Perspective Evaluation of Hormones Involved in Serum Phosphate Homeostasis in Patients With Metastatic Renal Cells Carcinoma or Hepatocellular Carcinoma Treated With Sorafenib (SORHORM) (SORHORM)
Perspective Evaluation of Hormones Involved in Serum Phosphate Homeostasis in Patients With Metastatic Renal Cells Carcinoma or Hepatocellular Carcinoma Treated With Sorafenib. Multicenter Cohort Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Several tyrosin kinase inhibitors are able to induce hypophosphatemia but the mechanisms underling this metabolic disorder are unknown.
Sorafenib is probably the drug in which this metabolic disturbance is most frequent. The aim of the study is identify variation of blood serum analites involved in hypophosphatemia in patients with advanced renal cells carcinoma and hepatocarcinoma in treatment with sorafenib.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Locations
-
-
Turin
-
Orbassano (To), Turin, Italy, 10043
- Recruiting
- Alfredo Berruti
-
Contact:
- Elisa Bellini, MD
- Phone Number: 526 (+39) 011 9026
- Email: elisa.bellini3@tin.it
-
Principal Investigator:
- Alfredo Berruti, PHD
-
Sub-Investigator:
- Isabella Chiappino, MD
-
Sub-Investigator:
- Cinzia Ortega, MD
-
Sub-Investigator:
- Mario Pirisi, PHD
-
Sub-Investigator:
- Antonino Picciotto, PHD
-
Sub-Investigator:
- Camillo Porta, MD
-
Sub-Investigator:
- Anna Pia, MD
-
Sub-Investigator:
- Elena Bianco, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- age over 18 years
- Histologically documented kidney cancer or hepatocarcinoma
- Performance status more than / equal to 2
- Life expectancy > 12 weeks
- in patients with recent surgery, the wound should be completely healed before taking Sorafenib
- required initial laboratory values: absolute neutrophil count > 1500/ul Platelets > 100,000/ul., Hemoglobin > 9.0 g/dl, Creatinine, SGOT, SGPT less than 2.0 X upper limit of normal Bilirubin less than/equal to upper limit of normal(ULN)
- Appropriate patienty compliance
Exclusion Criteria:
- myocardial infarction or significant change in anginal pattern within the last 6 months, symptomatic congestive heart failure (NYHA Class III or higher) or uncontrolled cardiac arrhythmia,
- previous history of malignant disease with the exception of non melanoma skin cancer curatively treated,
- significant neurologic or psychiatric diseases preventing patients to give a valid informed consent
- Sintomatic brain metastases
- because patients with immune deficiency are at increased risk of lethal infections when treated with marrow-suppressive therapy, HIV-positive patients receiving combination anti-retroviral therapy are excluded
- patients with seizures that need medical treatment
- History of heterologous transplantation
- Patients with previous or active bleeding
- Dialysis patients
- Patients with history of primary hyperparathyroidism
- Dysphagic patients
- Taking more than four weeks of entry into the study of other bio-chemotherapy treatments
- Previous treatment with Sorafenib
- Recent (<6 months)or concomitant treatment with biphosphonate
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Sofanenib and Hypophosphatemia
Patients with advanced renal cells carcinoma and hepatocarcinoma in treatment with Sorafenib
|
Sorafenib 800mg/die oral
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Identify the value variations of hormones involved in phosphate homeostasis during sorafenib administration
Time Frame: one year
|
Assess the effects of sorafenib hormones involved in phosphate homeostasis
|
one year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Identify metabolic differences between renal cells cancer and hepatocarcinoma
Time Frame: one year
|
identify differences in phosphate hormone behavior between renal cells cancer and hepatocarcinoma.
|
one year
|
|
Identify variations on bone mass during sorafenib treatment
Time Frame: one year
|
Assess Sorafenib effects on bone density and the relationship with phosphate related hormones
|
one year
|
|
Identify correlations between phosphate related hormones and side effects during sorafenib treatment as a Measure of safety and tolerability
Time Frame: one year
|
Identify the relationship between phpsphate hormones variation and Sorafenib side effects (e.g.asthenia, blood hypertension, skin toxicity).
|
one year
|
|
Identify correlations between phosphate related hormones variations and patients outcome (TTP and overall survival)
Time Frame: one year
|
one year
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Urologic Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Kidney Diseases
- Urologic Diseases
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Digestive System Neoplasms
- Liver Diseases
- Liver Neoplasms
- Kidney Neoplasms
- Carcinoma, Renal Cell
- Carcinoma
- Carcinoma, Hepatocellular
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Sorafenib
Other Study ID Numbers
Other Study ID Numbers
- 662010
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