-3421, lhmc-cancer-clinical-trials@lahey.org

    Andrew Piper-Vallillo

    Recruiting
  • Fairview Ridges Hospital

    Burnsville, Minnesota, 55337

    Suspended
  • Saint Alphonsus Cancer Care Center-Caldwell

    Caldwell, Idaho, 83605

    Suspended
  • Illinois CancerCare-Canton

    Canton, Illinois, 61520

    Suspended
  • Saint Joseph Mercy Canton

    Canton, Michigan, 48188

    Suspended
  • Trinity Health IHA Medical Group Hematology Oncology - Canton

    Canton, Michigan, 48188

    Suspended
  • Aultman Health Foundation

    Canton, Ohio, 44710

    Site Public Contact, 330-363-7274, ClinicalReserachDept@aultman.com

    Sunitha Vemulapalli

    Recruiting
  • Saint Francis Medical Center

    Cape Girardeau, Missouri, 63703

    Site Public Contact, 573-334-2230, sfmc@sfmc.net

    Bryan A. Faller

    Recruiting
  • Southeast Cancer Center

    Cape Girardeau, Missouri, 63703

    Suspended
  • Memorial Hospital of Carbondale

    Carbondale, Illinois, 62902

    Suspended
  • Caro Cancer Center

    Caro, Michigan, 48723

    Suspended
  • SIH Cancer Institute

    Carterville, Illinois, 62918

    Suspended
  • Illinois CancerCare-Carthage

    Carthage, Illinois, 62321

    Suspended
  • Dayton Physicians LLC-Miami Valley South

    Centerville, Ohio, 45459

    Active, not recruiting
  • Miami Valley Hospital South

    Centerville, Ohio, 45459

    Active, not recruiting
  • Centralia Oncology Clinic

    Centralia, Illinois, 62801

    Suspended
  • Providence Regional Cancer System-Centralia

    Centralia, Washington, 98531

    Suspended
  • Christiana Care Health System-Concord Health Center

    Chadds Ford, Pennsylvania, 19317

    Suspended
  • Geauga Hospital

    Chardon, Ohio, 44024

    Site Public Contact, 800-641-2422, CTUReferral@UHhospitals.org

    Bahar Moftakhar

    Recruiting
  • Medical University of South Carolina

    Charleston, South Carolina, 29425

    Active, not recruiting
  • Memorial Hospital

    Chattanooga, Tennessee, 37404

    Suspended
  • Saint Joseph Mercy Chelsea

    Chelsea, Michigan, 48118

    Suspended
  • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital

    Chelsea, Michigan, 48118

    Suspended
  • John H Stroger Jr Hospital of Cook County

    Chicago, Illinois, 60612

    Site Public Contact, 312-864-5204

    Thomas E. Lad

    Recruiting
  • University of Illinois

    Chicago, Illinois, 60612

    Active, not recruiting
  • Enloe Medical Center

    Chico, California, 95926

    Active, not recruiting
  • The Christ Hospital

    Cincinnati, Ohio, 45219

    Site Public Contact, 513-585-0844

    Gina G. Chung

    Recruiting
  • University of Cincinnati Cancer Center-UC Medical Center

    Cincinnati, Ohio, 45219

    Site Public Contact, 513-584-7698, cancer@uchealth.com

    Mahmoud Charif

    Recruiting
  • Good Samaritan Hospital - Cincinnati

    Cincinnati, Ohio, 45220

    Suspended
  • Oncology Hematology Care Inc-Kenwood

    Cincinnati, Ohio, 45236

    Active, not recruiting
  • Bethesda North Hospital

    Cincinnati, Ohio, 45242

    Suspended
  • TriHealth Cancer Institute-Westside

    Cincinnati, Ohio, 45247

    Suspended
  • TriHealth Cancer Institute-Anderson

    Cincinnati, Ohio, 45255

    Suspended
  • Siteman Cancer Center at Saint Peters Hospital

    City of Saint Peters, Missouri, 63376

    Active, not recruiting
  • Clackamas Radiation Oncology Center

    Clackamas, Oregon, 97015

    Suspended
  • Providence Cancer Institute Clackamas Clinic

    Clackamas, Oregon, 97015

    Suspended
  • Hematology Oncology Consultants-Clarkston

    Clarkston, Michigan, 48346

    Suspended
  • McLaren Cancer Institute-Clarkston

    Clarkston, Michigan, 48346

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • Newland Medical Associates-Clarkston

