Cardiovascular InjuryNCT02722525
Cardiac MRI in Measuring the Impact of Anti-androgen Treatment on Cardiac Function in Patients With Prostate Cancer
A study testing Magnetic Resonance Imaging, Exercise Intervention and Perfusion Magnetic Resonance Imaging in people with Cardiovascular Injury and Prostate Carcinoma, run by Ohio State University Comprehensive Cancer Center at 1 site in United States.
Trial summary
Learning about the impact of anti-androgen treatment has on cardiac function in patients with prostate cancer may help plan treatment and help patients live more comfortably. This pilot clinical trial will utilize cardiac magnetic resonance imaging (MRI) before a patient starts hormone therapy and after 4 to 7 months… Read more about this study
- Who is it for?
- Any age, men only
- Conditions the study is for
- Cardiovascular Injury, Prostate Carcinoma
- What is being tested?
- Magnetic Resonance Imaging, Exercise Intervention and Perfusion Magnetic Resonance Imaging
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 23 participants
- Where
- 1 siteUnited States
- Study dates
- Dec 2014to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- Men only
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Have biopsy proven carcinoma of the prostate
- Be planning to begin a course of at least 4 months of ADT; the ADT is defined as: (a) surgical castration; (b) gonadotropin-releasing hormone (GNRH) antagonist alone; (c) GNRH antagonist with oral androgen receptor blockade, and (d) GNRH antagonist, oral androgen receptor blockade, and 5-alpha reductase inhibitors; we will not include men with only oral anti-androgen therapy such as 5-alpha reductase inhibitors alone or oral anti-androgens alone
- Have an ECOG (Eastern Cooperative Oncology Group) performance status of 0-1
- Have plasma total cholesterol < 200 mg/dL
- Have plasma triglycerides < 200 mg/dL
- Have BUN/Cr (Blood urea nitrogen and serum creatinine) without clinically significant abnormalities after review by the study physicians
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- Liver enzymes without clinically significant abnormalities after review by the study physicians
- CBC (complete blood count) without clinically significant abnormalities after review by the study physicians
- PT/PTT/INR (prothrombin time/partial thromboplastin time) without clinically significant abnormalities after review by the study physicians
- Voluntarily agree to participate and sign an informed consent document
Who cannot join
- Have an active malignancy other than prostate cancer that requires therapy
- Not be undergoing evaluation and workup for active cardiovascular disease; men with treated and stable cardiovascular disease may participate
- Have plasma total cholesterol > 200 mg/dL or plasma triglycerides > 200 mg/dL
- Have a calculated glomerular filtration rate (GFR) =< 30 mL/min/1.73 m^2
- Are not free of unstable angina, arrhythmia, or severe systemic disease that would make moderate intensity exercise participation unsafe
- Have any contra-indications to magnetic resonance (MR) examination such as allergy to MRI contrast media (gadolinium-DTPA [gadopentetate dimeglumine]), metallic foreign objects within the body, orbital metal, cerebral aneurysm clip, pacemaker, defibrillator, neurostimulator, any other medical metallic implant, claustrophobia, inability to lie flat for 30 minutes, and weight exceeding 300 pounds; if an MR contraindication is discovered during scanning that was overlooked during the screening process, the procedure will be stopped immediately and the subject will be removed from the scanner
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- Are receiving any form of renal replacement therapy or have a calculated glomerular filtration rate (GFR) < 30 mL/min/1.75 m²; results of serum creatinine testing will be reviewed for calculation of glomerular filtration rate (GFR); patients without a serum creatinine level drawn within the prior 3 months will have this drawn upon enrollment
- Have uncontrolled hypertension and resting blood pressure exceeding 140/80 mmHg
- In addition, subjects with any contraindications to exercise testing according to American Heart Association guidelines will not be enrolled; nonetheless, the cardiovascular magnetic resonance (CMR) cardiologist supervising the research portion of the exam will also evaluate each subject for evidence of any contra-indications; the absolute contra-indications include acute myocardial infarction, high-risk unstable angina, uncontrolled cardiac arrhythmias, active endocarditis, symptomatic severe aortic stenosis, decompensated symptomatic heart failure, acute pulmonary embolus or pulmonary infarction, acute non-cardiac disorder that may be aggravated by exercise, acute myocarditis or pericarditis, physical disability that would preclude safe and adequate test performance, and inability to provide consent; the relative contra-indications include left main coronary stenosis, moderate stenotic valvular heart disease, electrolyte abnormalities, tachyarrhythmias or bradyarrhythmias, atrial fibrillation with uncontrolled ventricular rate, hypertrophic cardiomyopathy, and high-degree atrioventricular node block; subjects with uncontrolled hypertension and resting blood pressure exceeding 140/80 mmHg will be excluded
Trial locations and contacts
1 site in 1 country.
