Table 1.
Randomized controlled trials assessing cardioprotective regimes
Study | Year of publication | Study design | Cancer type | Chemotherapy type | Study drug | Sample size | Median age | % women | Mean LVEF difference (%) |
---|---|---|---|---|---|---|---|---|---|
Cardinale21 | 2006 | RCT | Various | Various | Enalapril | 56 | 47 | 60 | 9.7 |
Control | 58 | 44 | 67 | ||||||
Kalay13 | 2006 | RCT | Various | Anthracycline | Carvedilol | 25 | 46 | 88 | 17.4 |
Placebo | 25 | 49 | 84 | ||||||
Georgakopoulos25 | 2010 | RCT | Lymphoma | Doxorubicin | Metoprolol | 42 | 51 | 48 | 3.3 |
Enalapril | 43 | 47 | 49 | 2.8 | |||||
Control | 40 | 49 | 47 | ||||||
Kaya14 | 2012 | RCT | Breast cancer | Anthracycline | Nebivolol | 27 | 51 | 100 | 6.3 |
Control | 18 | 50 | 100 | ||||||
Dessi22 | 2013 | RCT | Various | Epirubicin | Telmisartan | 25 | 52 | 76 | 4 |
Placebo | 24 | 53 | 75 | ||||||
Bosch27 | 2013 | RCT | Haematological malignancies | Anthracycline and various | Enalapril and Carvedilol | 45 | 49 | 40 | 2.2 |
Control | 45 | 50 | 47 | ||||||
Elitok15 | 2014 | RCT | Breast cancer | Anthracycline | Carvedilol | 40 | 54 | 100 | 0.8 |
Placebo | 40 | 52 | 100 | ||||||
Akpek29 | 2015 | RCT | Breast cancer | Anthracycline and various | Spironolactone | 43 | 50 | 100 | 12.1 |
Placebo | 40 | 50 | 100 | ||||||
Boekhout23 | 2016 | RCT | Breast cancer | Anthracycline and Trastuzumab | Candesartan | 103 | 50 | 100 | 1 |
Placebo | 103 | 50 | 100 | ||||||
Tashakori Beheshti17 | 2016 | RCT | Breast cancer | Doxorubicin | Carvedilol | 30 | 42 | 100 | 1.76 |
Placebo | 40 | 39 | 100 | ||||||
Jhorawat16 | 2016 | RCT | Lymphoreticular malignancy | Adriamycin | Carvedilol | 27 | 43 | 14.8 | 3 |
Placebo | 27 | 38 | 33.3 | ||||||
Pituskin26 | 2017 | RCT | Breast cancer | Trastuzumab adjuvant | Perindopril | 33 | 53 | 100 | 3 |
Bisoprolol | 31 | 50 | 100 | 5 | |||||
Placebo | 30 | 51 | 100 | ||||||
Janbabai24 | 2017 | RCT | Various | Anthracycline and various | Enalapril | 34 | 47 | 97 | 13.6 |
Placebo | 35 | 47 | 88 | ||||||
Abuosa18 | 2018 | RCT | Various | Doxorubicin | Carvedilol | 37 | 42 | 77 | 1 |
Placebo | 38 | 40 | 76 | ||||||
Avila19 | 2018 | RCT | Breast cancer | Anthracycline | Carvedilol | 96 | 50 | 100 | 0 |
Placebo | 52 | 52 | 100 | ||||||
Cochera20 | 2018 | RCT | Breast cancer | Doxorubicin | Nebivolol | 30 | 53 | 100 | 1 |
Placebo | 30 | 52 | 100 |
LVEF, left ventricular ejection fraction; RCT, randomized controlled trial.