Cardiac Side Effects of Systemic Therapy in Early-Stage Breast Cancer
Official title: Prospective and Molecular Biomarker-Based Evaluation of Cardiac Side Effects in Patients With Early-Stage Breast Cancer Receiving Systemic Therapy: A Single-Center Observational Cohort Study
Run by Gazi University · NCT07588425 · Data updated 2026-11-12
This study tests whether heart changes seen on ultrasound and blood biomarkers can detect early heart problems in women receiving standard chemotherapy and anti-HER2 therapy for early breast cancer.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 100 (estimated) |
| Sponsor | Gazi University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Ankara, Ankara) |
| Status | Recruiting |
| Started | May 11, 2026 |
| Main results expected | December 10, 2027 |
| Study ends | March 30, 2028 |
| Registry record updated | September 16, 2026 |
| Trial ID | NCT07588425 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women with histologically confirmed early-stage breast cancer (Stage I–III) planned for neoadjuvant or adjuvant systemic therapy and with normal baseline heart function (LVEF ≥ 50%).
✕Probably not a fit
Patients with metastatic breast cancer, pre-existing significant cardiac disease, prior cardiotoxic therapy, or inability to comply with follow-up may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study follows women with early-stage breast cancer who are receiving standard systemic therapy, including anthracyclines or anti-HER2 agents. Participants undergo echocardiography to measure LVEF and GLS, provide blood samples for microRNA analysis, and complete quality-of-life surveys at four time points (baseline, 3 months, 6 months, and additional time points as per protocol). The goal is to see if GLS changes and circulating microRNAs correlate with early cardiac dysfunction and whether cardiotoxicity risk differs between anthracycline-containing and anthracycline-free regimens. The study addresses gaps in prospective data by combining functional imaging with molecular biomarkers to inform early detection strategies in cardio-oncology.
Why it matters
Potential benefit: If successful, the study could improve early detection of chemotherapy-related heart damage and guide safer treatment choices for patients.
How similar studies have gone: Prospective work combining GLS and blood biomarkers for cardiotoxicity is limited but aligns with ESC cardiology guidelines; novelty lies in simultaneous functional and molecular assessment.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histologically confirmed diagnosis of breast cancer * Stage I, II, or III disease * Planned neoadjuvant or adjuvant chemotherapy and/or HER2-targeted systemic therapy * Baseline transthoracic echocardiographic left ventricular ejection fraction (LVEF) ≥ 50% * Age ≥ 18 years * Able and willing to provide written informed consent Exclusion Criteria: * Metastatic (Stage IV) breast cancer * Pre-existing heart failure or clinically significant cardiac disease * Prior exposure to chemotherapy or other cardiotoxic systemic therapy * Concurrent active malignancy other than breast cancer * Inability or unwillingness to comply with the planned follow-up and assessment schedule
Where it's running
-
Gazi University Faculty of Medicine
Ankara, Ankara, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Fatih Gürler — Gazi University
- Study coordinator: Sıla Soylu Koçoğlu, MD
- Email: drsilasoylu@gmail.com
- Phone: +905012735223
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.