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Trial registered on ANZCTR
Registration number
ACTRN12611000738921
Ethics application status
Approved
Date submitted
7/07/2011
Date registered
14/07/2011
Date last updated
10/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Preventing Nerve Damage Induced by Chemotherapy
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Scientific title
A randomised, double-blind, placebo-controlled, cross-over
study of the effects of calcium and magnesium (Ca Mg) infusions on the pharmacokinetics, motor nerve excitability and acute neurotoxicity symptoms of oxaliplatin, in patients having oxaliplatin chemotherapy for colorectal cancer.
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Secondary ID [1]
262553
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
The ChAMPION study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oxaliplatin induced Neurotoxicity
268216
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Peripheral neuropathy
268267
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Colorectal cancer
268319
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Condition category
Condition code
Cancer
268344
268344
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Neurological
268399
268399
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Calcium 1 gm/10 mL and magnesium 1gm/2mL administered simultaneously , or placebo of 5% Dextrose 12mL intravenous infusion, given over 20 minutes, prior to and after chemotherapy on Day1 Cycle 1 and then 21 days later on Day 1 Cycle 2
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Intervention code [1]
266889
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Prevention
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Intervention code [2]
266970
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Treatment: Other
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Comparator / control treatment
Glucose 5 % intravenous solution, cross-over study
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Intact Oxaliplatin parameters. A HPLC-tandem mass spectrometry method was developed and validated for the quantitation of intact oxaliplatin in human plasma
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Assessment method [1]
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Timepoint [1]
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13 samples during Day 1 of each of Cycle 1 and Cycle 2 at pre treatment and 20, 40, 60, 90mins during oxaliplatin infusion, end of infusion and 5, 10, 20, 30, 60, 120, 180 minutes after the end of oxaliplatin infusion
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Secondary outcome [1]
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Motor nerve excitability by electromyography
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Assessment method [1]
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Timepoint [1]
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at Cycle 1 and at Cycle 2 Day 2 - 4
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Secondary outcome [2]
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Self reported neurotoxicity symptoms and study treatment preference questionnaire
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Assessment method [2]
276972
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Timepoint [2]
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Self reported neurotoxicity symptoms questionnaire once on Cycle 1 and once on Cycle 2 between days 10 -20
Study treatment preference questionnaire on Cycle 2 between days 10 -20
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Eligibility
Key inclusion criteria
Histologically proven colorectal cancer, eligible for standard oxaliplatin based chemotherapy, written informed consent
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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
Pre existing neuropathy, contra indicatins to repeated PK sampling or EMG
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomised controlled trial means that allocation of subjects into different groups (i.e. intervention and control) was random or by a method based on chance by sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation, stratified 2 blocks
stratification on dose, <100mg /m2 or >100mg/m2 oxaliplatin
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2011
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Actual
20/05/2011
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Date of last participant enrolment
Anticipated
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Actual
5/07/2012
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Date of last data collection
Anticipated
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Actual
5/07/2012
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Sample size
Target
12
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
3692
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New Zealand
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State/province [1]
3692
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Auckland
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Funding & Sponsors
Funding source category [1]
267364
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Other
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Name [1]
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Auckland Medical Research Foundation
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Address [1]
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Auckland City Hospital
private bag 110139
Auckland1148
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Country [1]
267364
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Mark McKeage
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Address
Associate Professor
Dept of Pharmacology and Clinical Pharmacology.
Faculty of Medical and Health Sciences
auckland University
Private bag 92019
Auckland
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
266432
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Address [1]
266432
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Country [1]
266432
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Other collaborator category [1]
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Hospital
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Name [1]
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Auckland City Hospital
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Address [1]
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85 Park Road
Grafton
Private Bag 92024
Auckland 1023
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Country [1]
252087
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269346
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Northern Y Ethics Committee
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Ethics committee address [1]
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PO Box 1031 Hamilton 3204
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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08/12/2010
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Approval date [1]
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12/04/2011
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Ethics approval number [1]
269346
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NTY/11/01/005
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Summary
Brief summary
This clinical trial will use techniques and procedures that we have developed for measuring the plasma concentration of intact oxaliplatin and its motor nerve hyperexcitability to generate new information about the use of CaMg infusions for preventing oxaliplatin neurotoxicity. It will test the hypothesis that CaMg infusions alter the pharmacokinetics of oxaliplatin by increasing the rate of its conversion to reactive intermediates such as Pt(diaminocyclohexane)Cl2 by assessing the pharmacokinetics of intact oxaliplatin in colorectal cancer patients given the drug with and without CaMg infusions. In addition, it will test the hypothesis that CaMg infusions could prevent oxaliplatin neurotoxicity by suppressing its acute peripheral nerve hyperexcitability that will tested by needle electromyography (EMG) after oxaliplatin-based treatment given with and without CaMg infusions. The primary objective is to evaluate the effect of administration of CaMg infusions on the plasma pharmacokinetics of intact oxaliplatin in patients with colorectal cancer. The primary endpoint is intact oxaliplatin pharmacokinetic parameters, including AUC(0-t last), AUC(0-t infinity), Cmax, t1/2, Cl, Vd and Tss. The secondary objectives are to evaluate the effects of CaMg infusions on the pharmacokinetics of total platinum, motor nerve excitability and acute neurotoxicity symptoms in patients with colorectal cancer given oxaliplatin. Secondary endpoints are total platinum pharmacokinetic parameters (AUC(0-t last), AUC(0-t infinity), Cmax, t1/2, Cl, Vd and Tss), abnormal spontaneous high-frequency motor fibre action potentials and patient-reported neurotoxicity symptoms and study treatment preference post-treatment. Exploratory objectives include determining the feasibility of investigating neurotoxicity biomarkers, and changes in plasma concentration and urinary excretion of calcium, magnesium or oxalate, in colorectal cancer patients given oxaliplatin with or without CaMg infusions.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr Catherine Han
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Address
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University of Auckland
85 Park Road,
Grafton, 1023
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Country
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New Zealand
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Phone
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+64 (0) 9 373 7599
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Fax
32824
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Email
32824
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[email protected]
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Contact person for public queries
Name
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Dr Catherine Han
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Address
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University of Auckland
85 Park Road,
Grafton, 1023
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Country
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New Zealand
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Phone
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+64 (0) 9 373 7599
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Fax
16071
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Email
16071
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[email protected]
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Contact person for scientific queries
Name
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Catherine Han
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Address
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University of Auckland
85 Park Road,
Grafton, 1023
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Country
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New Zealand
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Phone
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+64 (0) 9 373 7599
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Fax
6999
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+64 (0) 9 373 7927
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Email
6999
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Phase I drug-interaction study of effects of calcium and magnesium infusions on oxaliplatin pharmacokinetics and acute neurotoxicity in colorectal cancer patients
2013
https://doi.org/10.1186/1471-2407-13-495
N.B. These documents automatically identified may not have been verified by the study sponsor.
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