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The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Prevention of cardiac dysfunction during adjuvant breast cancer therapy (PRADA): a 2 × 2 factorial, randomized, placebo-controlled, double-blind clinical trial of candesartan and metoprolol

Open access
Gulati, Geeta, Heck, Siri Lagethon, Ree, Anne Hansen, Hoffmann, Pavel, Schulz-Menger, Jeanette, Fagerland, Morten W., Gravdehaug, Berit, von Knobelsdorff-Brenkenhoff, Florian, Bratland, Åse, Storås, Tryggve H., Hagve, Tor-Arne, Røsjø, Helge, Steine, Kjetil, Geisler, Jürgen, Omland, Torbjørn·2016·European Heart Journal

Abstract

AIMS: Contemporary adjuvant treatment for early breast cancer is associated with improved survival but at the cost of increased risk of cardiotoxicity and cardiac dysfunction. We tested the hypothesis that concomitant therapy with the angiotensin receptor blocker candesartan or the β-blocker metoprolol will alleviate the decline in left ventricular ejection fraction (LVEF) associated with adjuvant, anthracycline-containing regimens with or without trastuzumab and radiation. METHODS AND RESULTS: In a 2 × 2 factorial, randomized, placebo-controlled, double-blind trial, we assigned 130 adult women with early breast cancer and no serious co-morbidity to the angiotensin receptor blocker candesartan cilexetil, the β-blocker metoprolol succinate, or matching placebos in parallel with adjuvant anticancer therapy. The primary outcome measure was change in LVEF by cardiac magnetic resonance imaging. A priori, a change of 5 percentage points was considered clinically important. There was no interaction between candesartan and metoprolol treatments (P = 0.530). The overall decline in LVEF was 2.6 (95% CI 1.5, 3.8) percentage points in the placebo group and 0.8 (95% CI -0.4, 1.9) in the candesartan group in the intention-to-treat analysis (P-value for between-group difference: 0.026). No effect of metoprolol on the overall decline in LVEF was observed. CONCLUSION: In patients treated for early breast cancer with adjuvant anthracycline-containing regimens with or without trastuzumab and radiation, concomitant treatment with candesartan provides protection against early decline in global left ventricular function.

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Metadata

Authors
Gulati, G., Heck, S. L., Ree, A. H., Hoffmann, P., Schulz-Menger, J., Fagerland, M. W., Gravdehaug, B., von Knobelsdorff-Brenkenhoff, F., Bratland, Å., Storås, T. H., Hagve, T.-A., Røsjø, H., Steine, K., Geisler, J., & Omland, T.
Venue
European Heart Journal
Published
2016-02-21
Volume
37
Issue
21
Pages
1671-1680
ISSN
  • 0195-668X (ISSN-L)
  • 1522-9645
OpenAlex
W2298838354
Cited by
687
References
30
FWCI
60.76
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Prevention of cardiac dysfunction during adjuvant breast cancer therapy (PRADA): a 2 × 2 factorial, randomized, placebo-controlled, double-blind clinical trial of candesartan and metoprolol. https://app.cochat.ai/papers/10.1093/eurheartj/ehw022
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Gulati, G., Heck, S. L., Ree, A. H., Hoffmann, P., Schulz-Menger, J., Fagerland, M. W., Gravdehaug, B., von Knobelsdorff-Brenkenhoff, F., Bratland, Å., Storås, T. H., Hagve, T.-A., Røsjø, H., Steine, K., Geisler, J., & Omland, T. (2016). Prevention of cardiac dysfunction during adjuvant breast cancer therapy (PRADA): a 2 × 2 factorial, randomized, placebo-controlled, double-blind clinical trial of candesartan and metoprolol. European Heart Journal. https://doi.org/10.1093/eurheartj/ehw022

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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