Ignite Creation Date:
2024-10-26 @ 3:40 PM
Last Modification Date:
2024-10-26 @ 3:40 PM
Study NCT ID:
NCT06605833
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-18
Brief Title:
A Feasibility Study to Investigate LATe CaRdiac ToxicIty Following ImmUnotherapy Treatment for Melanoma
Sponsor:
None
Organization:
None
Study Overview
Official Title:
ATRIUM - a Feasibility Study to Investigate LATe CaRdiac ToxIcity Following ImmUnotherapy Treatment for Melanoma
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ATRIUM
Brief Summary:
People who develop a type of skin cancer known as melanoma are often treated with immunotherapy The type of immunotherapy used for patients with melanoma is known as Immune Checkpoint Inhibitors ICI While ICI is very successful it can lead to negative side effects that are known as immune related adverse events irAEs These irAEs can affect any part of the body and can range in severity from mild symptoms to death
There has been a lot of research on irAEs that occur during ICI but less is known about how irAEs can affect people in the long-term
Although irAEs are common from ICI acute irAEs affecting the heart cardiac irAEs are uncommon However as they relate to the heart they are often serious and have a higher rate of death compared to other types of irAEs Little is known regarding the long-term effects of ICI on the heart However there is some evidence to suggest that ICI may also cause long-term cardiac irAEs such as accelerating a build-up of fatty materials in your arteries known as atherosclerosis and inflammation of plaque in the heart This can lead to an increased risk of heart attack
Although there are guidelines for patients on ICI treatment to receive investigations to look for irAEs including cardiac irAEs there are no guidelines for monitoring long-term survivors
The aim of the ATRIUM study is to establish if it is possible to investigate in long-term follow-up cardiac side-effects in patients who received ICI for melanoma The data for this study would be used to support a larger study in the same patient population Potentially this could lead to a change in guidelines and long-term follow-up care for melanoma patients who have received ICI
There has been a lot of research on irAEs that occur during ICI but less is known about how irAEs can affect people in the long-term
Although irAEs are common from ICI acute irAEs affecting the heart cardiac irAEs are uncommon However as they relate to the heart they are often serious and have a higher rate of death compared to other types of irAEs Little is known regarding the long-term effects of ICI on the heart However there is some evidence to suggest that ICI may also cause long-term cardiac irAEs such as accelerating a build-up of fatty materials in your arteries known as atherosclerosis and inflammation of plaque in the heart This can lead to an increased risk of heart attack
Although there are guidelines for patients on ICI treatment to receive investigations to look for irAEs including cardiac irAEs there are no guidelines for monitoring long-term survivors
The aim of the ATRIUM study is to establish if it is possible to investigate in long-term follow-up cardiac side-effects in patients who received ICI for melanoma The data for this study would be used to support a larger study in the same patient population Potentially this could lead to a change in guidelines and long-term follow-up care for melanoma patients who have received ICI
Detailed Description:
Primary aim To establish the feasibility of conducting a study to investigate late cardiac side effects caused by immunotherapy in patients with melanoma in order to generate data to support a larger study in this patient population
Secondary aims
To assess factors impacting on the acceptance and adherence with cardiac investigations
To contribute to the understanding of long-term cardiac toxicities following immunotherapy which will enable their early recognition
Primary endpoint
Acceptance rate reported as the total number of patients consented divided by the number of patients invited for the study
Secondary endpoints
Adherence rate reported as the proportion of patients completing all the scheduled cardiac screening tests divided by the number of patients enrolled in the study
Recruitment rate reported as the number of patients recruited on average per month in each site and overall
Reasons for non-adherence or declining to consent
Difference in acceptance rates between adjuvant early disease setting and metastatic setting
Proportion of patients who experience cardiac irAEs during long-term follow-up post-treatment
Prevalence of cardiac irAEs
The planned sample size is 60 participants
The project will assess 3 groups of patients at different timepoints during their standard of care surveillance at 2-4 5-7 and 8-10 years following the completion of their immunotherapy treatment for melanoma Patients on routine follow-up at 2 to 10 years following the completion of immunotherapy treatment for melanoma will be identified by searching through database of patients with melanoma who received immune checkpoint inhibitors ICI Patients respecting the inclusion criteria will be invited to take to part to the study
Patients included in the study will undergo screening blood tests including cardiac biomarkers troponin I NTproBNP lipid profile HbA1c ferritin a 12 lead ECG and transthoracic echocardiography a cardiac MRI alongside completing questionnaires about cardiac events and risk factors Patients will have blood tests done at Royal Marsden or Royal Free while all the other cardiac investigations ECG transthoracic echocardiography cardiac MRI will be performed at the Royal Brompton Hospital Surveillance imaging performed as per standard of care at the Royal Marsden or at the Royal Free will be reviewed for evidence of atherosclerosis by the team at the Royal Brompton The cardiology team at the Royal Brompton will review cardiac investigations results and abnormal results will be flagged A summary report will be generated and sent to the patients and their GPs and abnormal results will be investigated as per standard of care The prevalence of cardiac adverse events will be summarised
Secondary aims
To assess factors impacting on the acceptance and adherence with cardiac investigations
To contribute to the understanding of long-term cardiac toxicities following immunotherapy which will enable their early recognition
Primary endpoint
Acceptance rate reported as the total number of patients consented divided by the number of patients invited for the study
Secondary endpoints
Adherence rate reported as the proportion of patients completing all the scheduled cardiac screening tests divided by the number of patients enrolled in the study
Recruitment rate reported as the number of patients recruited on average per month in each site and overall
Reasons for non-adherence or declining to consent
Difference in acceptance rates between adjuvant early disease setting and metastatic setting
Proportion of patients who experience cardiac irAEs during long-term follow-up post-treatment
Prevalence of cardiac irAEs
The planned sample size is 60 participants
The project will assess 3 groups of patients at different timepoints during their standard of care surveillance at 2-4 5-7 and 8-10 years following the completion of their immunotherapy treatment for melanoma Patients on routine follow-up at 2 to 10 years following the completion of immunotherapy treatment for melanoma will be identified by searching through database of patients with melanoma who received immune checkpoint inhibitors ICI Patients respecting the inclusion criteria will be invited to take to part to the study
Patients included in the study will undergo screening blood tests including cardiac biomarkers troponin I NTproBNP lipid profile HbA1c ferritin a 12 lead ECG and transthoracic echocardiography a cardiac MRI alongside completing questionnaires about cardiac events and risk factors Patients will have blood tests done at Royal Marsden or Royal Free while all the other cardiac investigations ECG transthoracic echocardiography cardiac MRI will be performed at the Royal Brompton Hospital Surveillance imaging performed as per standard of care at the Royal Marsden or at the Royal Free will be reviewed for evidence of atherosclerosis by the team at the Royal Brompton The cardiology team at the Royal Brompton will review cardiac investigations results and abnormal results will be flagged A summary report will be generated and sent to the patients and their GPs and abnormal results will be investigated as per standard of care The prevalence of cardiac adverse events will be summarised
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None