Chemotherapy Induced Peripheral Neuropathy Natural History Study (EPIPHANY)

NCT ID: NCT03997981

Last Updated: 2024-03-01

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

RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-07-03

Study Completion Date

2024-04-09

Brief Summary

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This is a prospective natural history study of CIPN in approximately 200 participants receiving taxanes (paclitaxel, docetaxel) for breast cancer, bortezomib for multiple myeloma, oxaliplatin-based regimens for colorectal cancer, or vincristine for lymphoma.. Demographic data, medical history, electronic PROs, ClinROs blood biomarkers including NF-L, PGx DNA analyses and Bedside-QST will be assessed at Baseline. The Observation Period will initiate with the first dose of chemotherapy and conclude with the last dose of chemotherapy. During the Observation Period, participants will be evaluated for the development of CIPN using PROs and ClinROs. Blood biomarkers and Bedside-QST will be measured at various timepoints corresponding with treatment regimen schedules throughout the observation period. The Post Chemotherapy Follow-up Period will begin with the first visit after the last dose of chemotherapy and conclude 6 months after the last dose of chemotherapy. During the Post Chemotherapy Follow-up Period, participants will be evaluated for CIPN using PROs and ClinROs. Blood biomarkers and Bedside-QST will also be measured at the beginning and at the end of the Post-Chemotherapy Follow-up Period. PROs will be assessed electronically on a monthly basis.

Detailed Description

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Conditions

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Chemotherapy-induced Peripheral Neuropathy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Breast cancer patients with weekly/biweekly paclitaxel regimen

No interventions assigned to this group

Breast cancer patients receiving docetaxel regimen

No interventions assigned to this group

Lymphoma patients receiving vincristine regimen

No interventions assigned to this group

Multiple myeloma patients receiving bortezomib regimen

No interventions assigned to this group

Colorectal cancer patients receiving oxaliplatin-based regimens

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

All of the following criteria must be met in order to be enrolled in the study:

* Age ≥18 years
* Life expectancy ≥6 months
* Participants with Common Terminology Criteria for Adverse Events (CTCAE) Grade 0 CIPN (exception, patients with multiple myeloma treated with bortezomib, CTCAE Grade \<=1)
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
* Breast cancer only:

* Breast cancer beginning treatment with paclitaxel or docetaxel with curative intent (i.e., not metastatic disease beyond regional lymph nodes)
* Planned minimum of 6 cycles of chemotherapy
* Lymphoma only:

* Incident lymphoma initiating treatment with vincristine
* Planned minimum of 4 cycles of chemotherapy
* Oxaliplatin-based regimens, Stage III colorectal cancer: Total of 6 months (planned minimum of 12 cycles). May consider Stage IV with minimal metastatic confirmed with Sponsor prior to enrollment
* Bortezomib use in untreated multiple myeloma: Total of 4 months (planned minimum of 9 cycles)
* Written informed consent given
* Enrollment must be completed prior to receiving the first dose of chemotherapy

Exclusion Criteria

Patients meeting ANY of the following criteria are not eligible for participation:

* Evidence of central nervous system metastases
* Evidence of clinically significant peripheral neuropathy (CTCAE \>2) as defined by patient report of frequent numbness or tingling in the hands or feet
* Any uncontrolled serious illness or medical condition that would impact the conduct of the current study
* Previous exposure to neurotoxic chemotherapy drugs
* Pre-existing neurodegenerative disease (Parkinson's, Alzheimer's, Huntington's, etc.), neuromuscular disorder (multiple sclerosis, ALS, polio, hereditary neuromuscular disease) or history of stoke or history of traumatic brain injury
* General anesthesia less than one month prior to the first dose of neurotoxic chemotherapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Disarm Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Alpha Oncology Research LLC

DeBary, Florida, United States

Site Status COMPLETED

University of Maryland School of Medicine

Baltimore, Maryland, United States

Site Status RECRUITING

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States

Site Status NOT_YET_RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status COMPLETED

Washington University Medical School

St Louis, Missouri, United States

Site Status COMPLETED

Ohio State University

Columbus, Ohio, United States

Site Status COMPLETED

University of Pensylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

University of Vermont Medical Center

Burlington, Vermont, United States

Site Status RECRUITING

VCU Medical Center

Richmond, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or

Role: CONTACT

1-317-615-4559

Facility Contacts

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Role: primary

410-706-7250

Role: primary

410-955-8893

Role: primary

734-936-1267

Role: primary

215-615-3820

Role: primary

802-847-4589

Other Identifiers

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H7I-MC-S028

Identifier Type: OTHER

Identifier Source: secondary_id

10001

Identifier Type: OTHER

Identifier Source: secondary_id

18232

Identifier Type: -

Identifier Source: org_study_id

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