    Clarkston, Michigan, 48346

    Suspended
  • Case Western Reserve University

    Cleveland, Ohio, 44106

    Site Public Contact, 800-641-2422, CTUReferral@UHhospitals.org

    Bahar Moftakhar

    Recruiting
  • Cleveland Clinic Cancer Center/Fairview Hospital

    Cleveland, Ohio, 44111

    Site Public Contact, 866-223-8100, TaussigResearch@ccf.org

    Halle C. Moore

    Recruiting
  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

    Site Public Contact, 866-223-8100, TaussigResearch@ccf.org

    Halle C. Moore

    Recruiting
  • Southeastern Medical Oncology Center-Clinton

    Clinton, North Carolina, 28328

    Active, not recruiting
  • Prisma Health Cancer Institute - Laurens

    Clinton, South Carolina, 29325

    Suspended
  • Henry Ford Macomb Hospital-Clinton Township

    Clinton Township, Michigan, 48038

    Site Public Contact, 313-916-3721, CTOResearch@hfhs.org

    Haythem Y. Ali

    Recruiting
  • Medical Oncology and Hematology Associates-West Des Moines

    Clive, Iowa, 50325

    Site Public Contact, 515-241-3305

    Richard L. Deming

    Recruiting
  • Mercy Cancer Center-West Lakes

    Clive, Iowa, 50325

    Site Public Contact, 515-358-6613, cancerresearch@mercydesmoines.org

    Richard L. Deming

    Recruiting
  • Billings Clinic-Cody

    Cody, Wyoming, 82414

    Suspended
  • Kootenai Health - Coeur d'Alene

    Coeur d'Alene, Idaho, 83814

    Suspended
  • Coffeyville Regional Medical Center

    Coffeyville, Kansas, 67337

    Suspended
  • Baptist Memorial Hospital and Cancer Center-Collierville

    Collierville, Tennessee, 38017

    Suspended
  • Penrose-Saint Francis Healthcare

    Colorado Springs, Colorado, 80907

    Suspended
  • Rocky Mountain Cancer Centers-Penrose

    Colorado Springs, Colorado, 80907

    Suspended
  • John B Amos Cancer Center

    Columbus, Georgia, 31904

    Active, not recruiting
  • Baptist Memorial Hospital and Cancer Center-Golden Triangle

    Columbus, Mississippi, 39705

    Site Public Contact, 901-226-1366, BCCclintrials@bmhcc.org

    Sailendra Vasireddy

    Recruiting
  • Mercy Hospital

    Coon Rapids, Minnesota, 55433

    Site Public Contact, 952-993-1517, mmcorc@healthpartners.com

    David M. King

    Recruiting
  • Bay Area Hospital

    Coos Bay, Oregon, 97420

    Suspended
  • Commonwealth Cancer Center-Corbin

    Corbin, Kentucky, 40701

    Suspended
  • Alegent Health Mercy Hospital

    Council Bluffs, Iowa, 51503

    Suspended
  • Ochsner Hematology Oncology North Shore - Covington (West Region)

