Table 1: Summary of Angiotensin-converting Enzyme Inhibitor and/or Beta-blocker in the Primary Prevention of Cardiotoxicity Before Chemotherapy.
Author and year | Medication | Chemotherapy | Patients (n) | Follow-up (months) | Results |
---|---|---|---|---|---|
Kalay et al. 2006[52] | Carvedilol versus placebo | Anthracycline | 50 | 6 | Placebo: LVEF Δ −16% Carvedilol: LVEF Δ −1.5% |
Georgakapoulos et al. 2010[53] | Metoprolol versus enalapril versus placebo | Anthracycline | 125 | 31 | Metoprolol: LVEF Δ −3.7%* Enalapril: LVEF Δ −2% Placebo: LVEF Δ −1.4% |
Bosch et al. 2013[40] | Enalapril + carvedilol versus placebo | Anthracycline | 90 | 6 | ACEI + BB: LVEF Δ 0% Placebo: LVEF Δ −11% |
Akpek et al. 2014[42] | Spironolactone versus placebo | Anthracycline | 83 | 6 | Spironolactone: LVEF Δ −1.5%* Placebo: LVEF Δ −11%* |
Gulati et al. 2016[41] | Candesartan versus metoprolol versus placebo | Anthracycline | 130 | 3-12 | Candesartan: LVEF Δ −0.8%* Metoprolol: LVEF Δ −0.6% Placebo: LVEF −2.6% |
Boekhout et al. 2016[44] | Candesartan versus placebo | Trastuzumab | 206 | 24 | Candesartan : LVEF Δ −0% Placebo : LVEF Δ −1.5% |
Pituskin et al. 2017[45] | Perindopril versus bisoprolol versus placebo | Trastuzumab | 94 | 12 | Perindopril: LVEF Δ −3% Bisoprolol: LVEF Δ −1%* Placebo: LVEF Δ −5% No effect on remodelling |
Avila et al. 2018[43] | Carvedilol versus placebo | Anthracycline | 200 | 6 | Carvedilol : LVEF Δ −1.4% Placebo : LVEF Δ −2% |
*p<0.05. Δ: change from baseline LVEF; ACEI = angiotensin-converting enzyme inhibitor; BB = beta-blocker; LVEF = left ventricular ejection fraction.