CYP3A5 Gene as a Risk Factor for Kidney Damage in Young Patients With Cancer Treated With Ifosfamide

NCT ID: NCT00514345

Last Updated: 2013-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-07-31

Brief Summary

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RATIONALE: Studying the genes expressed in samples of blood from young patients with cancer treated with ifosfamide may help doctors identify risk factors for kidney damage.

PURPOSE: This clinical trial is looking at the CYP3A5 gene to see if having the gene may be a risk factor for kidney damage in young patients with cancer treated with ifosfamide.

Detailed Description

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OBJECTIVES:

Primary

* To determine the CYP3A5 genotype in young patients with cancer who have received ifosfamide.
* To document renal function and nephrotoxicity on one occasion between 1 month and 5 years after completion of ifosfamide treatment.
* To determine the relationship between CYP3A5 genotype and ifosfamide nephrotoxicity.

Secondary

* To compare the measured glomerular filtration rate (GFR) (using a radioisotope clearance method) with that calculated using the Cole (weight and creatinine) model.

OUTLINE: This is a multicenter study.

Nephrotoxicity assessment is performed in patients who have not undergone prior assessment\*.

NOTE: \*Nephrotoxicity assessment is performed once between 1 month and 5 years after completion of ifosfamide chemotherapy.

All patients will undergo a single blood sample collection. DNA will be extracted from this sample and genotyped for the known functional polymorphisms in CYP3A5. The technique of restriction fragment length polymorphism (RFLP) will be used to detect any single nucleotide polymorphisms in CYP3A5.

DNA may be obtained from stored tumor samples from patients for whom the results of renal investigations are available, but for whom blood is not available for CYP3A5 genotyping.

Conditions

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Chemotherapeutic Agent Toxicity Sarcoma Unspecified Childhood Solid Tumor, Protocol Specific

Keywords

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chemotherapeutic agent toxicity localized Ewing sarcoma/peripheral primitive neuroectodermal tumor metastatic Ewing sarcoma/peripheral primitive neuroectodermal tumor nonmetastatic childhood soft tissue sarcoma unspecified childhood solid tumor, protocol specific recurrent Ewing sarcoma/peripheral primitive neuroectodermal tumor metastatic childhood soft tissue sarcoma recurrent childhood soft tissue sarcoma previously treated childhood rhabdomyosarcoma recurrent childhood rhabdomyosarcoma

Interventions

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gene expression analysis

Intervention Type GENETIC

polymorphism analysis

Intervention Type GENETIC

management of therapy complications

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* CCLG-EPSSG-NRSTS-2005
* CCLG-EPSSG-RMS-2005

PATIENT CHARACTERISTICS:

* Clinically stable to undergo renal investigations
* No pre-existing renal impairment (glomerular or tubular) prior to treatment with ifosfamide
* No known nephrotoxicity for which nephrotoxic supportive treatment (aminoglycosides, amphotericin, acyclovir, cyclosporine, or tacrolimus) was a major contributory cause of renal damage

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* Recovered from the acute non-renal toxicity of the last course of chemotherapy
* No other prior nephrotoxic chemotherapy (e.g., cisplatin, carboplatin, melphalan, or high-dose methotrexate)
* No prior radiotherapy to a field including the kidneys
* No prior removal of renal tissue
* No concurrent ifosfamide
Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Cancer and Leukaemia Group

OTHER

Sponsor Role lead

Principal Investigators

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Gareth Veal

Role: PRINCIPAL_INVESTIGATOR

University of Newcastle Upon-Tyne

Locations

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Our Lady's Hospital for Sick Children Crumlin

Dublin, , Ireland

Site Status RECRUITING

Birmingham Children's Hospital

Birmingham, England, United Kingdom

Site Status RECRUITING

Bristol Royal Hospital for Children

Bristol, England, United Kingdom

Site Status RECRUITING

Addenbrooke's Hospital

Cambridge, England, United Kingdom

Site Status RECRUITING

Leeds Cancer Centre at St. James's University Hospital

Leeds, England, United Kingdom

Site Status RECRUITING

Leicester Royal Infirmary

Leicester, England, United Kingdom

Site Status RECRUITING

Royal Liverpool Children's Hospital, Alder Hey

Liverpool, England, United Kingdom

Site Status RECRUITING

University College Hospital

London, England, United Kingdom

Site Status RECRUITING

Great Ormond Street Hospital for Children

London, England, United Kingdom

Site Status RECRUITING

Royal Manchester Children's Hospital

Manchester, England, United Kingdom

Site Status RECRUITING

Sir James Spence Institute of Child Health at Royal Victoria Infirmary

Newcastle upon Tyne, England, United Kingdom

Site Status RECRUITING

Queen's Medical Centre

Nottingham, England, United Kingdom

Site Status RECRUITING

Oxford Radcliffe Hospital

Oxford, England, United Kingdom

Site Status RECRUITING

Children's Hospital - Sheffield

Sheffield, England, United Kingdom

Site Status RECRUITING

Southampton General Hospital

Southampton, England, United Kingdom

Site Status RECRUITING

Royal Marsden - Surrey

Sutton, England, United Kingdom

Site Status RECRUITING

Royal Belfast Hospital for Sick Children

Belfast, Northern Ireland, United Kingdom

Site Status RECRUITING

Royal Aberdeen Children's Hospital

Aberdeen, Scotland, United Kingdom

Site Status RECRUITING

Royal Hospital for Sick Children

Edinburgh, Scotland, United Kingdom

Site Status RECRUITING

Royal Hospital for Sick Children

Glasgow, Scotland, United Kingdom

Site Status RECRUITING

Childrens Hospital for Wales

Cardiff, Wales, United Kingdom

Site Status RECRUITING

Countries

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Ireland United Kingdom

Facility Contacts

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Contact Person

Role: primary

Martin W. English, MD

Role: primary

Contact Person

Role: primary

Amos Burke, MD

Role: primary

Adam Glaser, MD

Role: primary

Johann Visser, MD

Role: primary

Heather P. McDowell, MD

Role: primary

Maria Michelagnoli, MD

Role: primary

Gill Levitt, MD

Role: primary

Bernadette Brennan, MD

Role: primary

Juliet Hale, MD

Role: primary

Martin Hewitt, MD, BSc, FRCP, FRCPCH

Role: primary

Kate Wheeler, MD

Role: primary

Mary P. Gerrard, MBChB, FRCP, FRCPCH

Role: primary

Janice A. Kohler, MD, FRCP

Role: primary

Mary Taj, MD

Role: primary

Anthony McCarthy, MD

Role: primary

Veronica Neefjes

Role: primary

W. Hamish Wallace, MD

Role: primary

Milind D. Ronghe, MD

Role: primary

Heidi Traunecker, MD, PhD

Role: primary

Other Identifiers

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CDR0000560128

Identifier Type: REGISTRY

Identifier Source: secondary_id

EU-20743

Identifier Type: -

Identifier Source: secondary_id

CCLG-PK-2007-02

Identifier Type: -

Identifier Source: org_study_id