United States1 site
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center
Columbus, Ohio, 43210
About this study
Official title: Impact of Anti-androgen Treatment on Cardiac Function
Learning about the impact of anti-androgen treatment has on cardiac function in patients with prostate cancer may help plan treatment and help patients live more comfortably. This pilot clinical trial will utilize cardiac magnetic resonance imaging (MRI) before a patient starts hormone therapy and after 4 to 7 months of hormone therapy. The objective is to measure the impact of hormone therapy (anti-androgen treatment) on cardiac function in patients with prostate cancer.
Read the detailed description
PRIMARY OBJECTIVES:
- Determine the impact of a minimum of 4 months of full androgen deprivation therapy (ADT) on cardiac and skeletal muscle structure and performance using novel cardiovascular magnetic resonance (CMR) approach.
OUTLINE:
Study participants will undergo a treadmill stress CMR focused on cardiac muscle comprised of resting MRI over 10-15 minutes followed by treadmill exercise until peak stress. Patients then undergo MRI and gadopentetate dimeglumine (Gd-diethylenetriamine penta-acetic acid [DTPA]) perfusion imaging immediately after exercise and after a 6-8 minute recovery period. Within 24 hours of treadmill CMR exam, patients also undergo skeletal muscle phosphorus magnetic resonance spectroscopy (PMRS) while at rest, during, and in the recovery phase of resistive lower extremity exercise which patients complete over 30 seconds. Both procedures are performed before initiation of ADT treatment (baseline) and 4-7 months after initiation of ADT treatment.
- Conditions
- Cardiovascular Injury, Prostate Carcinoma
- Being tested
- Magnetic Resonance Imaging, Exercise Intervention, Perfusion Magnetic Resonance Imaging, Spectroscopy, Laboratory Biomarker Analysis
- Keywords
- ADT, Prostate cancer
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Magnetic Resonance ImagingProcedure or surgery
Also called Magnetic Resonance Imaging Scan, MRI, MRI Scan, NMRI
Undergo treadmill stress CMR
Exercise InterventionBehavioural
Complete treadmill exercise
Perfusion Magnetic Resonance ImagingProcedure or surgery
Also called PW-MRI
Undergo gadopentetate dimeglumine perfusion MRI
Exercise InterventionBehavioural
Complete resistive lower extremity exercise
SpectroscopyProcedure or surgery
Undergo skeletal muscle PMRS
Laboratory Biomarker AnalysisOther
Correlative studies
| Study group | Role | What they receive |
|---|---|---|
| Diagnostic (cardiac MRI, skeletal muscle PMRS) | Experimental | Patients undergo a treadmill stress CMR focused on cardiac muscle comprised of resting MRI over 10-15 minutes followed by treadmill exercise until peak stress. Patients then undergo MRI and gadopentetate dimeglumine perfusion imaging immediately after exercise and after a 6-8 minute recovery period. Within 24 hours of treadmill CMR exam, patients also undergo skeletal muscle PMRS while at rest, during, and in the recovery phase of resistive lower extremity exercise which patients complete over 30 seconds. Both procedures are performed before initiation of ADT treatment (baseline) and 4-7 months after initiation of ADT treatment. Receives: Procedure: Magnetic Resonance Imaging; Behavioral: Exercise Intervention; Procedure: Perfusion Magnetic Resonance Imaging; Procedure: Spectroscopy; Other: Laboratory Biomarker Analysis |
What is being measured
The primary outcome is the main question the study is designed to answer.
