Prostate CancerPCTNCT05096338
Mechanisms, Predictors, and Social Determinants of Cardiotoxicity in Prostate Cancer
An observational study of Prostate Cancer and Cardiotoxicity, run by Abramson Cancer Center at Penn Medicine at 1 site in United States.
Trial summary
This is an observational study for patients with prostate cancer that will be treated with Androgen Deprivation Therapy. The study will help the investigators learn more about how these medications affect the heart and how those effects relate to patients' medical history and social determinants of health (such as… Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer, Cardiotoxicity, Drug-Related Side Effects and Adverse Reactions
- What is being tested?
- Social Determinants of Health
- How many people
- 200 participants
- Where
- 1 siteUnited States
- Study dates
- 27 Oct 2021to Nov 2029
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
- Men only
- No healthy volunteers
- Adult, Older adult
Study population: Patients will be recruited from the medical oncology practices at the Abramson Cancer Center.
Who may be able to join
- Men older than 18 years of age Prostate cancer diagnosis planned for treatment with ≥6 months of ADT (with or without RT) for clinically localized, biochemically recurrent, or oligometastatic disease. Planned ADT regimens may include: GnRH agonists (goserelin, histrelin, leuprolide, triptorelin) with or without first-generation anti-androgens and GnRH antagonists (degarelix). Additional systemic agents, including second-generation androgen receptor signaling inhibitors, may be used in combination with GnRH agonist/antagonist therapies per provider clinical discretion.
- Ability to provide informed consent
Who cannot join
- Prior ADT injection within 6 months prior to enrollment Inability or unwillingness to provide consent
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
About this study
Official title: Cardiotoxicity of Prostate Cancer Therapy: Mechanisms, Predictors, and Social Determinants of Health in Prostate Cancer Patients Treated With Androgen Deprivation Therapy
This is an observational study for patients with prostate cancer that will be treated with Androgen Deprivation Therapy. The study will help the investigators learn more about how these medications affect the heart and how those effects relate to patients' medical history and social determinants of health (such as race, gender identity, education, occupation, access to health services and economic resources). Patients on this study will have echocardiograms, blood draws, and answer questions about their symptoms and activity level. Patients will be followed on this study for up to 5 years.
Read the detailed description
The investigators propose a prospective longitudinal cohort of prostate cancer patients treated with Androgen Deprivation Therapy (ADT) to determine the associations between social determinants of health (SDOH) and cardiotoxicity risk and to determine wither associations between SDOH and cardiotoxicity risk differs according to race. Patients will be followed with serial echo, blood draw, and surveys prior to start of ADT and then 6 months, 1 year, 2 years, 3 years, and 5 years after start of ADT.
- Conditions
- Prostate Cancer, Cardiotoxicity, Drug-Related Side Effects and Adverse Reactions, Cardiovascular Diseases
- Being tested
- Social Determinants of Health
- Keywords
- Cardiotoxicity of Chemotherapy, Cardio-Oncology, Social Determinants of Health
- Medical subject headings
- Prostatic Neoplasms, Cardiotoxicity, Drug-Related Side Effects and Adverse Reactions, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Social Determinants of HealthOther
We will perform detailed phenotyping of Social Determinants of Health using the National Institute of Minority Health and Health Disparities PhenX SDOH toolkit at baseline.
