Analysis of the Presence and Cardiac Functional Effects of Anti-NaV1.5 Autoantibodies in Patients With Metastatic Tumors

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorIRCCS Policlinico S. Donato

About this trial

The overall aim of this study is to identify and characterize anti-NaV1.5 autoantibodies in patients with metastatic breast and colorectal cancer. These tumors are characterized by the presence of a specific target structure (called nNaV1.5) against which antibodies are produced. These antibodies may cross-react with a similar structure (called NaV1.5) that is found in the heart. This could affect channel function and increase the risk of arrhythmias.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years

Patients with a confirmed diagnosis of breast or colorectal cancer, either metastatic or non-metastatic

Patients already receiving first-line therapy with a confirmed diagnosis of breast or colorectal cancer, either metastatic or non-metastatic

Signed informed consent

Disqualifiers

Clinically significant cardiovascular diseases (atrial fibrillation, congestive heart failure, cardiomyopathies, or inherited arrhythmic syndromes)

Known autoimmune diseases or immunodeficiencies

Use of high-dose immunosuppressive drugs or other experimental treatments that could interfere with the assessment of study endpoints

Trial design

Design model

Parallel

Treatments tested in this trial

  • ECG

    Diagnostic test

    These patients require an ECG to exclude the onset of arrhythmias.

Treatment groups

196 Participants
are divided into 4 treatment groups
Group A: breast cancerOther 1 intervention
Group B: metastatic brest cancerOther 1 intervention
Group C: colon cancerOther 1 intervention
Group D: metastatic colon cancerOther 1 intervention

Trial outcomes

Primary outcomes

1

Presence of circulating autoantibodies against SCN5A in plasma of enrolled patients, assessed at baseline (enrollment) and at 6- and 12-month follow-up visits.

The primary outcome of this study is the detection of circulating autoantibodies against the cardiac sodium channel SCN5A in the plasma of enrolled patients. Plasma samples will be collected at baseline, corresponding to study enrollment, and during follow-up visits at 6 and 12 months. The presence or absence of anti-SCN5A autoantibodies will be assessed to evaluate their prevalence and persistence over time and to explore their potential association with disease mechanisms and progression.

Time frame
Baseline (at enrollment), 6 months, and 12 months.

Secondary outcomes

Other outcomes

Sponsors and contacts

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IRCCS Policlinico S. Donato

Lead sponsor

IRCCS San Raffaele

Collaborator

This trial is not recruiting at the moment. You can still explore other options: