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Trial registered on ANZCTR
Registration number
ACTRN12611000013965
Ethics application status
Approved
Date submitted
22/12/2010
Date registered
6/01/2011
Date last updated
6/01/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Inter-ethnic differences in tolerance of anti-cancer drugs in non-small cell lung cancer patients
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Scientific title
Exploration of differences in tolerance between Caucasian and Asian non-small cell lung cancer patients receiving palliative chemotherapy with carboplatin and paclitaxel
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Secondary ID [1]
253329
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
tolerance of palliative chemotherapy with carboplatin and paclitaxel in advanced non-small cell lung cancer patients
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Condition category
Condition code
Cancer
259006
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0
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Lung - Non small cell
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observe side effects, nutritional status, inflammatory factors and measure drug clearance of the cycle 1 treatment (21 days):
Paclitaxel 175 mg/m2 in 3 hour intravenous infusion, day 0
Carboplatin AUC 6 in 1 hour intravenous infusion, day 0
Collect Deoxyribonucleic acid (DNA) samples for pharmacogenomics purpose
Toxicity observation is implemented during the first cycle only, response observation is implemented after 3 cycles.
Patients recruited over 5 years.
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Intervention code [1]
257782
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Not applicable
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Comparator / control treatment
Both Caucasian and Asian patients will receive the exact same treatment during this observational study. Compare side effects and drug clearance between Caucasian and Asian patients
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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adverse events of the treatment including hematological toxicity, and other toxicity such as nausea, vomiting, diarrhoea, fatigue and mucositis according to common terminology criteria for adverse event v3.0(CTCAE)
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Assessment method [1]
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Timepoint [1]
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day 7, day 10 , day 14 and day 21 of cycle 1
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Secondary outcome [1]
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rate of drug clearance measured by using population pharmacokinetics approach with limited sampling model
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Assessment method [1]
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Timepoint [1]
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day 0 and day 1 of cycle 1
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Secondary outcome [2]
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single nucleotide polymorphism of gene coding drug metabolizing enzymes measured by rapid throughput genotyping being preformed using high-resolution melt-curve analysis
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Assessment method [2]
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Timepoint [2]
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before start of chemotherapy
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Secondary outcome [3]
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nutritional status measured by patient-generated subjective global assessment (PGSGA)
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Assessment method [3]
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Timepoint [3]
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before start of chemotherapy
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Eligibility
Key inclusion criteria
- Asian or Caucasian patients.
- Histologically confirmed advanced non-small cell lung cancer patients
- receiving chemotherapy with carboplatin AUC 6 and paclitaxel 175 mg/m2
- Age greater than or equal to 18.
- Eastern Cooperative Oncology Group (ECOG)Performance Status of 0-2.
- Ability to comply with the planned procedures and provide written evidence of informed consent.
- Adequate haematology and biochemistry. (Haemoglobin>100 g/L, White blood cell count >4.0 x 109/L, neutrophil count > 1.5 × 109, platelets >100 x 109/L; Aspartate transaminase (AST), Alanine transaminase (ALT) and bilirubin < 1.5 x ULN (AST, ALT < 5 x upper limit of normal in case liver metastases); calculated creatinine clearance according to Corkroft formula > 60 ml/min.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Patients who require dose adjustment.
- Clinical evidence of active brain metastases.
- Suspected or documented bone marrow involvement.
- Significant intercurrent illness including active infection, inflammatory bowel disease or other uncontrolled autoimmune disease.
- The requirement for ongoing systemic treatment with corticosteroids or other immunosuppressive therapy.
- Patients who have had chemotherapy 4 weeks prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier.
- Ongoing major side effects from radiology.
- Other active malignancy.
- Known allergy to any of the investigational agents.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
24/01/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
3516
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2139
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Shanghai
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council, Australia
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Address [1]
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National Health and Medical Research Council Level 1 16 Marcus Clarke Street Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Sydney Cancer Centre
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Address
Sydney Cancer Centre, Concord Hospital, Hospital road Concord NSW 2139
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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Faculty of Medicine, The University of Sydney, NSW 2006
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Country [1]
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Australia
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Other collaborator category [1]
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Hospital
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Name [1]
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Renji Hospital, Shanghai
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Address [1]
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Oncology Department, Renji Hospital, 1630 Dongfang road, Pudong 200122 Shanghai
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Country [1]
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee-Concord Repatriation General Hospital Zone
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Ethics committee address [1]
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Sydney South West Area Health Service Human Research Ethics Committee-CRGH Zone Concord Repatriation General Hospital Hospital road Concord NSW 2139
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
260227
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Approval date [1]
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26/10/2006
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Ethics approval number [1]
260227
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CH62/6/2006-092
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Ethics committee name [2]
260228
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Human Research Ethics Committee
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Ethics committee address [2]
260228
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Sydney South West Area Health Service Human Research Ethics Committee-RPAH zone Royal Prince Alfred Hospital, Missenden road Camperdown NSW 2050
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
260228
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Approval date [2]
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01/12/2006
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Ethics approval number [2]
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X06-0298
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Summary
Brief summary
Recent evidence shows an ethnic variability in tolerance of anticancer drugs between Asian and Caucasian non-small cell lung cancer patients. Pharmacogenetic differences in drug metabolising enzymes have been proposed as the cause of these differences, however they have not been associated with altered cytotoxic drug pharmacokinetics (PK). Other possible explanations include differences in dietary/concomitant medicine intake and inflammatory status. The aim of this study was to investigate inter-ethnic differences in cytotoxic drug metabolism, inflammatory/nutritional status, genotype and outcomes between Asian and Caucasian non-small cell lung cancer patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
32040
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof. Stephen Clarke
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Address
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Sydney Cancer Centre,
Concord Hospital, Hospital road
Concord, NSW 2139
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Country
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Australia
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Phone
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+ 61 2 97676775
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof. Stephen Clarke
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Address
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Sydney Cancer Centre,
Concord Hospital, Hospital road
Concord, NSW 2139
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Country
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Australia
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Phone
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+ 61 2 97676775
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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