    Covington, Louisiana, 70433

    Active, not recruiting
  • Greater Regional Medical Center

    Creston, Iowa, 50801

    Suspended
  • Siteman Cancer Center at West County Hospital

    Creve Coeur, Missouri, 63141

    Active, not recruiting
  • UT Southwestern/Simmons Cancer Center-Dallas

    Dallas, Texas, 75390

    Site Public Contact, 214-648-7097, canceranswerline@UTSouthwestern.edu

    Vlad G. Zaha

    Recruiting
  • Carle at The Riverfront

    Danville, Illinois, 61832

    Suspended
  • Good Samaritan Hospital - Dayton

    Dayton, Ohio, 45406

    Suspended
  • Miami Valley Hospital

    Dayton, Ohio, 45409

    Active, not recruiting
  • Dayton Physician LLC-Miami Valley Hospital North

    Dayton, Ohio, 45415

    Active, not recruiting
  • Miami Valley Hospital North

    Dayton, Ohio, 45415

    Active, not recruiting
  • Henry Ford Medical Center-Fairlane

    Dearborn, Michigan, 48126

    Site Public Contact, 313-916-3721, CTOResearch@hfhs.org

    Haythem Y. Ali

    Recruiting
  • Cancer Care Specialists of Illinois - Decatur

    Decatur, Illinois, 62526

    Suspended
  • Decatur Memorial Hospital

    Decatur, Illinois, 62526

    Site Public Contact, 217-876-4762, morganthaler.jodi@mhsil.com

    Bryan A. Faller

    Recruiting
  • Kaiser Permanente-Franklin

    Denver, Colorado, 80205

    Suspended
  • Porter Adventist Hospital

    Denver, Colorado, 80210

    Suspended
  • SCL Health Saint Joseph Hospital

    Denver, Colorado, 80218

    Suspended
  • Iowa Methodist Medical Center

    Des Moines, Iowa, 50309

    Active, not recruiting
  • Medical Oncology and Hematology Associates-Des Moines

    Des Moines, Iowa, 50309

    Active, not recruiting
  • Broadlawns Medical Center

    Des Moines, Iowa, 50314

    Active, not recruiting
  • Mercy Medical Center - Des Moines

    Des Moines, Iowa, 50314

    Site Public Contact, 515-358-6613, cancerresearch@mercydesmoines.org

    Richard L. Deming

    Recruiting
  • Mission Cancer and Blood - Laurel

    Des Moines, Iowa, 50314

    Site Public Contact, 515-241-3305

    Richard L. Deming

    Recruiting
  • Iowa Lutheran Hospital

    Des Moines, Iowa, 50316

    Active, not recruiting
  • Wayne State University/Karmanos Cancer Institute

    Detroit, Michigan, 48201

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • Henry Ford Hospital

    Detroit, Michigan, 48202

    Site Public Contact, 313-916-3721, CTOResearch@hfhs.org

    Haythem Y. Ali

    Recruiting
  • Ascension Saint John Hospital

    Detroit, Michigan, 48236

    Suspended
  • Bayhealth Hospital Kent Campus

    Dover, Delaware, 19901

    Site Public Contact, 302-744-6755, mary_ella_quillen@bayhealth.org

    Iftekhar A. Khan

    Recruiting
  • City of Hope Comprehensive Cancer Center

    Duarte, California, 91010

    Site Public Contact, 800-826-4673, becomingapatient@coh.org

    Joanne E. Mortimer

    Recruiting
  • Epic Care-Dublin

    Dublin, California, 94568

    Suspended
  • Essentia Health Cancer Center

    Duluth, Minnesota, 55805

    Active, not recruiting
  • Essentia Health Saint Mary's Medical Center

    Duluth, Minnesota, 55805

    Active, not recruiting
  • Miller-Dwan Hospital

    Duluth, Minnesota, 55805

    Active, not recruiting
  • Mercy Medical Center

    Durango, Colorado, 81301

    Suspended
  • Southwest Oncology PC

    Durango, Colorado, 81301

    Suspended
  • Prisma Health Cancer Institute - Easley

    Easley, South Carolina, 29640

    Suspended
  • Great Lakes Cancer Management Specialists-Doctors Park

    East China Township, Michigan, 48054

    Suspended
  • Pocono Medical Center

    East Stroudsburg, Pennsylvania, 18301

    Suspended
  • Fairview Southdale Hospital

    Edina, Minnesota, 55435

    Suspended
  • Swedish Cancer Institute-Edmonds

    Edmonds, Washington, 98026

    Suspended
  • Carle Physician Group-Effingham

    Effingham, Illinois, 62401

    Suspended
  • Crossroads Cancer Center

    Effingham, Illinois, 62401

    Suspended
  • Mercy Cancer Center-Elyria

    Elyria, Ohio, 44035

    Suspended
  • Bay Area Breast Surgeons Inc

    Emeryville, California, 94608

    Suspended
  • Epic Care Partners in Cancer Care

    Emeryville, California, 94608

    Suspended
  • Walter Knox Memorial Hospital

    Emmett, Idaho, 83617

    Suspended
  • Saint Elizabeth Hospital

    Enumclaw, Washington, 98022

    Suspended
  • Illinois CancerCare-Eureka

    Eureka, Illinois, 61530

    Suspended
  • Providence Regional Cancer Partnership

    Everett, Washington, 98201

    Suspended
  • Fairbanks Memorial Hospital

    Fairbanks, Alaska, 99701

    Suspended
  • Essentia Health Cancer Center-South University Clinic

    Fargo, North Dakota, 58103

    Active, not recruiting
  • Sanford Broadway Medical Center

    Fargo, North Dakota, 58122

    Active, not recruiting
  • Sanford Roger Maris Cancer Center

    Fargo, North Dakota, 58122

    Active, not recruiting
  • Virginia Mason Federal Way Medical Center

    Federal Way, Washington, 98002

    Active, not recruiting
  • Saint Francis Hospital

    Federal Way, Washington, 98003

    Suspended
  • Lake Region Healthcare Corporation-Cancer Care

    Fergus Falls, Minnesota, 56537

    Active, not recruiting
  • Armes Family Cancer Center

    Findlay, Ohio, 45840

    Active, not recruiting
  • Blanchard Valley Hospital

    Findlay, Ohio, 45840

    Active, not recruiting
  • Orion Cancer Care

    Findlay, Ohio, 45840

    Active, not recruiting
  • Augusta Health Center for Cancer and Blood Disorders

    Fishersville, Virginia, 22939

    Site Public Contact, 540-332-5960

    Robert M. Kyler

    Recruiting
  • Genesee Cancer and Blood Disease Treatment Center

    Flint, Michigan, 48503

    Suspended
  • Genesee Hematology Oncology PC

    Flint, Michigan, 48503

    Suspended
  • Genesys Hurley Cancer Institute

    Flint, Michigan, 48503

    Suspended
  • Hurley Medical Center

    Flint, Michigan, 48503

    Suspended
  • McLaren Cancer Institute-Flint

    Flint, Michigan, 48532

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • Singh and Arora Hematology Oncology PC

