Pharmacogenomic panel to predict chemotherapy- and immunotherapy-induced heart damage
Official title: Development of a Pharmacogenomic Panel for Early Detection of Chemotherapy- and Immunotherapy-Induced Cardiotoxicity.
Run by Beneficência Portuguesa de São Paulo · NCT07663357 · Data updated 2026-11-12
A pharmacogenomic and pharmacoepigenetic panel is being tested to see if it can predict which breast cancer patients will develop heart damage from chemotherapy or immunotherapy.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Beneficência Portuguesa de São Paulo Academic / other |
| Drugs / interventions | chemotherapy, immunotherapy |
| Locations | 6 sites (Fortaleza, Ceará and 5 other locations) |
| Status | Recruiting |
| Started | May 11, 2026 |
| Main results expected | March 1, 2029 |
| Study ends | December 30, 2029 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT07663357 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with confirmed breast cancer who are about to start anthracycline- and/or HER2-targeted therapies and who meet the specific health criteria outlined (e.g., LVEF ≥ 50%, adequate kidney function, controlled blood pressure).
✕Probably not a fit
Patients with existing significant heart disease, poor kidney function, or uncontrolled hypertension may not benefit from this panel.
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 aims to develop a genetic and epigenetic test to forecast cardiotoxicity in cancer patients receiving chemotherapy or immunotherapy. It plans to enroll 1,000 breast cancer patients who are about to start anthracycline or HER2-targeted therapies and follow them for 12 months. Participants will undergo regular cardiac evaluations, including ECG, echocardiography with strain, and biomarkers such as Pro-BNP, BNP, and Troponin I. The goal is to enable early preventive strategies before cancer treatment begins to reduce the risk of left ventricular dysfunction and heart failure related to cancer therapies.
Why it matters
Potential benefit: If successful, patients could avoid or lessen treatment-related heart damage through earlier risk identification and prevention.
How similar studies have gone: Previous research supports pharmacogenomic approaches for predicting adverse treatment effects, but this exact panel for cardiotoxicity is being developed in this study.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with a confirmed diagnosis of breast cancer who are scheduled to initiate treatment with anthracyclines and/or HER2-targeted therapies (anti-HER2 therapies). Exclusion Criteria: * Patients with a left ventricular ejection fraction (LVEF) \< 50%; * Patients who have undergone chemotherapy and/or radiotherapy within the previous year; * Patients with chronic kidney disease and a glomerular filtration rate (GFR) \< 30 mL/min/1.73 m²; * Patients with uncontrolled hypertension; * Patients with complex congenital heart disease.
Where it's running
-
Hospital BP - A Beneficência Portuguesa de São Paulo
São Paulo, São Paulo, Brazil Recruiting -
Instituto do Câncer do Ceará
Fortaleza, Ceará, Brazil Not yet recruiting -
Complexo Hospitar HUOC/PROCAPE
Recife, Pernambuco, Brazil Not yet recruiting -
Universidade Federal de Santa Catarina
Florianópolis, Santa Catarina, Brazil Not yet recruiting -
Hospital Beneficente UNIMAR
Marília, São Paulo, Brazil Not yet recruiting -
FAMERP - Faculdade de Medicina de São José do Rio Preto
São José do Rio Preto, São Paulo, Brazil Not yet recruiting
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
3D Heart Strain to Detect Early Cardiotoxicity in Cancer Therapy
This study tests whether 3D echocardiography can detect early heart damage from cancer treatments like anthracyclines or HER2-targeted therapy better than standard 2D methods.
-
Radiation-related heart damage in locally advanced NSCLC tested with PET-CT
This study tests whether PET-CT imaging with 18F-Flurpiridaz can detect early radiation-related heart damage in adults with locally advanced non-small cell lung cancer receiving standard chemoradiation.
-
Cardiac Side Effects of Systemic Therapy in Early-Stage Breast Cancer
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.
-
Serial contrast cardiac MRI and biomarker testing to detect anthracycline-related heart damage
This study tries to see if repeated contrast cardiac MRI plus blood, urine, and stool biomarker checks can find early heart damage in people getting anthracycline chemotherapy.
-
Early detection of heart and blood vessel damage from cancer treatments in children and young adults
This project tests whether newer heart and vessel imaging and stiffness tests can find treatment-related damage earlier in children, adolescents, and young adult cancer patients.
-
Machine-learning prediction of heart damage from anthracycline or HER2 cancer therapies
We will see if a machine-learning score can predict which adults starting anthracycline or HER2-targeted cancer therapies will develop heart damage within one year.
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.