Rationale and design of the Multidisciplinary Approach to Novel Therapies in Cardiology Oncology Research Trial (MANTICORE 101 - Breast): a randomized, placebo-controlled trial to determine if conventional heart failure pharmacotherapy can prevent trastuzumab-mediated left ventricular remodeling among patients with HER2+ early breast cancer using cardiac MRI
2011

MANTICORE 101 - Breast: A Trial to Prevent Heart Issues in Breast Cancer Patients

Sample size: 159 publication Evidence: moderate

Author Information

Author(s): Pituskin Edith, Haykowsky Mark, Mackey John R, Thompson Richard B, Ezekowitz Justin, Koshman Sheri, Oudit Gavin, Chow Kelvin, Pagano Joseph J, Paterson Ian

Primary Institution: University of Alberta

Hypothesis

Can conventional heart failure pharmacotherapy prevent trastuzumab-mediated left ventricular remodeling among patients with HER2+ early breast cancer?

Conclusion

The MANTICORE trial aims to provide important evidence on the effectiveness of heart failure medications in preventing heart issues caused by trastuzumab in breast cancer patients.

Supporting Evidence

  • Trastuzumab has been shown to improve survival in HER2+ breast cancer patients.
  • Cardiac toxicity from cancer therapies is a significant health issue.
  • Conventional heart failure medications have been effective in other settings.

Takeaway

This study is trying to find out if heart medications can help prevent heart problems in women with a specific type of breast cancer who are getting treatment.

Methodology

A parallel 3-arm, randomized, placebo-controlled, double-blind design with 159 patients receiving either an ACE inhibitor, a beta-blocker, or a placebo for one year.

Potential Biases

Potential biases related to participant selection and the double-blind nature of the study.

Limitations

The study may not find significant decreases in cardiac outcomes due to the small sample size.

Participant Demographics

Patients with histologically confirmed HER2+ early breast cancer, aged over 18 years.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2407-11-318

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