    Flint, Michigan, 48532

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • Broward Health Medical Center

    Fort Lauderdale, Florida, 33316

    Active, not recruiting
  • UT Southwestern/Simmons Cancer Center-Fort Worth

    Fort Worth, Texas, 76104

    Site Public Contact, 214-648-7097, canceranswerline@UTSouthwestern.edu

    Vlad G. Zaha

    Recruiting
  • Beebe South Coastal Health Campus

    Frankford, Delaware, 19945

    Site Public Contact, 302-291-6730, research@beebehealthcare.org

    Gregory A. Masters

    Recruiting
  • Atrium Medical Center-Middletown Regional Hospital

    Franklin, Ohio, 45005-1066

    Active, not recruiting
  • Dayton Physicians LLC-Atrium

    Franklin, Ohio, 45005

    Active, not recruiting
  • Kaiser Permanente-Fremont

    Fremont, California, 94538

    Active, not recruiting
  • Fresno Cancer Center

    Fresno, California, 93720

    Active, not recruiting
  • Kaiser Permanente-Fresno

    Fresno, California, 93720

    Active, not recruiting
  • Unity Hospital

    Fridley, Minnesota, 55432

    Suspended
  • Saint Luke's Cancer Institute - Fruitland

    Fruitland, Idaho, 83619

    Suspended
  • Northeast Georgia Medical Center-Gainesville

    Gainesville, Georgia, 30501

    Site Public Contact, 770-219-8800, cancerpatient.navigator@nghs.com

    Charles H. Nash

    Recruiting
  • Illinois CancerCare-Galesburg

    Galesburg, Illinois, 61401

    Suspended
  • Western Illinois Cancer Treatment Center

    Galesburg, Illinois, 61401

    Suspended
  • Central Care Cancer Center - Garden City

    Garden City, Kansas, 67846

    Suspended
  • Saint Catherine Hospital

    Garden City, Kansas, 67846

    Suspended
  • Tacoma/Valley Radiation Oncology Centers-Gig Harbor

    Gig Harbor, Washington, 98332

    Active, not recruiting
  • MultiCare Gig Harbor Medical Park

    Gig Harbor, Washington, 98335

    Suspended
  • Mountain Blue Cancer Care Center

    Golden, Colorado, 80401

    Suspended
  • Southeastern Medical Oncology Center-Goldsboro

    Goldsboro, North Carolina, 27534

    Active, not recruiting
  • Wayne Memorial Hospital

    Goldsboro, North Carolina, 27534

    Active, not recruiting
  • CHI Health Saint Francis

    Grand Island, Nebraska, 68803

    Suspended
  • Spectrum Health at Butterworth Campus

    Grand Rapids, Michigan, 49503

    Site Public Contact, 616-391-1230, crcwm-regulatory@crcwm.org

    Kathleen J. Yost

    Recruiting
  • Trinity Health Grand Rapids Hospital

    Grand Rapids, Michigan, 49503

    Suspended
  • Central Care Cancer Center - Great Bend

    Great Bend, Kansas, 67530

    Suspended
  • Benefis Healthcare- Sletten Cancer Institute

    Great Falls, Montana, 59405

    Site Public Contact, 406-969-6060, mccinfo@mtcancer.org

    John M. Schallenkamp

    Recruiting
  • Great Falls Clinic

    Great Falls, Montana, 59405

    Suspended
  • Bellin Memorial Hospital

    Green Bay, Wisconsin, 54301

    Suspended
  • Dayton Physicians LLC-Wayne

    Greenville, Ohio, 45331

    Active, not recruiting
  • Wayne Hospital

    Greenville, Ohio, 45331

    Active, not recruiting
  • Prisma Health Cancer Institute - Butternut

    Greenville, South Carolina, 29605

    Site Public Contact, 864-241-6251

    Ki Y. Chung

    Recruiting
  • Prisma Health Cancer Institute - Faris

    Greenville, South Carolina, 29605

    Site Public Contact, 864-241-6251

    Ki Y. Chung

    Recruiting
  • Prisma Health Greenville Memorial Hospital

    Greenville, South Carolina, 29605

    Suspended
  • Prisma Health Cancer Institute - Eastside

    Greenville, South Carolina, 29615

    Site Public Contact, 864-241-6251

    Ki Y. Chung

    Recruiting
  • Self Regional Healthcare

    Greenwood, South Carolina, 29646

    Suspended
  • Prisma Health Cancer Institute - Greer

    Greer, South Carolina, 29650

    Suspended
  • Baptist Cancer Center-Grenada

    Grenada, Mississippi, 38901

    Suspended
  • Academic Hematology Oncology Specialists

    Grosse Pointe Woods, Michigan, 48236

    Suspended
  • Great Lakes Cancer Management Specialists-Van Elslander Cancer Center

