Evaluating the Side Effects and How Well Anticancer Drugs Work in Very Young Patients With Cancer

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2009 by National Cancer Institute (NCI).
Recruitment status was  Recruiting
Sponsor:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00897871
First received: May 9, 2009
Last updated: December 6, 2011
Last verified: June 2009

May 9, 2009
December 6, 2011
February 2007
 
  • Pharmacokinetic parameters [ Designated as safety issue: No ]
  • Pharmacokinetic modelling comparing pharmacokinetic parameters to investigate the key factors involved in determining individual exposures to parent drugs and metabolites [ Designated as safety issue: No ]
  • Influence of pharmacokinetic parameters and genotype for metabolizing enzyme on event-free survival [ Designated as safety issue: No ]
  • Influence of pharmacokinetic parameters and genotype for metabolizing enzyme on toxicity [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00897871 on ClinicalTrials.gov Archive Site
 
 
 
 
 
Evaluating the Side Effects and How Well Anticancer Drugs Work in Very Young Patients With Cancer
Pharmacokinetics and Pharmacogenetics of Anticancer Drugs in Infants and Young Children

RATIONALE: Studying samples of blood in the laboratory from young patients with cancer may help doctors learn how carboplatin, cyclophosphamide, and etoposide affect the body and how patients will respond to treatment.

PURPOSE: This laboratory study is evaluating the side effects and how well anticancer drugs work in very young patients with cancer.

OBJECTIVES:

  • Investigate inter-individual variability in the pharmacokinetics of selected anticancer drugs in infants and children age < 2 years on current dosing schedules.
  • Compare drug exposures and degree of pharmacokinetic variability in children < 2 years with data obtained from published studies in older children.
  • Relate inter-individual variability in pharmacokinetics and drug exposure to clinical toxicity and response.
  • Use pharmacokinetic data in conjunction with clinical information obtained following treatment to investigate the suitability of current dosing regimens in infants and young children.

OUTLINE: This is a multicenter study. Patients are stratified according to age in months (0 to 6 vs 6 to 12 vs 12 to 24).

Patients receive carboplatin, cyclophosphamide, or etoposide according to the dosing regimen detailed in the clinical protocol on which the child is being treated.

Blood samples are collected from patients receiving 1 of the 3 drugs by central venous catheter periodically during treatment to measure pharmacokinetics of the specific drug. Additional blood samples are collected for DNA extraction and polymorphism analysis in CYP2B6, CYP2C9, and other metabolizing enzymes in addition to the determination of the genetic variation in multiple drug resistance.

Observational
 
 
 
 
Unspecified Childhood Solid Tumor, Protocol Specific
  • Drug: carboplatin
  • Drug: cyclophosphamide
  • Drug: etoposide phosphate
  • Genetic: gene expression analysis
  • Genetic: polymorphism analysis
  • Other: pharmacological study
 
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
60
 
 

DISEASE CHARACTERISTICS:

  • Diagnosis of childhood cancer
  • Receiving carboplatin, cyclophosphamide, or etoposide as standard treatment as part of a clinical study at a Children's Cancer and Leukemia Group (CCLG) center

PATIENT CHARACTERISTICS:

  • Not specified

PRIOR CONCURRENT THERAPY:

  • Single or double lumen central venous catheter in place
  • No concurrent anticonvulsants, azole antifungal agents, or chronic steroid treatment
Both
up to 2 Years
No
 
Ireland,   United Kingdom
 
NCT00897871
CDR0000560121, CCLG-PK-2006-09, EU-20742, EUDRACT-2006-002845-36
 
 
Children's Cancer and Leukaemia Group
 
Principal Investigator: Gareth Veal University of Newcastle Upon-Tyne
National Cancer Institute (NCI)
June 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP