Status:

UNKNOWN

The Optimization of 5-Fluorouracil Dose by Pharmacokinetic Monitoring in Asian Patients With Advanced Stage Cancer

Lead Sponsor:

National University Hospital, Singapore

Conditions:

Cancer (Advanced Stage)

Eligibility:

All Genders

21-80 years

Phase:

PHASE2

Brief Summary

The purpose of this study is: 1. To determine the proportion of Asian patients achieving a target area under the curve (AUC) of 20-24 mg.h/L using a pharmacokinetically guided 5-fluorouracil (5-FU) d...

Eligibility Criteria

Inclusion

  • Patients aged = 21 years to 80 years
  • Histologically proven advanced stage carcinoma where De Gramont, FOLFIRI or mFOLFOX-6 regimen is indicated.
  • No more than one line of prior chemotherapy for advanced stage disease
  • Measurable disease according to RECIST criteria or evaluable disease
  • Karnofsky performance status of at least 70% or electrocorticogram performance status ? 2
  • A life expectancy of at least 3 months
  • absolute neutrophil count \> 1.5 x 10\^9/L
  • Platelet count \> 100 x 10\^9/L.
  • Total bilirubin \> 1.5x upper limits of normal reference range (ULN)
  • AST/ALT levels \> 2.5x upper limit of normal. If hepatic metastases are present, these parameters could be ? 5x the ULN.
  • Women of reproductive age and men must agree to practice effective contraception during the entire study period. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-child-bearing potential. Females with childbearing potential must have a negative serum pregnancy test within 7 days prior to study enrollment. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
  • Signed informed consent

Exclusion

  • Received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal, biologic or any investigational therapy within 21 days prior to study drug administration (6 weeks for mitomycin or nitroureas) and have not recovered from therapy.
  • Patients who have not recovered from major surgery
  • Subjects with treated brain metastases are eligible provided they are asymptomatic and do not require corticosteroids (must have discontinued steroids at least 1 week prior to study drug administration).
  • Clinically significant cardiac disease, e.g. myocardial infarction within the last 12 months.
  • Known HIV infection
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, other serious uncontrolled concomitant disease, psychiatric illness/ social situation that would limit study compliance.
  • Known allergies to any component of the drug regime
  • Organ allografts
  • Known dihydropyrimidine dehydrogenase deficiency

Key Trial Info

Start Date :

June 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2017

Estimated Enrollment :

55 Patients enrolled

Trial Details

Trial ID

NCT00943137

Start Date

June 1 2009

End Date

June 1 2017

Last Update

June 19 2015

Active Locations (1)

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1

National University Hospital

Singapore, Singapore, 119074