Association of Dihydropyrimidine Dehydrogenase (DPYD) Variants With Toxicity Related to Capecitabine
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Purpose
Primary Objective:
1. To evaluate the incidence of DPYD variants in patients who are enrolled in the UT M.D. Anderson phase III trial (ID 01-580), which evaluates the effect of differing taxanes/taxane combinations on the outcome of patients with operable breast cancer.
Secondary Objective:
1. To determine the extent to which DPYD variants correlate to toxicity related to capecitabine.
Exploratory Objective:
1. To evaluate polymorphisms (SNPs) of thymidylate synthase (TS), MTHFR, OPRT and thymidine phosphorylase (TP) and correlate these results with capecitabine/5-FU toxicity.
| Condition | Intervention |
|---|---|
|
Breast Cancer |
Procedure: Phlebotomy |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Retrospective |
| Official Title: | A Retrospective Analysis of the Association of Dihydropyrimidine Dehydrogenase (DPYD) Variants With Toxicity Related to Capecitabine |
- Incidence of DPYD variants in patients [ Time Frame: 2 Years ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
5 to 7.5 milliliter (mL) sample of blood. Alternatively, DNA will be extracted from 10um slices of formalin-fixed paraffin-embedded tissue from previously collected tumor tissue (from the time of the breast cancer diagnosis).
| Estimated Enrollment: | 210 |
| Study Start Date: | May 2007 |
| Estimated Primary Completion Date: | May 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Severe Toxicity
Patients who experienced severe toxicity (at least one grade 4 side effect) with capecitabine chemotherapy
|
Procedure: Phlebotomy
5 to 7.5 milliliter (mL) Blood Sample
|
|
Dose-Limiting Toxicity
Patients who experienced dose-limiting toxicity (at least one grade 3, or recurrent grade 2, side effect)with capecitabine chemotherapy
|
Procedure: Phlebotomy
5 to 7.5 milliliter (mL) Blood Sample
|
|
Low/No Toxicity
Patients who have experienced low/no toxicity (none or only side effects at grade 1 & 2) with capecitabine chemotherapy.
|
Procedure: Phlebotomy
5 to 7.5 milliliter (mL) Blood Sample
|
Detailed Description:
If you agree to take part in this study, 1 blood sample (about 2 tablespoons) will be drawn for use in genetic research.
If you are unable to provide a blood sample, researchers will collect leftover tissue samples from your previously collected tumor tissue (from the time of the breast cancer diagnosis). The tumor samples will be used for genetic research.
After the blood draw or tissue collection, your participation in this study will be over.
The blood samples for the genetic research will be stored at Myriad Laboratories. Before your blood and/or tissue is sent to Myriad Laboratories for banking, your name and any personal identifying information will be coded to protect your privacy. M. D. Anderson will not have oversight of any leftover tissue and/or blood that will be banked by Myriad Laboratories for additional research.
This is an investigational study. Up to 210 patients will take part in this study. All will be enrolled at M. D. Anderson.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients with breast cancer who experienced toxicity/side effects related to capecitabine chemotherapy.
Inclusion Criteria:
- Patients must be registered for protocol ID01-580 and only patients who were randomized to receive capecitabine will be included in the study.
- Patients must sign an informed consent for this protocol.
Exclusion Criteria:
1) There are no exclusion criteria
Contacts and Locations| United States, Texas | |
| UT MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Phuong K. Morrow, MD | M.D. Anderson Cancer Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00478686 History of Changes |
| Other Study ID Numbers: | 2006-1003 |
| Study First Received: | May 23, 2007 |
| Last Updated: | October 5, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by M.D. Anderson Cancer Center:
|
Breast Cancer Dihydropyrimidine Dehydrogenase DPYD DPYD Variants |
Toxicity Capecitabine Xeloda |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Capecitabine Dihydrouracil Dehydrogenase (NADP) |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 23, 2013