NCT04680442RecruitingPhase 2
Safety of Continuing HER-2 Directed Therapy in Overt Left Ventricular Dysfunction
Safety of Continuing HER-2 Directed Therapy in Overt Left Ventricular Dysfunction: A Randomized, Controlled Trial
Source: ClinicalTrials.gov · Last updated 6 Apr 2025 · Not updated for over 12 months - ask the site whether it is still open
Brief summary (registry, in English)
Trastuzumab is an important treatment for HER 2 positive breast cancer. But trastuzumab can cause injury to the heart, and this is one of the main reasons it cannot be administered as planned. Heart injury can often be successfully treated using cardiac medications. The objectives of SCHOLAR-2 are to evaluate whether is it safe and effective to continue trastuzumab, pertuzumab or trastuzumab-emtansine (T-DM1) in patients with early stage HER-2 positive breast cancer despite mild, minimally symptomatic or asymptomatic systolic left ventricular dysfunction as compared with a guideline-driven approach of withholding or discontinuing trastuzumab, pertuzumab or trastuzumab-emtansine (T-DM1). In SCHOLAR-2, we will compare two thresholds of withholding or discontinuing trastuzumab/pertuzumab/trastuzumab-emtansine: a threshold that is currently advocated for by existing treatment practice guidelines versus a more aggressive threshold that allows trastuzumab/pertuzumab/trastuzumab-emtansine to continue at lower levels of LVEF than currently supported by guideline documents.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 130 (estimated)
- First submitted
- 17 Dec 2020
- Start date
- 1 Jul 2021
- Primary completion date
- 31 Dec 2025
- Lead sponsor
- Population Health Research Institute
- Diseases
- Heart failure, Childhood cancers
- NCT number
- NCT04680442
What you commit to
- Study type: Interventional · Phase 2
- Planned participants: 130
- From 1 Jul 2021 to the primary completion date, 31 Dec 2025
- 8 sites in 3 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Current use of both angiotensin converting enzyme inhibitor (ACEI) /angiotensin receptor blocker (ARB) and beta-blocker
Other illness
- NYHA class III or IV heart failure
Lab values
- LVEF \<40%
Other
- Contra-indication to both ACE-I/ARB and beta-blockers
- Systolic blood pressure \<100mmHg
- Current or planned pregnancy or breastfeeding
Who the study is looking for
- Stage I-III HER-2 positive breast cancer
- Receiving adjuvant or neoadjuvant therapy with trastuzumab, pertuzumab, or trastuzumab-emtansine (T-DM1)
- Evidence of left ventricular dysfunction, as defined by at least one of:
- LVEF \< 54% or b) LVEF ≥54% and either i) fall in LVEF of ≥15% from prior to trastuzumab, pertuzumab, or trastuzumab-emtansine (T-DM1) exposure, or ii) New York Heart Association (NYHA) class II heart failure symptoms within the past 6 months
Sex: All · Does not accept healthy volunteers
Sites (8)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Hospital de Clinicas de Porto Alegre Coordinator of this site? Confirm its status | Porto Alegre | Brazil | Recruiting |
| Irmandade Da Santa Casa de Misericordia de Porto Alegre Coordinator of this site? Confirm its status | Porto Alegre | Brazil | Recruiting |
| Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Hospital Alemão Oswaldo Cruz Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Juravnski Cancer Centre Coordinator of this site? Confirm its status | Hamitlon | Canada | Recruiting |
| Ottawa Hospital Research Institute Coordinator of this site? Confirm its status | Ottawa | Canada | Recruiting |
| Toronto General Hospital, University Health Network Coordinator of this site? Confirm its status | Toronto | Canada | Recruiting |
| E.Meshalkin National medical research center of the Ministry of Health of the Russian Federation Coordinator of this site? Confirm its status | Novosibirsk | Russia | Suspended |
This page is information, not medical advice. Discuss any trial with your doctor.