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Taxane Acute Pain Syndrome (TAPS) in Patients Receiving Taxane Chemotherapy for Breast or Prostate Cancer

Completed
Conditions
Acute Pain
Registration Number
NCT02362087
Lead Sponsor
Ottawa Hospital Research Institute
Brief Summary

The purpose of this study is to document what course of action physicians choose for their patients when they develop taxane acute pain syndrome (TAPS) and to identify patients at the greatest risk of TAPS by examining specific human genome markers such as single nucleotide polymorphisms (SNPs) and Copy Number Variations (CNVs) that may explain the genetic (hereditary) component.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • Diagnosed with either invasive breast or prostate cancer (stage I-IV)
  • Age ≥18 years
  • ECOG performance status ≤2
  • Scheduled to receive intravenous taxane-based chemotherapy for either adjuvant or metastatic disease
  • Participants need to have ability to complete questionnaires by themselves or with assistance and have the ability to provide informed written consent
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Exclusion Criteria
  • Concurrent use of any agents to try to prevent or treat neuropathy or TAPS, including gabapentin, glutamine, vitamin B6, and vitamin E.
  • Pre-existing history of peripheral neuropathy greater than grade 1 NCI CTCAE version 4.0 from any cause (chemotherapy, diabetes, alcohol, toxin, hereditary, etc.) other medical conditions that would make study participation unreasonably hazardous
  • Uncontrolled diabetes
  • Medical or psychiatric illness that would interfere with patients' ability to complete the diary
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The incidence of TAPSEvery 21 days over 12 weeks

Participant will be asked prior to each taxane chemotherapy if they experienced TAPS and complete quality of life questionnaires

Secondary Outcome Measures
NameTimeMethod
The intervention used to reduced TAPS severityEvery 21 days over 12 weeks

The intervention used to reduced TAPS severity including

1. Analgesia - pain medication diary

2. Exercise

3. other

The TAPS associated treatment modificationEvery 21 days over 12 weeks

The TAPS associated treatment modification

1. Taxane dose reduction

2. Chemotherapy treatment delay

3. Taxane discontinuation

i. No further treatment pursued ii. Or Switch to non-taxane chemotherapy due to taxane toxicity

Collection of whole blood and archived tissue for future SNP analysisAt baseline and at one month from the end of Taxane chemotherapy

Profiling of SNPs will aid to understand the genetic basis for TAPS and outcomes. We will also collect serum and plasma for profiling serum metabolites, drug metabolites and correlate with genotypes (SNPs)

Trial Locations

Locations (1)

Ricardo Fernandes

🇨🇦

Ottawa, Ontario, Canada

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