Heart rate (bpm)
Measured: Up to 7 months post ADT initiation
Maximal rate of oxygen consumption
Measured: Up to 7 months post ADT initiation
Cardiac muscle mass
Measured: Up to 7 months post ADT initiation
Ventricular performance assessed by cardiac stress MRI
Measured: Up to 7 months post ADT initiation
Myocardial perfusion reserve assessed by cardiac stress MRI
Measured: Up to 7 months post ADT initiation
Skeletal muscle energetics assessed by PMRS
Measured: Up to 7 months post ADT initiation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Mar 2016 (estimated)
- Study startDec 2014
- Primary completion13 Nov 2017
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cardiovascular InjuryStudies of the same condition, open and under way.
- More trials run by Ohio State University Comprehensive Cancer CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 23 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- Pelontonia
- Responsible party
- Principal investigator, Steven Clinton, Ohio State University Comprehensive Cancer Center
- Investigators
- Steven Clinton, MD, PhD, Principal investigator, Ohio State University Comprehensive Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02722525
- Sponsor's protocol ID
- OSU-14186
- Other IDs
- NCI-2015-00029
- Status last verified
- Mar 2026
- First submitted
- 18 Nov 2015
- Last updated
- 23 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Anti-androgen Treatment on Cardiac Function
- ClinicalTrials.gov ID
- NCT02722525
- Acronym / sponsor ID
- OSU-14186
- Conditions
- Cardiovascular Injury, Prostate Carcinoma
- Keywords
- ADT, Prostate cancer
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 23 participants (actual)
- Lead sponsor
- Ohio State University Comprehensive Cancer CenterUniversity, hospital or other
- Collaborators
- Pelontonia
- Study start
- Dec 2014 (actual)
- Primary completion
- 13 Nov 2017 (actual)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 30 Mar 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Learning about the impact of anti-androgen treatment has on cardiac function in patients with prostate cancer may help plan treatment and help patients live more comfortably. This pilot clinical trial will utilize cardiac magnetic resonance imaging (MRI) before a patient starts hormone therapy and after 4 to 7 months of hormone therapy. The objective is to measure the impact of hormone therapy (anti-androgen treatment) on cardiac function in patients with prostate cancer.
Detailed description
PRIMARY OBJECTIVES:
- Determine the impact of a minimum of 4 months of full androgen deprivation therapy (ADT) on cardiac and skeletal muscle structure and performance using novel cardiovascular magnetic resonance (CMR) approach.
