Evidence map›Paper›PMID 32529192›Full record

ArticleJACC. CardioOncology2019

The Evolving Design of NIH-Funded Cardio-Oncology Studies to Address Cancer Treatment-Related Cardiovascular Toxicity.

Lori Minasian, Eileen Dimond, Myrtle Davis, Bishow Adhikari, Richard Fagerstrom, Carol Fabian, Justin Floyd, Joseph M Unger, Pamela S Douglas, Karen M Mustian and 5 more

Abstract read
In one paragraph

Article in JACC. CardioOncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Research Priorities and Future Directions in Cardio-Oncology.Current treatment options in oncology · 2026
    Review
  2. Review
  3. Leveraging Clinical Trial Populations and Data from the Children's Oncology Group for Cancer Survivorship Research.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. The cancer patient and cardiology.European journal of heart failure · 2020
    Review
  9. Review
  10. Review
  11. Article
  12. Birth and Maturation of Cardio-Oncology.JACC. CardioOncology · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Lori MinasianNational Cancer Institute (NCI).
Eileen DimondNational Cancer Institute (NCI).
Myrtle DavisBristol-Myers Squibb Pharmaceutical Candidate Optimization.
Bishow AdhikariNational Heart Lung and Blood Institute (NHLBI).
Richard FagerstromNational Cancer Institute (NCI).
Carol FabianUniversity of Kansas Medical Center Cancer Center.
Justin FloydCancer Care Specialists of Illinois.
Joseph M UngerFred Hutchinson Cancer Research Center and University of Washington.
Pamela S DouglasDuke University School of Medicine.
Karen M MustianWilmot Cancer Institute University of Rochester Medical Center.
Eric J ChowFred Hutchinson Cancer Research Center and University of Washington.
Steven LipshultzUniversity at Buffalo Jacobs School of Medicine and Biomedical Sciences, Kaleida Health, John R. Oishei Children's Hospital, UBMD Pediatrics.
W Gregory HundleyVirginia Commonwealth University VCU Pauley Heart Center.
Saro ArmenianCity of Hope Comprehensive Cancer Center.
Bonnie KyPerelman School of Medicine, University of Pennsylvania.

Funding

ECOG-ACRIN NCORP Research Base - TMISTUG1CA189828 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$199.7M
SWOG NCORP Research BaseUG1CA189974 · NCI · THE HOPE FOUNDATION · PI CHARLES D. BLANKE, DAWN HERSHMAN · 2014 to 2026
$80.6M
URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Towards a preventive cancer vaccine for children with constitutional mismatch repair deficiencyUG1CA189955 · NCI · PUBLIC HEALTH INSTITUTE · PI BRAD H POLLOCK, Michael E. Roth · 2014 to 2026
$62.5M
Wake Forest NCORP Research BaseUG1CA189824 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Emily Van Meter Dressler, GLENN J LESSER · 2014 to 2026
$57.9M
Preventing Anthracycline Cardiovascular Toxicity with StatinsR01HL118740 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2013 to 2018
$4.2M
Multimarker Risk Prediction in Cancer Therapy CardiotoxicityR01HL118018 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2014 to 2018
$3.7M
Understanding and Predicting Fatigue, CV Decline & Events After Breast CA TreatmentR01CA199167 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2015 to 2022
$3.2M
Reducing risk of Anthracycline-related heart failure after childhood cancerR01CA196854 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI ARMENIAN, SARO · 2015 to 2019
$3.2M
Yoga Versus CBT-I for Insomnia in Cancer Survivors and Biobehavioral MechanismsR01CA181064 · NCI · UNIVERSITY OF ROCHESTER · PI MUSTIAN, KAREN M. · 2014 to 2019
$3.1M
Dexrazoxane and Prevention of Anthracycline-Related CardiomyopathyR01CA211996 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CHOW, ERIC JESSEN, LIPSHULTZ, STEVEN EDWARD · 2017 to 2020
$2.7M
Planning Grant for CARISMA - Cancer therapy Risk-reduction with Intensive Systolic BP ManagementR34HL146927 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE, MARGULIES, KENNETH BER · 2019 to 2020
$757k
NCI NIH HHS R01 CA181064NCI NIH HHS R01 CA196854NCI NIH HHS R01 CA199167NCI NIH HHS R01 CA211996NCI NIH HHS UG1 CA189824NCI NIH HHS UG1 CA189828NCI NIH HHS UG1 CA189955NCI NIH HHS UG1 CA189961NCI NIH HHS UG1 CA189974NHLBI NIH HHS R01 HL118018NHLBI NIH HHS R01 HL118740NHLBI NIH HHS R21 HL141802NHLBI NIH HHS R34 HL146927
6 · The paper itself

Abstract

Cardiovascular (CV) toxicity from cancer therapy is a significant and growing concern. Conventional oncology clinical trial designs focused singularly on cancer treatment efficacy have not provided sufficient information on both CV risk factors and outcomes. Similarly, traditional CV trials evaluating standard interventions typically exclude cancer patients, particularly those actively receiving cancer therapy. Neither trial type simultaneously evaluates the balance between CV toxicity and cancer outcomes. However, there is increasing collaboration among oncologists and cardiologists to design new cardio-oncology trials that address this important need. In this review, we detail five ongoing, oncology-based trials with integrated CV endpoints. Key design features include: 1) a careful assessment of baseline risk factors for CV disease; 2) an introduction of cardioprotective interventions at various timepoints in cancer therapy; 3) a balance of the risk of subclinical CV injury with the need for ongoing cancer treatment; and 4) an understanding of the time profile for development of clinically apparent CV toxicity. Additional critical priorities in cardio-oncology clinical research include harmonization of data collection and definitions for all physician- and patient-reported exposures and outcomes.

Indexed as

Adverse EventsCardiotoxicityChemotherapy

Identifiers

PMID32529192
PMCPMC7288847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.