Fact CheckerSign in

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
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

Full criteria on ClinicalTrials.gov

Sites (8)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hospital de Clinicas de Porto Alegre
Coordinator of this site? Confirm its status
Porto AlegreBrazilRecruiting
Irmandade Da Santa Casa de Misericordia de Porto Alegre
Coordinator of this site? Confirm its status
Porto AlegreBrazilRecruiting
Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Hospital Alemão Oswaldo Cruz
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Juravnski Cancer Centre
Coordinator of this site? Confirm its status
HamitlonCanadaRecruiting
Ottawa Hospital Research Institute
Coordinator of this site? Confirm its status
OttawaCanadaRecruiting
Toronto General Hospital, University Health Network
Coordinator of this site? Confirm its status
TorontoCanadaRecruiting
E.Meshalkin National medical research center of the Ministry of Health of the Russian Federation
Coordinator of this site? Confirm its status
NovosibirskRussiaSuspended

This page is information, not medical advice. Discuss any trial with your doctor.