    Grosse Pointe Woods, Michigan, 48236

    Suspended
  • Michigan Breast Specialists-Grosse Pointe Woods

    Grosse Pointe Woods, Michigan, 48236

    Suspended
  • HaysMed University of Kansas Health System

    Hays, Kansas, 67601

    Site Public Contact, 785-623-5774

    Anne P. O'Dea

    Recruiting
  • Lehigh Valley Hospital-Hazleton

    Hazleton, Pennsylvania, 18201

    Suspended
  • Saint Peter's Community Hospital

    Helena, Montana, 59601

    Suspended
  • Penn State Milton S Hershey Medical Center

    Hershey, Pennsylvania, 17033-0850

    Site Public Contact, 717-531-3779, CTO@hmc.psu.edu

    Monali K. Vasekar

    Recruiting
  • Essentia Health Hibbing Clinic

    Hibbing, Minnesota, 55746

    Active, not recruiting
  • Pulmonary Medicine Center of Chattanooga-Hixson

    Hixson, Tennessee, 37343

    Suspended
  • Hawaii Cancer Care Inc - Waterfront Plaza

    Honolulu, Hawaii, 96813

    Suspended
  • Island Urology

    Honolulu, Hawaii, 96813

    Suspended
  • Queen's Cancer Cenrer - POB I

    Honolulu, Hawaii, 96813

    Suspended
  • Queen's Medical Center

    Honolulu, Hawaii, 96813

    Suspended
  • Straub Clinic and Hospital

    Honolulu, Hawaii, 96813

    Suspended
  • University of Hawaii Cancer Center

    Honolulu, Hawaii, 96813

    Suspended
  • Hawaii Cancer Care Inc-Liliha

    Honolulu, Hawaii, 96817

    Suspended
  • Kuakini Medical Center

    Honolulu, Hawaii, 96817

    Suspended
  • Queen's Cancer Center - Kuakini

    Honolulu, Hawaii, 96817

    Suspended
  • The Cancer Center of Hawaii-Liliha

    Honolulu, Hawaii, 96817

    Suspended
  • Kaiser Permanente Moanalua Medical Center

    Honolulu, Hawaii, 96819

    Active, not recruiting
  • Kapiolani Medical Center for Women and Children

    Honolulu, Hawaii, 96826

    Suspended
  • CHI Saint Vincent Cancer Center Hot Springs

    Hot Springs, Arkansas, 71913

    Suspended
  • Centerpoint Medical Center LLC

    Independence, Missouri, 64057

    Active, not recruiting
  • Cleveland Clinic Cancer Center Independence

    Independence, Ohio, 44131

    Site Public Contact, 866-223-8100, TaussigResearch@ccf.org

    Halle C. Moore

    Recruiting
  • Franciscan Health Indianapolis

    Indianapolis, Indiana, 46237

    Site Public Contact, 317-528-7060

    Naveed A. Rana

    Recruiting
  • Swedish Cancer Institute-Issaquah

    Issaquah, Washington, 98029

    Site Public Contact, 206-215-3086, PCRC-NCORP@Swedish.org

    Charles W. Drescher

    Recruiting
  • Allegiance Health

    Jackson, Michigan, 49201

    Suspended
  • University of Mississippi Medical Center

    Jackson, Mississippi, 39216

    Site Public Contact, 601-815-6700

    Barbara S. Craft

    Recruiting
  • Onslow Memorial Hospital

    Jacksonville, North Carolina, 28546

    Active, not recruiting
  • Southeastern Medical Oncology Center-Jacksonville

    Jacksonville, North Carolina, 28546

    Active, not recruiting
  • Mercyhealth Hospital and Cancer Center - Janesville

    Janesville, Wisconsin, 53548

    Active, not recruiting
  • Capital Region Southwest Campus

    Jefferson City, Missouri, 65109

    Site Public Contact, 573-632-4814, swooden@mail.crmc.org

    Bryan A. Faller

    Recruiting
  • Freeman Health System

    Joplin, Missouri, 64804

    Suspended
  • Mercy Hospital Joplin

    Joplin, Missouri, 64804

    Suspended
  • Bronson Methodist Hospital

    Kalamazoo, Michigan, 49007

    Suspended
  • West Michigan Cancer Center

    Kalamazoo, Michigan, 49007

    Suspended
  • Borgess Medical Center

    Kalamazoo, Michigan, 49048

    Suspended
  • Kalispell Regional Medical Center

    Kalispell, Montana, 59901

    Suspended
  • University of Kansas Cancer Center-West

    Kansas City, Kansas, 66112

    Site Public Contact, 913-588-3671, KUCC_Navigation@kumc.edu

    Anne P. O'Dea

    Recruiting
  • University of Kansas Cancer Center

    Kansas City, Kansas, 66160

    Site Public Contact, 913-588-3671, KUCC_Navigation@kumc.edu

