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Serum Proteomics to Predict Gemcitabine Sensitivity in Breast Cancer
This study is currently recruiting participants.
Verified by National University Hospital, Singapore, May 2008
First Received: September 13, 2005   Last Updated: May 8, 2008   History of Changes
Sponsored by: National University Hospital, Singapore
Information provided by: National University Hospital, Singapore
ClinicalTrials.gov Identifier: NCT00212069
  Purpose

Tumors are heterogeneous with varying response to chemotherapeutic agents. We hypothesize that tumors that are sensitive to a particular chemotherapeutic agent have a distinctive tumor protein profile compared to those that are resistant. We further hypothesize that since tumor is continuously perfused by serum, serum protein profile can be used as a surrogate marker of tumor protein profile. The primary objective of this study is to identify a serum protein profile that predicts gemcitabine/carboplatin sensitivity or resistance in breast cancer patients with prior exposure to anthracyclines and taxanes. Secondary objectives are to establish the serum protein profile of breast cancer patients who have had prior exposure to anthracyclines and taxanes, and to study the pharmacogenetics of gemcitabine toxicity by correlating germline genotype of transporters and drug metabolizing enzymes with plasma and intracellular gemcitabine pharmacokinetics.


Condition Intervention Phase
Metastatic Breast Cancer
Drug: gemcitabine, carboplatin
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: Carboplatin Gemcitabine Gemcitabine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics/Dynamics Study
Official Title: Serum Protein Profiling as a Predictor of Gemcitabine Sensitivity in Breast Cancer With Prior Exposure to Anthracyclines and Taxanes

Further study details as provided by National University Hospital, Singapore:

Primary Outcome Measures:
  • To identify a serum protein profile that predicts gemcitabine/carboplatin sensitivity or resistance in breast cancer patients with prior exposure to anthracyclines and taxanes.

Secondary Outcome Measures:
  • a. To establish the serum protein profile of breast cancer patients who have had prior exposure to anthracyclines and taxanes.
  • b. To study the pharmacogenetics of gemcitabine toxicity by correlating germline genotype of transporters and drug metabolizing enzymes with plasma and intracellular gemcitabine pharmacokinetics.

Estimated Enrollment: 30
Study Start Date: March 2004
Detailed Description:

Metastatic breast cancer patients previously treated with anthracyclines and taxanes will be treated with gemcitabine and carboplatin every 3 weeks.

Serial plasma samples will be collected for proteomics profiling with SELDI-MS that will be correlated with tumor response to identify biomarkers that may predict for chemotherapy sensitivity.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Female, age >= 18 years.
  • Histologic or cytologic diagnosis of breast carcinoma.
  • Stage IV breast cancer with prior exposure to anthracyclines and taxanes, either in the neoadjuvant, adjuvant or metastatic setting.
  • Presence of at least one uni-dimensionally measurable, non-CNS indicator lesion defined by radiologic study or physical examination
  • For patients with previous radiotherapy, the indicator lesion(s) must not be within the previous radiation field. The last dose of radiotherapy should be at least 3 weeks prior to study entry. The total radiotherapy received should not be more than 30% of the bone marrow.
  • Karnofsky performance status of 70 or higher.
  • Estimated life expectancy of at least 12 weeks.
  • Adequate organ function including the following:

    • Bone marrow:

White blood cells (WBC) >= 3.5 x 109/L Absolute neutrophil (segmented and bands) count (ANC) >= 1.5 x 109/L Platelets >= 100 x 109/L Haemoglobin >= 9g/dL

  • Hepatic:

Bilirubin <= 1.5 x upper limit of normal (ULN), ALT or AST <= 2.5x ULN, (or <5 X with liver metastases) Alkaline phosphatase <= 2.5x ULN.

  • Renal:

Creatinine clearance >30ml/minute, based on the Cockcroft formula

  • Signed informed consent from patient or legal representative.
  • Patients with reproductive potential must use an approved contraceptive method if appropriate (eg, intrauterine device, birth control pills, or barrier device) during and for three months after the study. Females with childbearing potential must have a negative serum pregnancy test within 7 days prior to study enrollment.

Exclusion Criteria:

  • Treatment within the last 30 days with any investigational drug.
  • Concurrent administration of any other tumor therapy, including cytotoxic chemotherapy, hormonal therapy, and immunotherapy.
  • Active infection that in the opinion of the investigator would compromise the patient's ability to tolerate therapy.
  • Pregnancy.
  • Breast feeding.
  • Serious concomitant disorders that would compromise the safety of the patient or compromise the patient's ability to complete the study, at the discretion of the investigator.
  • Second primary malignancy that is clinically detectable at the time of consideration for study enrollment.
  • Symptomatic brain metastasis.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00212069

Contacts
Contact: Soo-Chin Lee, MD 65-6772-4621 Lee_Soo_Chin@nuh.com.sg
Contact: Boon-Cher Goh, MD 65-6772-4621 Goh_Boon_Cher@nuh.com.sg

Locations
Singapore
National University Hospital Recruiting
Singapore, Singapore
Contact: Soo-Chin Lee, MD     65-6772-4621     Lee_Soo_Chin@nuh.com.sg    
Contact: Boon-Cher Goh, MD     65-6772-4621     Goh_Boon_Cher@nuh.com.sg    
Sponsors and Collaborators
National University Hospital, Singapore
Investigators
Principal Investigator: Soo-Chin Lee, MD Consultant
  More Information

No publications provided

Study ID Numbers: BR01/12/03
Study First Received: September 13, 2005
Last Updated: May 8, 2008
ClinicalTrials.gov Identifier: NCT00212069     History of Changes
Health Authority: Singapore: Health Sciences Authority

Keywords provided by National University Hospital, Singapore:
breast cancer
serum proteomics
gemcitabine
carboplatin
chemotherapy sensitivity

Study placed in the following topic categories:
Antimetabolites
Radiation-Sensitizing Agents
Immunologic Factors
Skin Diseases
Breast Neoplasms
Carboplatin
Gemcitabine
Immunosuppressive Agents
Antiviral Agents
Taxane
Breast Diseases

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Immunologic Factors
Skin Diseases
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Breast Neoplasms
Enzyme Inhibitors
Carboplatin
Immunosuppressive Agents
Antiviral Agents
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Radiation-Sensitizing Agents
Therapeutic Uses
Gemcitabine
Breast Diseases

ClinicalTrials.gov processed this record on May 07, 2009