Clinical Trials Directory

Trials / Completed

CompletedNCT03243604

cARdiotoxicity Profile of aBIraTeRone in prostAte Cancer : a pharmacoviGilancE Study

Cardiotoxicity of Abiraterone in the National French Pharmacovigilance Database and in the European Clinical Trials Database (EudraCT)

Status
Completed
Phase
Study type
Observational
Enrollment
1,717 (actual)
Sponsor
Groupe Hospitalier Pitie-Salpetriere · Academic / Other
Sex
Male
Age
18 Years
Healthy volunteers
Not accepted

Summary

Abiraterone associated with prednisone is used in prostate cancer. Abiraterone is a selective small-molecule inhibiting cytochrome P450 17A1 (CYP17A1), a key enzyme in androgen synthesis. CYP17A inhibition is also responsible for mineral corticosteroid related adverse events as hypokaliemia, fluid retention, and hypertension. Primary hyperaldosteronism is associated with cardiovascular toxicities such as atrial fibrillation and cardiac failure. Other androgen-deprivation therapies are not associated with increased mineral corticosteroid level. This study investigates reports of cardiovascular toxicities for treatment including L02 (sex hormones used in treatment of neoplastic diseases), and G03 (sex hormones) used in prostate cancer in the French pharmacovigilance database and in the EudraCT database.

Detailed description

Due to its peculiar pharmacology, abiraterone is potentially associated with more cardiotoxicity as compared to other androgen-deprivation therapies. This study investigates the main characteristics of patients affected by cardiovascular side effects of which supraventricular arrhythmias (including atrial fibrillation, atrial flutter, supraventricular tachycardia), and cardiac failure imputed to drugs classified as L02, and G03 according to anatomical therapeutic chemical (ATC) classification. A causality assessment according to the World Health Organization-The Uppsala Monitoring Centre (WHO-UMC) is systematically applied.

Conditions

Interventions

TypeNameDescription
DRUGL02 (sex hormones used in treatment of neoplastic diseases) and G03 (sex hormones)Androgen-deprivation therapies including L02 (sex hormones used in treatment of neoplastic diseases), and G03 (sex hormones)

Timeline

Start date
2017-05-16
Primary completion
2017-07-13
Completion
2017-07-13
First posted
2017-08-09
Last updated
2018-10-18

Locations

1 site across 1 country: France

Source: ClinicalTrials.gov record NCT03243604. Inclusion in this directory is not an endorsement.