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Left Ventricular Ejection Fraction (LVEF)
Absolute change in LVEF by echocardiogram at follow-up
Measured: through study completion (expected to be 15 years)
Secondary outcomes (15)
Cancer therapy-related cardiac dysfunction (CTRCD)
Incidence of CTRCD defined as at least a 10% absolute change in LVEF by echocardiogram at follow-up relative to baseline to a value < 50%
Measured: through study completion (expected to be 15 years)
Symptomatic Heart Failure (HF)
Incidence of symptomatic heart failure (centrally adjudicated)
Measured: through study completion (expected to be 15 years)
Change in Longitudinal Strain
Change in longitudinal strain by echo from baseline
Measured: through study completion (expected to be 15 years)
Change in Circumferential Strain
Change in circumferential strain by echo from baseline
Measured: through study completion (expected to be 15 years)
Change in Diastolic function
Change in diastolic function defined as E/e' by echo from baseline
Measured: through study completion (expected to be 15 years)
Change in Left Ventricular (LV) Mass
Change in LV Mass by echo from baseline
Measured: through study completion (expected to be 15 years)
Change in Relative LV Wall Thickness
Change in relative LV wall thickness from baseline
Measured: through study completion (expected to be 15 years)
Change in Ventricular-Arterial Coupling
Change in Ventricular-Arterial Coupling defined as Ea/Ees by echo from baseline
Measured: through study completion (expected to be 15 years)
Change in LV Twist
Change in LV Twist measured by 3D echo from baseline
Measured: through study completion (expected to be 15 years)
Change in LV Torsion
Change in LV Torsion measured by 3D echo from baseline
Measured: through study completion (expected to be 15 years)
Change in NTproBNP
Change in NTproBNP measured in batches from banked samples from baseline.
Measured: through study completion (expected to be 15 years)
Change in high-sensitivity troponin (hsTnT)
Change in hs-TnT measured in batches from banked samples from baseline.
Measured: through study completion (expected to be 15 years)
Change in patient reported fatigue
Change in Patient Reported Outcomes Information System (PROMIS) Fatigue Score from baseline. A higher score corresponds to higher reported levels of fatigue.
Measured: through study completion (expected to be 15 years)
Change in patient reported quality of life
Change in Patient Reported Outcomes Information System (PROMIS) Global Health score from baseline. Higher scores indicate a healthier patient.
Measured: through study completion (expected to be 15 years)
Change in patient reported activity level
Change in total weekly leisure activity in METS assessed by Godin Leisure Time Exercise Questionnaire from baseline.
Measured: through study completion (expected to be 15 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Oct 2021
- Study start27 Oct 2021
- Primary completionNov 2029 (estimated)
- Study completionNov 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- More trials run by Abramson Cancer Center at Penn MedicineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Abramson Cancer Center at Penn Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- American Heart Association
- Responsible party
- Sponsor
- Investigators
- Bonnie Ky, MD, MSCE, Principal investigator, University of Pennsylvania
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05096338
- Sponsor's protocol ID
- UPCC 12821
- Acronym
- PCT
- Status last verified
- Mar 2026
- First submitted
- 12 Oct 2021
- Last updated
- 23 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Barrett M, Wilcox NS, Huang A, Levy R, Demissei B, Narayan V, Ky B. Bearing allostatic load: insights into a more equitable future within cardio-oncology. Trends Mol Med. 2022 Dec;28(12):1040-1049. doi: 10.1016/j.molmed.2022.09.006. Epub 2022 Oct 4.
PubMed 36207229
Study at a glance
From the registry record, last updated by the sponsor on 23 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cardiotoxicity of Prostate Cancer Therapy: Mechanisms, Predictors, and Social Determinants of Health in Prostate Cancer Patients Treated With Androgen Deprivation Therapy
- ClinicalTrials.gov ID
- NCT05096338
- Acronym / sponsor ID
- PCT / UPCC 12821
- Conditions
- Prostate Cancer, Cardiotoxicity, Drug-Related Side Effects and Adverse Reactions, Cardiovascular Diseases
- Keywords
- Cardiotoxicity of Chemotherapy, Cardio-Oncology, Social Determinants of Health
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Abramson Cancer Center at Penn MedicineUniversity, hospital or other
- Collaborators
- American Heart Association
- Study start
- 27 Oct 2021 (actual)
- Primary completion
- Nov 2029 (estimated)
- Study completion
- Nov 2029 (estimated)
- First posted
- 27 Oct 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an observational study for patients with prostate cancer that will be treated with Androgen Deprivation Therapy. The study will help the investigators learn more about how these medications affect the heart and how those effects relate to patients' medical history and social determinants of health (such as race, gender identity, education, occupation, access to health services and economic resources). Patients on this study will have echocardiograms, blood draws, and answer questions about their symptoms and activity level. Patients will be followed on this study for up to 5 years.