    Anne P. O'Dea

    Recruiting
  • Truman Medical Centers

    Kansas City, Missouri, 64108

    Site Public Contact, 816-404-4375

    Anne P. O'Dea

    Recruiting
  • Saint Luke's Hospital of Kansas City

    Kansas City, Missouri, 64111

    Active, not recruiting
  • Research Medical Center

    Kansas City, Missouri, 64132

    Active, not recruiting
  • University of Kansas Cancer Center - North

    Kansas City, Missouri, 64154

    Site Public Contact, 913-588-3671, KUCC_Navigation@kumc.edu

    Anne P. O'Dea

    Recruiting
  • Heartland Hematology and Oncology

    Kearney, Nebraska, 68845

    Suspended
  • CHI Health Good Samaritan

    Kearney, Nebraska, 68847

    Suspended
  • Kadlec Clinic Hematology and Oncology

    Kennewick, Washington, 99336

    Suspended
  • Northwest Cancer Clinic

    Kennewick, Washington, 99336

    Active, not recruiting
  • Greater Dayton Cancer Center

    Kettering, Ohio, 45409

    Active, not recruiting
  • First Dayton Cancer Care

    Kettering, Ohio, 45420

    Active, not recruiting
  • Kettering Medical Center

    Kettering, Ohio, 45429

    Active, not recruiting
  • Illinois CancerCare-Kewanee Clinic

    Kewanee, Illinois, 61443

    Suspended
  • Providence Regional Cancer System-Lacey

    Lacey, Washington, 98503

    Suspended
  • Good Samaritan Medical Center

    Lafayette, Colorado, 80026

    Suspended
  • Kaiser Permanente-Rock Creek

    Lafayette, Colorado, 80026

    Suspended
  • Franciscan Saint Elizabeth Health - Lafayette East

    Lafayette, Indiana, 47905

    Site Public Contact, 888-823-5923, ctsucontact@westat.com

    Naveed A. Rana

    Recruiting
  • Rocky Mountain Cancer Centers-Lakewood

    Lakewood, Colorado, 80228

    Suspended
  • Saint Anthony Hospital

    Lakewood, Colorado, 80228

    Suspended
  • Saint Clare Hospital

    Lakewood, Washington, 98499

    Suspended
  • Karmanos Cancer Institute at McLaren Greater Lansing

    Lansing, Michigan, 48910

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • Sparrow Hospital

    Lansing, Michigan, 48912

    Suspended
  • McLaren Cancer Institute-Lapeer Region

    Lapeer, Michigan, 48446

    Site Public Contact, 313-576-9790, ctoadmin@karmanos.org

    Hadeel Assad

    Recruiting
  • University of Kansas Cancer Center - Lee's Summit

    Lee's Summit, Missouri, 64064

    Site Public Contact, 913-588-3671, KUCC_Navigation@kumc.edu

    Anne P. O'Dea

    Recruiting
  • Saint Luke's East - Lee's Summit

    Lee's Summit, Missouri, 64086

    Active, not recruiting
  • Kansas Institute of Medicine Cancer and Blood Center

    Lenexa, Kansas, 66219

    Active, not recruiting
  • Minimally Invasive Surgery Hospital

    Lenexa, Kansas, 66219

    Active, not recruiting
  • Beebe Medical Center

    Lewes, Delaware, 19958

    Suspended
  • Saint Joseph Radiation Oncology Resource Center

    Lexington, Kentucky, 40504

    Suspended
  • Saint Joseph Hospital East

    Lexington, Kentucky, 40509

    Site Public Contact, 859-629-7169, ResearchInstituteInquiries@CommonSpirit.org

    Shahzad Siddique

    Recruiting
  • Wilcox Memorial Hospital and Kauai Medical Clinic

    Lihue, Hawaii, 96766

    Suspended
  • Saint Elizabeth Regional Medical Center

    Lincoln, Nebraska, 68510

    Suspended
  • Littleton Adventist Hospital

    Littleton, Colorado, 80122

    Suspended
  • Hope Cancer Clinic

    Livonia, Michigan, 48154

    Suspended

Other trials in United States

Puerto Rico11 sites
  • Advance Oncology Center

    Aguadilla, 00603

    Active, not recruiting
  • Doctor's Cancer Center-Arecibo

    Arecibo, 00614

    Active, not recruiting
  • Cancer Center-Metro Medical Center Bayamon

    Bayamón, 00959-5060

    Active, not recruiting
  • Hematologia Oncologia San Pablo

    Bayamón, 00961

    Active, not recruiting
  • HIMA San Pablo Oncologic Hospital

    Caguas, 00726

    Active, not recruiting
  • Doctors Cancer Center

    Manati, 00674

    Active, not recruiting
  • Instituto Oncologia Moderna Ponce

