Biomarkers of Liposomal Doxorubicin Induced Hypersensitivity Reaction in Breast Cancer Patients

NCT ID: NCT05181202

Last Updated: 2022-01-06

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

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-02-07

Study Completion Date

2023-06-30

Brief Summary

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Pegylated liposomal doxorubicin (PLD) was an anthracycline nanomedicine to be approved for advanced breast cancer and other solid tumor therapy and showed a good disease control rate (57%). PLD could induce hypersensitivity reaction (HSR). There are about 9-25% patients got infusion reaction or HSR. Severe HSR could lead to allergic shock even presyncope or threat to life. To our knowledge, there were no sensitivity biomarker to predict the PLD induced HSR. And the mechanism of PLD induced HSR is unknown yet. Therefore, to analyze and discuss the biomarkers and mechanism of PLD induced HSR in advanced breast cancer, we design this prospective, observational, biomarker study.

Detailed Description

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Conditions

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Liposomal Doxorubicin Induced Hypersensitivity Reaction in Breast Cancer Patients

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Hypersensitivity reaction group

The patients get hypersensitivity after Pegylated liposomal doxorubicin injection.

Blood sampling

Intervention Type OTHER

Collect blood before drug injection. we do not intervene the clinical administration or drug choice or other clinical treatment.

None hypersensitivity reaction group

The patients do not get hypersensitivity after Pegylated liposomal doxorubicin injection.

Blood sampling

Intervention Type OTHER

Collect blood before drug injection. we do not intervene the clinical administration or drug choice or other clinical treatment.

Interventions

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Blood sampling

Collect blood before drug injection. we do not intervene the clinical administration or drug choice or other clinical treatment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ≥18 years old; Breast cancer confirmed with histological or molecular diagnosis; Advanced breast cancer diagnosis according to American Joint Committee on cancer eighth edition cancer staging manual; Treatment with liposomal doxorubicin; No pregnancy plan and voluntary use of effective contraceptive measures during treatment

Exclusion Criteria

* Subjects who discontinued treatment due to previous severe adverse reactions to liposomal doxorubicin or doxorubicin; poor compliance.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sun Yat-sen Memorial Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wei Zhuang, Dr.

Role: CONTACT

+86-13427526343

Suiwen Ye

Role: CONTACT

+86-13825115916

Facility Contacts

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Yanfang Ye, BM

Role: primary

+86-020-81336505

References

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Alberts DS, Garcia DJ. Safety aspects of pegylated liposomal doxorubicin in patients with cancer. Drugs. 1997;54 Suppl 4:30-5. doi: 10.2165/00003495-199700544-00007.

Reference Type BACKGROUND
PMID: 9361959 (View on PubMed)

Castells MC, Tennant NM, Sloane DE, Hsu FI, Barrett NA, Hong DI, Laidlaw TM, Legere HJ, Nallamshetty SN, Palis RI, Rao JJ, Berlin ST, Campos SM, Matulonis UA. Hypersensitivity reactions to chemotherapy: outcomes and safety of rapid desensitization in 413 cases. J Allergy Clin Immunol. 2008 Sep;122(3):574-80. doi: 10.1016/j.jaci.2008.02.044. Epub 2008 May 27.

Reference Type BACKGROUND
PMID: 18502492 (View on PubMed)

Chen E, Chen BM, Su YC, Chang YC, Cheng TL, Barenholz Y, Roffler SR. Premature Drug Release from Polyethylene Glycol (PEG)-Coated Liposomal Doxorubicin via Formation of the Membrane Attack Complex. ACS Nano. 2020 Jul 28;14(7):7808-7822. doi: 10.1021/acsnano.9b07218. Epub 2020 Mar 6.

Reference Type BACKGROUND
PMID: 32142248 (View on PubMed)

Gabizon A, Szebeni J. Complement Activation: A Potential Threat on the Safety of Poly(ethylene glycol)-Coated Nanomedicines. ACS Nano. 2020 Jul 28;14(7):7682-7688. doi: 10.1021/acsnano.0c03648. Epub 2020 Jul 9.

Reference Type BACKGROUND
PMID: 32643376 (View on PubMed)

Verhoef JJ, Carpenter JF, Anchordoquy TJ, Schellekens H. Potential induction of anti-PEG antibodies and complement activation toward PEGylated therapeutics. Drug Discov Today. 2014 Dec;19(12):1945-52. doi: 10.1016/j.drudis.2014.08.015. Epub 2014 Sep 7.

Reference Type BACKGROUND
PMID: 25205349 (View on PubMed)

Related Links

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Other Identifiers

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YDPLD191016-I1-SYSU-001

Identifier Type: -

Identifier Source: org_study_id

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