- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01205503
Trial of Mesna to Prevent Doxorubicin-induced Plasma Protein Oxidation and Tumor Necrosis Factor Alpha (TNF-α) Release
Randomized, Blinded Trial of Mesna to Prevent Doxorubicin-induced Plasma Protein Oxidation and TNF-α Release
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky Markey Cancer Center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Participants must have histologically or cytologically confirmed breast cancer or non-hodgkin lymphoma and independent of protocol eligibility be determined to require one of the chemotherapy regimens listed below
Participants must require as standard-of-care treatment a chemotherapy regimen that includes one of the following combinations:
- doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2;
- doxorubicin 50 mg/m2, cyclophosphamide 500 mg/m2, and docetaxel 75 mg/m2;
- doxorubicin 50 mg/m2, cyclophosphamide 750 mg/m2, vincristine 1.4 mg/m2 (capped at 2 mg dose), and prednisone 100 mg +/- rituximab 375 mg/m2
Age >18 years.Because these treatment regimens are rarely used in pediatric oncology, children are excluded from this study but will be eligible for future pediatric phase 2 trials.
Life expectancy of greater than 6 months.
Zubrod performance score 2 or better.
Patients must have normal organ and marrow function as defined below:
- leukocytes >3,000/microliter (mcL) (unless due to cancer in marrow)
- absolute neutrophil count >1,500/mcL (unless due to cancer in marrow)
- platelets >100,000/mcL (unless due to cancer in marrow)
- total bilirubin <1.5 X normal institutional limits
- Aspartate aminotransferase (AST) or serum glutamic oxaloacetic transaminase (SGOT)/Alanine aminotransferase (ALT) or serum glutamic pyruvic transaminase (SGPT) <2.5 X institutional upper limit of normal
- creatinine within normal institutional limits OR
- creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal
- left ventricular function ≥ 50 % ejection fraction
Because the standard of care chemotherapy agents are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier.
Patients may not be receiving any other investigational agents
Patients with known brain metastases should be excluded from this clinical trial because progressive neurologic dysfunction would confound the evaluation of neuro-cognitive outcomes.
History of allergic reactions attributed to compounds of similar chemical or biologic composition to mesna or other agents used in the study (ie. sulfur containing drugs including "sulfa antibiotics" and celecoxib).
Patients requiring ongoing pharmacologic treatment of dementia are excluded.
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
Pregnant women are excluded from this study because the chemotherapy agents have known teratogenic or abortifacient effects. Because there is a potential risk for adverse events in nursing infants secondary to treatment of the mother with chemotherapy, breastfeeding should be discontinued if the mother is treated with chemotherapy.
HIV-positivity is NOT a specific exclusion criteria.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Cycle 1 Saline; Cycle 2 Mesna
Saline infused over 15 minutes administered prior to and 3 hours post doxorubicin infusion (over 15 minutes) with following Cyclophosphamide 6 hours post doxorubicin during 1st cycle, then Mesna administered (infused over 15 minutes, 360 mg/m2) prior to and 3 hours post doxorubicin infusion with following Cyclophosphamide 6 hours post doxorubicin during 2nd cycle
|
Mesna: 360 mg/m2 in 50 mL normal saline (NS) either on cycle 2 or cycle 1, day 1.
Infused over 15 minutes
Other Names:
Saline (used as a placebo) infused over the same time as mesna intervention
Other Names:
60mg/m2 given IV over 15 minutes after receiving mesna or saline.
Can allow for premedications of Ondansetron 8 mg orally, dexamethasone 12 mg orally, Aprepitant 125 mg orally.
Other Names:
600 mg/m2 IV over 30 minutes.
Start 6 hours after doxorubicin started.
Other Names:
|
Other: Cycle 1 Mesna; Cycle 2 Saline
Mesna administered (infused over 15 minutes, 360 mg/m2) prior to and 3 hours post doxorubicin infusion with following Cyclophosphamide 6 hours post doxorubicin during 1st cycle, then Saline administered prior to and 3 hours post doxorubicin infusion (over 15 minutes) with following Cyclophosphamide 6 hours post doxorubicin during 2nd cycle
|
Mesna: 360 mg/m2 in 50 mL normal saline (NS) either on cycle 2 or cycle 1, day 1.
Infused over 15 minutes
Other Names:
Saline (used as a placebo) infused over the same time as mesna intervention
Other Names:
60mg/m2 given IV over 15 minutes after receiving mesna or saline.
Can allow for premedications of Ondansetron 8 mg orally, dexamethasone 12 mg orally, Aprepitant 125 mg orally.
Other Names:
600 mg/m2 IV over 30 minutes.
Start 6 hours after doxorubicin started.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
TNF-alpha Levels in Patients Receiving Doxorubicin Containing Chemotherapy
Time Frame: prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Continuous Measure of TNF-alpha at the 4 time points outlined in the protocol for each group.
|
prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Protein Carbonyl Percent Changes From Baseline in Patients Receiving Doxorubicin Containing Chemotherapy
Time Frame: prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Continuous Measure of percent changes from baseline of Protein Carbonyl at the 4 time points outlined in the protocol for each group.
All measurements after naive baseline were adjusted as percent change from each individual's baseline measure.
|
prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Plasma HNE Percent Changes From Baseline in Patients Receiving Doxorubicin Containing Chemotherapy
Time Frame: prior to and 3 hours post doxorubicin and between cycles 1 and 2
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Continuous Measure of the percent change from baseline of Plasma HNE at the 4 time points outlined in the protocol for each group.
All measurements after naive baseline were adjusted as percent change from each individual's baseline measure.
|
prior to and 3 hours post doxorubicin and between cycles 1 and 2
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Troponin Levels in Patients Receiving Doxorubicin Containing Chemotherapy
Time Frame: prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Continuous Measure of troponin at the 4 time points outlined in the protocol for each group.
|
prior to and 3 hours post doxorubicin and between cycles 1 and 2
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B-type Natriuretic Peptide (BNP) Blood Levels in Patients Receiving Doxorubicin Containing Chemotherapy
Time Frame: prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Continuous Measure of BNP at the 4 time points outlined in protocol for each of the groups.
This is a 32-amino acid polypeptide secreted by heart ventricles in response to excessive stretching of cardiomyocytes.
|
prior to and 3 hours post doxorubicin and between cycles 1 and 2
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Mara Chambers, M.D., Markey Cancer Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma
- Lymphoma, Non-Hodgkin
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Antibiotics, Antineoplastic
- Cyclophosphamide
- Doxorubicin
Other Study ID Numbers
- 10-0431-F1V
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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