Immune Checkpoint Inhibitor Associated Cardiovascular Adverse Events in Patients With Cancer

Study Purpose

Immune checkpoint inhibitors (ICI) have revolutionized cancer treatment and are now approved for various types of cancer. The most common side effects of ICI are immune-related adverse events which can affect any organ or system in the body. Recently, concerns have also risen about cardiovascular effects of ICI. Retrospective studies showed an 4-5 times increased risk of developing an arterial thromboembolic event. The mechanisms driving the ICI-associated risks of arterial thromboembolic events such as myocardial infarction and stroke, are unclear. Since the risk of a thromboembolism appears to be increased already during the first months after initiation of ICI, immune-related hypercoagulability or (autoimmune) antiphospholipid antibodies may play a role, but data to support this are lacking. The longer-term risk of arterial thromboembolism may be predominantly driven by (accelerated) atherosclerosis, a chronic low-grade inflammatory disease of the larger arteries. Therefore, this study evaluates the effect of ICI on progression of coronary non-calcifid plaque volume by using computed tomography angiography (CCTA).

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 50 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Patients with confirmed diagnosis of the following tumor types, any stage: esophageal, gastric or junction cancer, colorectal cancer, non-small cell lung carcinoma, melanoma, renal cell carcinoma.
  • - Prior to start of new therapy (i.e. immune checkpoint inhibitor, chemotherapy or follow-up in case of esophageal cancer) - Age ≥ 50 years.

Exclusion Criteria:

  • - ICI therapy in previous 12 months.
  • - Suspected or confirmed viral, fungal, or bacterial infectious disease.
  • - Use of immunosuppressive therapy prior to ICI start.
  • - Estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m2.
  • - Known allergy to iodinated contrast agents.
- Atrial fibrillation

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06519292
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Hanneke W. M. van Laarhoven
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

H.W.M. van Laarhoven, Prof. Dr.
Principal Investigator Affiliation [email protected]
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Netherlands
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Cardiovascular Diseases, Arterial Thrombosis, Myocardial Infarction, Stroke, Coronary Artery Disease, Atherosclerosis, Cancer
Arms & Interventions

Arms

: ICI group

Patients that receive immune checkpoint inhibitors

: Non-ICI group

Patients with similar malignancies, who do not receive immune checkpoint inhibitors

Interventions

Diagnostic Test: - Coronary computed tomography angiography (CCTA) at baseline

Detailed imaging of coronary arteries

Diagnostic Test: - Coronary computed tomography angiography (CCTA) after 1 year

Detailed imaging of coronary arteries

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Amsterdam UMC, Amsterdam 2759794, North Holland 2749879, Netherlands

Status

Recruiting

Address

Amsterdam UMC

Amsterdam 2759794, North Holland 2749879, 1105AZ

Site Contact

A Strijdhorst

[email protected]

+31 205665975

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