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Study of Glucarpidase (CPG2) for the Management of Patients With Delayed Methotrexate Clearance

Phase 2
Completed
Conditions
Neoplasms
Registration Number
NCT00219791
Lead Sponsor
BTG International Inc.
Brief Summary

To evaluate the safety and efficacy of glucarpidase in patients with impaired methotrexate (MTX) clearance owing to MTX-induced renal failure following high-dose MTX therapy, or with intrathecal MTX overdose.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Written informed consent by patient or legally valid representative
  • Patients receiving high-dose MTX (>1 g/m2 body surface area (BSA) given as an infusion over 24 hours) for the treatment of ALL, NHL or a solid tumour (e.g. osteosarcoma)
  • Age ≥ 18 years
  • Serum MTX >5 µmol/L 42 hours or later after the start of MTX infusion, or serum MTX >1 μmol/L 42 hours or later after the start of MTX infusion together with renal insufficiency, or serum MTX >0.4 µmol/L 48 hours or later after the start of MTX infusion together with renal insufficiency. Renal insufficiency was defined as serum creatinine >1.5 × the upper limit of normal (ULN) and/or oliguria (urine output < 500 mL/24 hours despite adequate hydration, diuretics and alkalinisation).
Exclusion Criteria
  • Pregnant or lactating females
  • Unwillingness of patient or relative/legal representative to give informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Reduction in serum MTX concentration
Secondary Outcome Measures
NameTimeMethod
Mortality
serum blood-urea-nitrogen
serum creatinine
creatinine clearance
haematology (complete blood count and differential)
biochemistry (electrolytes, SGOT, SGPT, alkaline phosphatase, bilirubin, total protein)
urinalysis (dip-stick)
MTX-related toxicity
Adverse events

Trial Locations

Locations (1)

Charite - Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

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