OUTLINE:
Study participants will undergo a treadmill stress CMR focused on cardiac muscle comprised of resting MRI over 10-15 minutes followed by treadmill exercise until peak stress. Patients then undergo MRI and gadopentetate dimeglumine (Gd-diethylenetriamine penta-acetic acid [DTPA]) perfusion imaging immediately after exercise and after a 6-8 minute recovery period. Within 24 hours of treadmill CMR exam, patients also undergo skeletal muscle phosphorus magnetic resonance spectroscopy (PMRS) while at rest, during, and in the recovery phase of resistive lower extremity exercise which patients complete over 30 seconds. Both procedures are performed before initiation of ADT treatment (baseline) and 4-7 months after initiation of ADT treatment.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Diagnostic (cardiac MRI, skeletal muscle PMRS) | Experimental | Procedure: Magnetic Resonance Imaging, Behavioral: Exercise Intervention, Procedure: Perfusion Magnetic Resonance Imaging, Procedure: Spectroscopy, Other: Laboratory Biomarker AnalysisPatients undergo a treadmill stress CMR focused on cardiac muscle comprised of resting MRI over 10-15 minutes followed by treadmill exercise until peak stress. Patients then undergo MRI and gadopentetate dimeglumine perfusion imaging immediately after exercise and after a 6-8 minute recovery period. Within 24 hours of treadmill CMR exam, patients also undergo skeletal muscle PMRS while at rest, during, and in the recovery phase of resistive lower extremity exercise which patients complete over 30 seconds. Both procedures are performed before initiation of ADT treatment (baseline) and 4-7 months after initiation of ADT treatment. |
Who may qualify
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- Have biopsy proven carcinoma of the prostate
- Be planning to begin a course of at least 4 months of ADT; the ADT is defined as: (a) surgical castration; (b) gonadotropin-releasing hormone (GNRH) antagonist alone; (c) GNRH antagonist with oral androgen receptor blockade, and (d) GNRH antagonist, oral androgen receptor blockade, and 5-alpha reductase inhibitors; we will not include men with only oral anti-androgen therapy such as 5-alpha reductase inhibitors alone or oral anti-androgens alone
- Have an ECOG (Eastern Cooperative Oncology Group) performance status of 0-1
- Have plasma total cholesterol < 200 mg/dL
- Have plasma triglycerides < 200 mg/dL
Key exclusion criteria (9 listed)
- Have an active malignancy other than prostate cancer that requires therapy
- Not be undergoing evaluation and workup for active cardiovascular disease; men with treated and stable cardiovascular disease may participate
- Have plasma total cholesterol > 200 mg/dL or plasma triglycerides > 200 mg/dL
- Have a calculated glomerular filtration rate (GFR) =< 30 mL/min/1.73 m^2
- Are not free of unstable angina, arrhythmia, or severe systemic disease that would make moderate intensity exercise participation unsafe
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Magnetic Resonance ImagingAlso: Magnetic Resonance Imaging Scan, MRI, MRI Scan, NMRIUndergo treadmill stress CMR | Procedure or surgery | Diagnostic (cardiac MRI, skeletal muscle PMRS) |
| Exercise InterventionComplete treadmill exercise | Behavioural | Diagnostic (cardiac MRI, skeletal muscle PMRS) |
| Perfusion Magnetic Resonance ImagingAlso: PW-MRIUndergo gadopentetate dimeglumine perfusion MRI | Procedure or surgery | Diagnostic (cardiac MRI, skeletal muscle PMRS) |
| Exercise InterventionComplete resistive lower extremity exercise | Behavioural | Diagnostic (cardiac MRI, skeletal muscle PMRS) |
| SpectroscopyUndergo skeletal muscle PMRS | Procedure or surgery | Diagnostic (cardiac MRI, skeletal muscle PMRS) |
| Laboratory Biomarker AnalysisCorrelative studies | Other | Diagnostic (cardiac MRI, skeletal muscle PMRS) |
Primary outcome
Heart rate (bpm)
Time frame: Up to 7 months post ADT initiation
Maximal rate of oxygen consumption
Time frame: Up to 7 months post ADT initiation
Cardiac muscle mass
Time frame: Up to 7 months post ADT initiation
Ventricular performance assessed by cardiac stress MRI
Time frame: Up to 7 months post ADT initiation
Myocardial perfusion reserve assessed by cardiac stress MRI
Time frame: Up to 7 months post ADT initiation
Skeletal muscle energetics assessed by PMRS
Time frame: Up to 7 months post ADT initiation
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Mar 2026.
- The JameslineLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Steven Clinton, MD, PhD principal investigator
Ohio State University Comprehensive Cancer Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Magnetic Resonance Imaging, Exercise Intervention and Perfusion Magnetic Resonance Imaging in people with Cardiovascular Injury and Prostate Carcinoma, run by Ohio State University Comprehensive Cancer Center at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 23 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Heart rate (bpm) (time frame: Up to 7 months post ADT initiation). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2026.