Clinical trial Recruiting at 1 site Observational

Identifying Risk Factors for Heart Toxicity from Immune Checkpoint Inhibitors

Official title: JOint Use of Database to Identify Risk Factors of CARDio-vascular Adverse Reactions Induced by Immune Checkpoint InhibiTors: VigiBase, Entrepot de Données de Santé (EDS), Système National Des Données de Santé (SNDS) Databases and a Retrospective International Multicenter Registry of ICI-associated Myocarditis

Run by Groupe Hospitalier Pitie-Salpetriere · NCT04294771 · Data updated 2026-11-12

This study is trying to find out what factors might increase the risk of heart problems in people receiving immune checkpoint inhibitors for cancer treatment.

Quick facts

Study typeObservational
SexAll
Enrollment500000 (estimated)
SponsorGroupe Hospitalier Pitie-Salpetriere
Academic / other
Drugs / interventionsIpilimumab, Nivolumab, Pembrolizumab, Durvalumab, Avelumab, Atezolizumab, Cemiplimab
Locations1 site (Paris)
StatusRecruiting
StartedJanuary 1, 2019
Main results expectedJanuary 1, 2030
Study endsJanuary 1, 2030
Registry record updatedSeptember 11, 2026
Trial IDNCT04294771 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study include patients who have experienced cardiovascular adverse events while being treated with immune checkpoint inhibitors.

Probably not a fit

Patients who have not received immune checkpoint inhibitors or those without reported cardiovascular issues may not benefit from this study.

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 investigates cardiovascular toxicity associated with immune checkpoint inhibitors (ICIs) such as anti-PD-1, anti-PD-L1, and anti-CTLA-4. By utilizing the World Health Organization's VigiBase and French health databases, the study aims to identify risk factors for heart-related adverse events linked to these treatments. The research will analyze reported cases of myocarditis and other cardiovascular issues to better understand the safety profile of ICIs. The findings could help improve patient management and treatment protocols for those receiving ICIs.

Why it matters

Potential benefit: If successful, this study could enhance the safety and efficacy of immune checkpoint inhibitors by identifying patients at risk for cardiovascular toxicity.

How similar studies have gone: Other studies have indicated potential risks associated with immune checkpoint inhibitors, but this specific approach of utilizing multiple databases for risk factor identification is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2025
* Case reported in the APHP Entrepot de Données de Santé (EDS) database of individual safety case reports to 01/01/2025
* Case reported in the Système National Des Données de Santé (SNDS) Database of individual safety case reports to 01/01/2025
* Case reported in a retrospective international multicenter registry of ICI-associated myocarditis to 01/01/2025
* Adverse event reported were including the MedDRA terms: Cardiac and vascular investigations (excl enzyme tests) (HLGT), Vascular disorders (SOC), Skeletal and cardiac muscle analyses (HLT), Sudden death (PT), Sudden cardiac death (PT), Cardiac disorders (SOC), Cardiac arrhythmias (HLGT), Cardiac disorder signs and symptoms (HLGT), Cardiac neoplasms (HLGT), Cardiac valve disorders (HLGT), Congenital cardiac disorders (HLGT), Coronary artery disorders (HLGT), Endocardial disorders (HLGT), Heart failures (HLGT), Myocardial disorders (HLGT), Pericardial disorders (HLGT)
* Patients treated with ICIs included in the ATC: Ipilimumab (L01XC11), Nivolumab (L01XC17), Pembrolizumab (L01XC18), Durvalumab (L01XC28), Avelumab (L01XC31), Atezolizumab (L01XC32), Cemiplimab (L01XC33)

Exclusion Criteria:

* Chronology not compatible between the drug and the toxicity

Where it's running

  • AP-HP, Pitié-Salpêtrière Hospital, Department of Pharmacology, CIC-1421, Pharmacovigilance Unit, INSERM.
    Paris, France
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.