Investigation of Association Between UGT1A1 Polymorphisms and Irinotecan Toxicity in Korean Patients
Investigation of Association Between UGT1A1 Polymorphisms and Irinotecan Toxicity in Korean Patients With Advanced Colorectal or Gastric Cancer Treated With FOLFIRI Regimen
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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-
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Goyang, Korea, Republic of
- National Cancer Center
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Gangnam-gu
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Seoul, Gangnam-gu, Korea, Republic of
- Samsung Medical Center
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Hwasun-gun
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Chŏnam, Hwasun-gun, Korea, Republic of
- Hwasun Hospital
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Nowon-Gu
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Seoul, Nowon-Gu, Korea, Republic of
- Korea Cancer Center Hospital
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Songpa-Gu
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Seoul, Songpa-Gu, Korea, Republic of, 05505
- Asan Medical Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:Subjects should meet all of the following criteria to participate in the trial.
- Histologically confirmed colorectal or gastric cancer patients who are chemonaive or failed to 1st line chemotherapy
- Subjects who are expected to receive toxicity test at least once after FOLFIRI treatment.
- Aged 18 years or older.
- ECOG performance status of ≤ 2.
- Anticipated life expectancy of ≥ 3 months.
Clinically acceptable function of bone marrow, kidney and liver function as below.
- ANC ≥ 1500/mm3 and platelet count ≥ 100,000/mm3
- Serum total bilirubin ≤ 1.5 x ULN, alkaline phosphatase ≤ 2.5 x ULN, Serum ALT and AST ≤ 2.5 x ULN (Serum ALT and AST ≤ 5 x ULN, if liver metastases are present)
- Serum creatinine ≤ 1.5 mg/dL or CLcr > 60 ml/min
- Subjects whose written informed consent can be obtained prior to their participation in the trial.
Exclusion Criteria: Subjects who meet any of the following criteria should not be included in the trial.
- Pregnant or breast feeding women
- Serious concurrent complication, severe active infection.
- Subjects with chronic diarrhea, paralytic ileums, pulmonary fibrosis or pneumonia interstitialis
- Subjects with epilepsia or severe psychiatric disorders.
- Subjects who are regarded to be unsuitable for this trial by the investigator.
- Subjects who are participating in other clinical trials
- Subjects who have received prior chemotherapy including irinotecan.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: FOLFIRI
Patients with colorectal cancer or gastric cancer will be treated with FOLFIRI(Irinotecan, 5FU, leucovorin) regimen upto 12 cycles.
(Single arm study)
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FOLFIRI regimen every 2 weeks [irinotecan 150mg/m2 or 180mg/m2, leucovorin 20(200)mg/m2, 5FU 400 mg/m2 (bolus) or 2400 mg/m2 (46hour infusion)]
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Association between UGT1A1 polymorphism and grade 3/4 neutropenia after 1st cycle of FOLFIRI treatment
Time Frame: 2 weeks
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During the first cycle of treatment
|
2 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Association between UGT1A1 polymorphism and grade 3/4 neutropenia in all treatment duration
Time Frame: 24 weeks
|
During all treatment period(during 12 cycle, each 2 weeks)
|
24 weeks
|
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Association between grade 3/4 diarrhea and UGT1A1 polymorphism
Time Frame: 2 weeks
|
During the first cycle of treatment
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2 weeks
|
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Progression-free survival
Time Frame: 6 months (average)
|
The time from registration to objective tumor progression or death
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6 months (average)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: YongSang Hong, Professor, Asan Medical Center
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 (Actual)
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
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Stomach Diseases
- Stomach Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protective Agents
- Topoisomerase Inhibitors
- Micronutrients
- Vitamins
- Topoisomerase I Inhibitors
- Antidotes
- Vitamin B Complex
- Leucovorin
- Irinotecan
Other Study ID Numbers
Other Study ID Numbers
- CPT_08_001
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