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ABCB1 SNPs as Predictors of PIPN

Completed
Conditions
Paclitaxel Adverse Reaction
Neuropathy;Peripheral
Breast Cancer
Registration Number
NCT05093023
Lead Sponsor
Ain Shams University
Brief Summary

The study aim is to determine the allele frequencies of 1236 G\>A and 3435 G\>A in ABCB1 and study their association with the incidence and severity of paclitaxel-induced peripheral neuropathy while adjusting for other baseline covariates in Egyptian patients. Additionally, the study aimed at fitting and validating logistic regression models with the aforementioned SNPs evaluated in additive, dominant, overdominant, and recessive genetic models and performing diagnostics for the best model in terms of internal validity.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
92
Inclusion Criteria
  1. Egyptian females ≥18 years of age.
  2. Histologically confirmed Breast Cancer.
  3. Receiving conventional neoadjuvant or adjuvant weekly paclitaxel.
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
  5. Adequate organ reserves ((serum creatinine ≤1.5x upper normal limit (UNL), total bilirubin ≤1.5x UNL, absolute neutrophil count ≥1.5 x 10^9/L, platelet count ≥100 x 10^9/L, AST and ALT ≤3.0x UNL, and alkaline phosphatase ≤3.0x UNL).
  6. No major neurological disease or symptoms prior to the start of paclitaxel therapy.
  7. neither subjective nor objective evidence of metastatic disease.
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Exclusion Criteria
  1. Pregnancy.
  2. Patients with recurrent or metastatic (local or distant) breast cancer.
  3. Neuropathic at the time of recruitment.
  4. History of neuropathy prior to recruitment.
  5. Previously exposed to taxanes or any other microtubule Inhibitors, or regimens including platinates.
  6. Patients currently receiving dose-dense biweekly taxane-containing regimens.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Grade 2 or higher peripheral neuropathy12 weeks

Grade 2 or higher peripheral neuropathy evaluated by the National Cancer Institute Common Toxicity Criteria (version 5.0)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Nasser's Institute Hospital

🇪🇬

Cairo, Aghakhan, Egypt

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