Cardio-oncology & other

Cardiac Safety of Reduced Cardiotoxicity Surveillance During HER2-Targeted Therapy

JACC CardioOncolPublication date not resolvedNon-randomised clinical trial

Authors' conclusion

Reduced CTRCD surveillance every 6 months is safe and feasible for patients at low risk for CTRCD

Study context

Population
Patients with HER2-positive breast cancer treated with non-anthracycline HER2-targeted therapy; excluded: previous anthracycline exposure, significant CVD, uncontrolled hypertension
Participants
190 patients
Comparison
Reduced cancer therapy-related cardiac dysfunction (CTRCD) surveillance (echocardiography every 6 months) during non-anthracycline HER2-targeted therapy
Primary endpoint
Cardiac event rate:
  • HF
  • CV death
Follow-up
1 year
Methodological detailssingle-group
  • Single-group

Primary result

As reported in the abstract

Cardiac events:
  • HF
  • CV death
· median follow-up 17.5 months (Q1-Q3: 16.3-18.9 months)

Cardiac events

0

0%; 1-sided 97.5% CI: 0%–1.9%

Secondary outcomes

Asymptomatic CTRCD

Asymptomatic CTRCD, 1 patient; resumed therapy after temporary treatment interruption
0.5%; 95% CI: 0.01%-2.9%

Adherence to reduced surveillance schedule every 6 months

Adherence, ITT
73.2%
Adherence, per-protocol
79.9%

Original publication

Cardiac Safety of Reduced Cardiotoxicity Surveillance During HER2-Targeted Therapy. JACC CardioOncol. doi:10.1016/j.jaccao.2025.05.006

Summarised from the published abstract; every number is checked against it

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