    Ponce, 00716

    Active, not recruiting
  • San Juan Community Oncology Group

    San Juan, 00917

    Active, not recruiting
  • Primary Care Physician Group

    San Juan, 00920

    Active, not recruiting
  • San Juan City Hospital

    San Juan, 00936

    Active, not recruiting
  • Centro de Hematologia y Oncologia del Sur

    Santa Isabel, 00757

    Active, not recruiting

Other trials in Puerto Rico

Saudi Arabia1 site
  • King Faisal Specialist Hospital and Research Centre

    Riyadh, 11211

    Active, not recruiting

Other trials in Saudi Arabia

South Korea1 site, 1 recruiting
  • National Cancer Center-Korea

    Goyang-si, Gyeonggi-do, 410-769

    Site Public Contact, 82-31-920-1934

    Keun Seok Lee

    Recruiting

Other trials in South Korea

About this study

Official title: Prospective Observational Cohort Study of Patients With Metastatic HER-2+ Breast Cancer at Risk of Cardiac Toxicity

This trial has two cohorts of patients with human epidermal growth factor receptor (HER)-2-positive breast cancer that has spread to other places in the body. All patients must be receiving trastuzumab-based treatment. Both cohorts are being observed for cardiac toxicity. The largest cohort (currently open to accrual) is observational, and contains patients who are taking a beta blocker, ACE inhibitor, or ARB as well as their trastuzumab-based treatment. The goal is to understand how common cardiac problems are in this group of patients at high risk. The smaller cohort (currently closed to accrual) is randomized. Patients in this second cohort are randomized to either carvedilol or no treatment, with the goal of seeing whether carvedilol (used to treat heart failure and high blood pressure) may prevent the heart from side effects of chemotherapy.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To estimate the 2-year cumulative incidence of cardiac dysfunction and/or predefined cardiac events in patients with metastatic breast cancer receiving trastuzumab-based HER-2 targeted therapy and beta blockers, angiotensin receptor blocker (ARB), or angiotensin converting enzyme (ACE) inhibitor.

II. To develop a model including clinical factors and potential biomarkers to predict risk of cardiac dysfunction and/or predefined cardiac events in patients with metastatic breast cancer receiving trastuzumab-based HER-2 targeted therapy and beta blockers, angiotensin receptor blocker (ARB), or angiotensin converting enzyme (ACE) inhibitor.

SECONDARY OBJECTIVES:

  1. To assess whether prophylactic beta blocker therapy with carvedilol compared with no prophylaxis reduces the risk of cardiac dysfunction and/or predefined cardiac events in patients with metastatic breast cancer receiving trastuzumab-based HER-2 targeted therapy.

II. To evaluate if prophylactic carvedilol compared with no prophylaxis results in a longer time to first interruption of trastuzumab-based HER-2 targeted therapy due to either cardiac dysfunction or events.

III. To compare the local and central reads of left ventricular ejection fraction (LVEF) and strain and assess if strain changes can predict drop in ejection fraction.

IV. Assess if strain can be used in the community as a marker of cardiotoxicity.

TERTIARY OBJECTIVES:

  1. To evaluate the lle655Val and Alall70Pro single nucleotide polymorphisms (SNPs) of the HER-2 gene as a predictive biomarker of study-defined cardiac dysfunction and/or predefined cardiac events.

II. To evaluate plasma neuregulin-1 at baseline and over study time as a predictive biomarker of study-defined cardiac dysfunction and/or predefined cardiac events.

III. To evaluate the feasibility of local labs performing serial left ventricular strain in an NCTN group setting, with the goal of 75% of patients contributing both a baseline and at least one follow-up strain measurement.

IV. To bank blood for future translational medicine studies such as brain natriuretic peptide (BNP), additional SNPs, and high sensitivity troponin.

