PhysioFlow to Detect Cardiotoxicity in Chemo

Study Overview
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Brief Summary
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PULSE-ECCho will focus on trying to detect cardiotoxicity in cancer patients receiving chemotherapy early on in order to avoid irreversible damage. In addition to that, we will test if the PhysioFlow is non-inferior to the conventional MUGA scan.

Detailed Description
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Our objective is to compare the PhysioFlow to the MUGA scan and see if the results are statistically the same using both techniques. This is what is known as a non-inferior study. The advantage of PhysioFlow is that it is non-invasive, fast and it is done at the bedside or while the patient is receiving his or her chemotherapy. The patient will be tested with the MUGA scan, as per the standard of care, before chemotherapy is initiated and at every 3 months. The patient will also be tested with the PhysioFlow at the same dates of the MUGA scan. In addition to that, the patients will be tested at each chemotherapy cycle with the PhysioFlow. Should the PhysioFlow indicate the patient has a cardiac toxicity as the patient is receiving chemotherapy, the results will be confirmed with the MUGA scan.

Official Title
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PhysioFlow Use in Longterm Screening and Evaluation of Cardiotoxicity in Chemotherapy

Conditions
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Chemotherapy, Cancer, Cardiotoxicity, Physioflow

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age above 18 years old Histologically confirmed diagnosis of cancer ECOG 0 to 2 Provide written consent after the investigational nature, study design, risks and benefits of the study have been explained Able to adhere to the study visit schedule and other protocol requirements Control Group Age above 18 years old No previous history of cancer ECOG 0 to 2 Did not receive chemotherapeutic agents (even if outside the context of cancer) Provide written consent after the investigational nature, study design, risks and benefits of the study have been explained Able to adhere to the study visit schedule and other protocol requirements Exclusion Criteria: Age less than 18 years ECOG 3-4 Suspected or proven severe aortic insufficiency Patient under cardiopulmonary bypass assistance (I.e.: Left ventricular assisting device) Congenital cardiac deformities ,such as septal defects Refuse to comply with the specified visit schedules and requirements

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| comparing the change in ejection fraction measured by physioflow and MUGA scan |  | at initial diagnosis and after 3 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| acceptance score on the five-point Likert Scale to measure tolerability | At the end of physioflow and or MUGA scan, a questionnaire to assess acceptance was proposed to all patients. The following aspects were evaluated: preparation and information before the imaging examination, degree of preceding concern, comfort, helplessness during the examination, pain experienced, degree of overall satisfaction. Evaluation was performed with a five-point qualitative Likert scale: very low, low, moderate, high, very high | up to 24 hrs |