Detailed description
The investigators propose a prospective longitudinal cohort of prostate cancer patients treated with Androgen Deprivation Therapy (ADT) to determine the associations between social determinants of health (SDOH) and cardiotoxicity risk and to determine wither associations between SDOH and cardiotoxicity risk differs according to race. Patients will be followed with serial echo, blood draw, and surveys prior to start of ADT and then 6 months, 1 year, 2 years, 3 years, and 5 years after start of ADT.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients will be recruited from the medical oncology practices at the Abramson Cancer Center.
Key inclusion criteria (2 listed)
- Men older than 18 years of age Prostate cancer diagnosis planned for treatment with ≥6 months of ADT (with or without RT) for clinically localized, biochemically recurrent, or oligometastatic disease. Planned ADT regimens may include: GnRH agonists (goserelin, histrelin, leuprolide, triptorelin) with or without first-generation anti-androgens and GnRH antagonists (degarelix). Additional systemic agents, including second-generation androgen receptor signaling inhibitors, may be used in combination with GnRH agonist/antagonist therapies per provider clinical discretion.
- Ability to provide informed consent
Key exclusion criteria (1 listed)
- Prior ADT injection within 6 months prior to enrollment Inability or unwillingness to provide consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Social Determinants of HealthWe will perform detailed phenotyping of Social Determinants of Health using the National Institute of Minority Health and Health Disparities PhenX SDOH toolkit at baseline. | Other | – |
Primary outcome
Change in Left Ventricular Ejection Fraction (LVEF)
Time frame: through study completion (expected to be 15 years)
Absolute change in LVEF by echocardiogram at follow-up
15 secondary outcomes
Cancer therapy-related cardiac dysfunction (CTRCD)
Time frame: through study completion (expected to be 15 years)
Symptomatic Heart Failure (HF)
Time frame: through study completion (expected to be 15 years)
Change in Longitudinal Strain
Time frame: through study completion (expected to be 15 years)
Change in Circumferential Strain
Time frame: through study completion (expected to be 15 years)
Change in Diastolic function
Time frame: through study completion (expected to be 15 years)
Change in Left Ventricular (LV) Mass
Time frame: through study completion (expected to be 15 years)
Change in Relative LV Wall Thickness
Time frame: through study completion (expected to be 15 years)
Change in Ventricular-Arterial Coupling
Time frame: through study completion (expected to be 15 years)
Change in LV Twist
Time frame: through study completion (expected to be 15 years)
Change in LV Torsion
Time frame: through study completion (expected to be 15 years)
Change in NTproBNP
Time frame: through study completion (expected to be 15 years)
Change in high-sensitivity troponin (hsTnT)
Time frame: through study completion (expected to be 15 years)
Change in patient reported fatigue
Time frame: through study completion (expected to be 15 years)
Change in patient reported quality of life
Time frame: through study completion (expected to be 15 years)
Change in patient reported activity level
Time frame: through study completion (expected to be 15 years)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Mar 2026.
- Derived from this study: PubMed 36207229Barrett M, Wilcox NS, Huang A, Levy R, Demissei B, Narayan V, Ky B. Bearing allostatic load: insights into a more equitable future within cardio-oncology. Trends Mol Med. 2022 Dec;28(12):1040-1049. doi: 10.1016/j.molmed.2022.09.006. Epub 2022 Oct 4.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bonnie Ky, MD, MSCE principal investigator
University of Pennsylvania
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Prostate Cancer and Cardiotoxicity, run by Abramson Cancer Center at Penn Medicine at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 23 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Left Ventricular Ejection Fraction (LVEF) (time frame: through study completion (expected to be 15 years)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05096338, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2026.