OUTLINE: Patients are randomized to 1 of 2 arms. Patients taking beta blocker, ARB, or ACE inhibitor at registration are assigned to Arm III.

ARM I: Patients not taking beta blocker, ARB, or ACE inhibitor at registration receive carvedilol orally (PO) twice daily (BID). Courses repeat every 12 weeks for 108 weeks in the absence of disease progression or unacceptable toxicity.

ARM II: Patients not taking beta blocker, ARB, or ACE inhibitor at registration receive no study intervention for up to 108 weeks.

ARM III: Patients undergo observation for up to 108 weeks.

Being tested
Carvedilol, Laboratory Biomarker Analysis, Patient Observation
Medical subject headings
Cardiotoxicity, Brain Neoplasms, Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CarvedilolDrug

    Also called Coreg

    Given PO

  • Laboratory Biomarker AnalysisOther

    Correlative studies

  • Patient ObservationOther

    Also called Active Surveillance, deferred therapy, expectant management, observation

    Undergo observation

Study groups in NCT03418961
Study groupRoleWhat they receive
Arm I (carvedilol)ExperimentalPatients not taking beta blocker, ARB, or ACE inhibitor at registration receive carvedilol PO BID. Courses repeat every 12 weeks for 108 weeks in the absence of disease progression or unacceptable toxicity.
Receives: Drug: Carvedilol; Other: Laboratory Biomarker Analysis
Arm II (no intervention)Active comparatorPatients not taking beta blocker, ARB, or ACE inhibitor at registration receive no study intervention for up to 108 weeks.
Receives: Other: Laboratory Biomarker Analysis
Arm III (observation)Active comparatorPatients undergo observation for up to 108 weeks.
Receives: Other: Laboratory Biomarker Analysis; Other: Patient Observation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to the first identification of cardiac dysfunction

    Real-time, blinded, central echocardiography (ECHO) read as a decrease in the left ventricular ejection fraction (LVEF) of >= 10 percentage points from baseline to a value of < 50% OR decrease of LVEF by >= 5 percentage points from baseline to LVEF < 50% in those baselines having a baseline LVEF of 50-54%. The distributions of time to cardiac dysfunction will be described using cumulative incidence estimates, with the statistical significance of treatment arm differences assessed by Cox and Fine-Gray regression models with adjustment for stratification factors. Gray's test will also be applied

    Measured: Up to 108 weeks

Secondary outcomes (5)
  1. Incidence of adverse events associated with beta blocker treatment

    Adverse events associated with beta blocker treatment will be assessed.

    Measured: Up to 108 weeks

  2. Rate of first interruption of trastuzumab

    The distributions of time to interruption of trastuzumab-based therapy will be described using cumulative incidence estimates, with the statistical significance of treatment arm differences assessed by Cox and Fine-Gray regression models with adjustment for stratification factors. Gray?s test will also be applied to the primary endpoint to assess whether the results are sensitive to different model assumptions.

    Measured: Up to 108 weeks

  3. Rate of death

    Will compare rate of death from competing causes between treatment arms via Cox regression to evaluate whether those rates impact the primary analysis comparison.

    Measured: Up to 108 weeks

  4. Time to first occurrence of cardiac event

    any of the following treating physician documented events requiring hospitalization or medical treatment, and subsequent temporary or permanent discontinuation of trastuzumab- based HER-2 targeted therapy: arrhythmia, unstable angina, non-ST segment elevated myocardial infarction, myocardial infarction, or congestive heart failure.

    Measured: Up to 108 weeks

  5. Drug adherence

    Patients on the active arm will be asked to record study drug consumption on a monthly intake calendar. Amount of study drug taken among patients randomized to the active arm and study drug adoption among patients randomized to the no intervention arm (i.e., contamination) will be recorded by study site staff on a case report form at each follow-up visit to assess the sensitivity of the primary treatment effect to observed conditions.

    Measured: Up to 108 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2018
  2. Study start1 Nov 2017
  3. Primary completion15 Sep 2027 (estimated)
  4. Study completion15 Sep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
491 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03418961
Sponsor's protocol ID
S1501
Other IDs
UG1CA189974, NCI-2016-01047, S1501, SWOG-S1501
Status last verified
Oct 2025
First submitted
2 Jan 2018
Last updated
8 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Sommers J, Dizon DS, Lewis MA, Stone E, Andreoli R, Henderson V. Assessing Health Information Seeking Behaviors Among Targeted Social Media Users Using an Infotainment Video About a Cancer Clinical Trial: Population-Based Descriptive Study. JMIR Cancer. 2025 Mar 3;11:e56098. doi: 10.2196/56098.

    PubMed 40029972

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