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Inter-ethnic differences in tolerance of anti-cancer drugs in non-small cell lung cancer patients

Not Applicable
Recruiting
Conditions
tolerance of palliative chemotherapy with carboplatin and paclitaxel in advanced non-small cell lung cancer patients
Cancer - Lung - Non small cell
Registration Number
ACTRN12611000013965
Lead Sponsor
Sydney Cancer Centre
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

Asian or Caucasian patients.
- Histologically confirmed advanced non-small cell lung cancer patients
- receiving chemotherapy with carboplatin AUC 6 and paclitaxel 175 mg/m2
- Age greater than or equal to 18.
- Eastern Cooperative Oncology Group (ECOG)Performance Status of 0-2.
- Ability to comply with the planned procedures and provide written evidence of informed consent.
- Adequate haematology and biochemistry. (Haemoglobin>100 g/L, White blood cell count >4.0 x 109/L, neutrophil count > 1.5 × 109, platelets >100 x 109/L; Aspartate transaminase (AST), Alanine transaminase (ALT) and bilirubin < 1.5 x ULN (AST, ALT < 5 x upper limit of normal in case liver metastases); calculated creatinine clearance according to Corkroft formula > 60 ml/min.

Exclusion Criteria

- Patients who require dose adjustment.
- Clinical evidence of active brain metastases.
- Suspected or documented bone marrow involvement.
- Significant intercurrent illness including active infection, inflammatory bowel disease or other uncontrolled autoimmune disease.
- The requirement for ongoing systemic treatment with corticosteroids or other immunosuppressive therapy.
- Patients who have had chemotherapy 4 weeks prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier.
- Ongoing major side effects from radiology.
- Other active malignancy.
- Known allergy to any of the investigational agents.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
adverse events of the treatment including hematological toxicity, and other toxicity such as nausea, vomiting, diarrhoea, fatigue and mucositis according to common terminology criteria for adverse event v3.0(CTCAE)[day 7, day 10 , day 14 and day 21 of cycle 1]
Secondary Outcome Measures
NameTimeMethod
rate of drug clearance measured by using population pharmacokinetics approach with limited sampling model[day 0 and day 1 of cycle 1];single nucleotide polymorphism of gene coding drug metabolizing enzymes measured by rapid throughput genotyping being preformed using high-resolution melt-curve analysis[before start of chemotherapy];nutritional status measured by patient-generated subjective global assessment (PGSGA)[before start of chemotherapy]
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