Etiology of the Platelet-Cancer Metastatic Pathway - A Study of Inflammatory Markers, Platelet Characteristics and Metastatic Surrogates in Cancer Patients and Controls

NCT ID: NCT02450175

Last Updated: 2015-05-21

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

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2016-06-30

Brief Summary

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The purpose of this research study is to understand if platelets in the blood become more active during cancer and specially advanced stages of cancer, in the future the investigators want to see if reducing platelet activity can improve survival in advanced cancer.

Detailed Description

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Hypotheses for proposed study

Platelet reactivity as measured by percentage aggregation in response to agonists such as ADP is increased in patients with metastatic cancer compared to age sex and ethnicity matched controls.

Platelet activation as measured by release of cytokines and vasoactive substances such as VEGF, TGF-beta, and PDGF is increased in patients with metastatic cancer compared to age sex and ethnicity matched controls.

Study Design:

Single center matched case control design; matching variables are age, sex and ethnicity

Inclusion Criteria

Cases:

25 adult patients (\>18 years old) with any form of metastatic or advanced stage (TNM stage III or equivalent) solid adenocarcinoma including breast, colon, and lung cancer will be eligible for inclusion in this study with no restrictions related to previous chemotherapy, radiotherapy, biological therapy or surgical management at the time of enrollment or in the past., although we will prefer to recruit them prior to initiating chemotherapy.

Controls:

25 patients will be selected based on age (+/- 5 years), sex and ethnicity matches from the outpatient medicine Clinic at Sinai hospital, as well as the Sinai community care clinic.

Exclusion Criteria:

Thrombocytopenia, defined as a platelet count of \<100,000 at the time of recruitment of in the last available laboratory data

History of known bleeding disorder or known platelet dysfunction

Patients on antiplatelet treatment or anticoagulant therapies at the time of enrollment or 10 days prior to testing

CKD stage IV or greater

Conditions

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Neoplasm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Cases

Patients with cancer whose platelets are examined

Group Type NO_INTERVENTION

No interventions assigned to this group

Control

Patients without cancer whose platelets are examined for comparison

Group Type PLACEBO_COMPARATOR

Everolimus

Intervention Type DRUG

10 mg of Everolimus daily (by mouth)

Letrozole

Intervention Type DRUG

2.5mg taken daily (by mouth)

Interventions

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Everolimus

10 mg of Everolimus daily (by mouth)

Intervention Type DRUG

Letrozole

2.5mg taken daily (by mouth)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Cases:

25 adult patients (\>18 years old) with any form of metastatic or advanced stage (TNM stage III or equivalent) solid adenocarcinoma including breast, colon, and lung cancer will be eligible for inclusion in this study with no restrictions related to previous chemotherapy, radiotherapy, biological therapy or surgical management at the time of enrollment or in the past., although we will prefer to recruit them prior to initiating chemotherapy.

Controls:

25 patients will be selected based on age (+/- 5 years), sex and ethnicity matches from the outpatient medicine Clinic at Sinai hospital, as well as the Sinai community care clinic.

Exclusion Criteria

* Thrombocytopenia, defined as a platelet count of \<100,000 at the time of
* recruitment of in the last available laboratory data
* History of known bleeding disorder or known platelet dysfunction
* Patients on antiplatelet treatment or anticoagulant therapies at the time of enrollment or 10 days prior to testing
* CKD stage IV or greater
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sinai Hospital of Baltimore

OTHER

Sponsor Role lead

Responsible Party

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Kenneth Miller, M.D.

Medical Oncologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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SInai Hospital of Baltimore, Inc.

Baltimore, Maryland, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Judy Bosley, BSN, RN

Role: primary

410-601-6120

Paulette Ridgely, RN

Role: backup

410-601-6120

Other Identifiers

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EOTPCMP

Identifier Type: -

Identifier Source: org_study_id

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