This is an interventional study for patients who had developed Anthracycline-Induced Cardiotoxicity (AIC) during or after anthracycline-containing therapy, referred to the Cardioncology Unit for heart failure treatment
The main aim of this interventional study is to evaluate biochemical and imaging markers of fibrosis in patients who had previously developed AIC during or after anthracycline-containing therapy. Anthracycline-induced cardiomyopathy (AIC) is define as a reduction in Left Ventricular Ejection Fraction (LVEF) \>10% units from baseline and below 50%, assessed by echocardiography, during or after anthracycline-containing therapy. All patients will undergo: * at time 0 * an echocardiogram with LVEF evaluation (biplane method) * a single blood sample. * at time 1 - a Cardiac Magnetic Resonance (RMC) with contrast agent (T1 mapping technique) (time 1 = within 72 hours from blood sample).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
100
echocardiogram with left ventricular ejection fraction (LVEF) evaluation (biplane method) and CMR with contrast media agent
European Institute of Oncology
Milan, Italy
RECRUITINGEvaluation of blood levels of Suppression Of Tumorigenicity 2 (ST2)
Evaluation of blood levels of Suppression Of Tumorigenicity 2 (ST2) gene as biomarker of fibrosis
Time frame: 1 month
Evaluation of blood levels of Galectin-3 (Gal-3)
Evaluation of blood levels of Galectin-3 (Gal-3) as biomarker of fibrosis
Time frame: 1 month
Evaluation of Enhanced Liver Fibrosis score (ELF)
Evaluation of Enhanced Liver Fibrosis score (ELF) as biomarker of fibrosis ELF score is a "marker set" constituted by 3 markers of fibrosis: lhyaluronic acid, amino-terminal propeptide of type III procollagen, and tissue inhibitor of metalloproteinase 1, firstly utilized in the diagnosis and assessment of the severity of liver
Time frame: 1 month
Evaluation of CMR imaging marker of fibrosis
Evaluation at CMR of Myocardial T1 before and after contrast media infusion and Myocardial extracellular volume
Time frame: 1 month
Evaluation of improvement in left ventricular ejection fraction (LVEF) absolute points from baseline
evaluation of the response to heart failure treatment in terms of improvement in left ventricular ejection fraction (LVEF) absolute points from baseline
Time frame: 1 month
Evaluation of levels of Troponin I (TnI) and B-type Natriuretic Peptide (BNP)
Troponin I (TnI) and B-type Natriuretic Peptide (BNP) are biomarkers already utilized in the early diagnosis and monitoring of AIC and recognized prognostic indexes in patients with heart failure.
Time frame: 1 month
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Evaluation of levels of cytochrome C
cytochrome C is a marker of mitochondrial dysfunction
Time frame: 1 months