Unique ID issued by UMIN | UMIN000023783 |
---|---|
Receipt number | R000026195 |
Scientific Title | Pharmacokinetics and toxicity of irinotecan hydrochloride: effects of polymorphisms in transporter genes |
Date of disclosure of the study information | 2016/09/01 |
Last modified on | 2016/08/26 17:08:18 |
Pharmacokinetics and toxicity of irinotecan hydrochloride: effects of polymorphisms in transporter genes
PK/PD study of irinotecan hydrochloride.
Pharmacokinetics and toxicity of irinotecan hydrochloride: effects of polymorphisms in transporter genes
PK/PD study of irinotecan hydrochloride.
Japan |
malignant solid tumor (pancreatic cancer, colorectal cancer, gastric cancer, lung cancer, ovarian cancer,breast cancer, neuroendocrine carcinoma)
Hematology and clinical oncology |
Malignancy
YES
We elucidate the genetic polymorphism of the transporter and pharmacokinetics of the irinotecan hydrochloride and toxic relations.
PK,PD
Exploratory
Pragmatic
Not applicable
We analyze genetic polymorphism of OATP1B1, ABCG2 and OATP2B1 and Pharmacokinetics/Pharmacodynamics of the irinotecan and metabolite and toxicity expression relations of the irinotecan hydrochloride.
(1) We analyze about genetic polymorphism(OATP1B3, ABCB1, ABCC2 and CES2 which participates in activation of irinotecan, CYP3A4 which participates in inactivation of irinotecan) and a relation between PK/PD and toxicity.
(2) We analyze the genetic seasonal polymorphism to encode microRNA (miRNA) and the genetic polymorphism of an enzyme participating in processing of miRNA and PK/PD of the irinotecan hydrochloride and relations with the toxicity.
(3) We measure the plasma concentration of an internal compound becoming the OATP substrate and evaluate OATP inhibition by SN-38 and get grounds to estimate the interaction risk between the drug in the irinotecan hydrochloride dosage.
(4) We perform meta genome analysis of the enterobacterial flora and analyze a relation between toxicity of irinotecan hydrochloride (including the diarrhea) and enterobacterial flora.
Observational
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) Aged 20 to <75 years at the time of informed consent.
2) Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1.
3) Patients who was not treated with the irinotecan hydrochloride in the past.
4) Patients with at least 3 months of life-expectancy.
5) Adequate organ function, evidenced by following laboratory results within 14 days prior to starting chemotherapy.
Absolute neutrophil count >= 1,500/mm3
Platelet count >= 100,000/mm3
Hemoglobin >= 8.5g/dL
AST and ALT <= 2.5 times the upper limit of normal(ULN) (<= 5 times the ULN if liver metastases are present)
Total bilirubin <= 1.5 times the ULN
6) Signed, written informed concent is obtained.
1) Severe active infection.
2) Sever diarrhea.
3) Gastrointestinal paresthesia and bowel obstruction.
4) Interstitial pneumonia, pulmonary fibrosis.
5) Jaundice.
6) Patient who need drainage of peritoneal, pleural or pericardial effusion.
7) Unstable angina, myocardial infarction or heart failure within 3 months.
8) Severe complication (e.g., uncontrollable diabetis mellitus, liver disease).
9) Serological positive for HBs-antigen or HCV-antibody.
10) Intestinal resection within 4 weeks prior to enrollment or colostomy within 2 weeks prior to enrollment.
11) Patients who received chemotherapy not to include irinotecan hydrochloride, or radiation therapy within two weeks.
12) Severe hypersensitivity to medicine.
13) Patients who has difficulty in getting the understanding for the study.
14) Pregnant or lactating women, or men and women without wanting pregnancy.
15) Patients who were judged inappropriate for the study.
100
1st name | |
Middle name | |
Last name | Yutaro Kubota |
Showa university school of medicine
Department of internal medicine, Division of medical oncology
1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan
03-3784-8402
yutaro1008@hotmail.co.jp
1st name | |
Middle name | |
Last name | Yutaro Kubota |
Showa university school of medicine
Department of internal medicine, Division of medical oncology
1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan
03-3784-8402
yutaro1008@hotmail.co.jp
Showa university school of medicine
Showa University institute of molecular oncology
Showa University School of Medicine, Division of Medical Oncology, Department of Medicine
Self funding
Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University
Laboratory of Molecular Pharmacokinetics, Graduate School of Pharmaceutical Sciences, The University of Tokyo
NO
昭和大学病院(東京都)
昭和大学江東豊洲病院(東京都)
昭和大学横浜市北部病院(神奈川)
2016 | Year | 09 | Month | 01 | Day |
Unpublished
Preinitiation
2016 | Year | 06 | Month | 18 | Day |
2016 | Year | 09 | Month | 01 | Day |
We analyze genetic polymorphism of OATP1B1, ABCG2 and OATP2B1 and Pharmacokinetics/Pharmacodynamics of the irinotecan and metabolite and toxicity expression relations of the irinotecan hydrochloride.
2016 | Year | 08 | Month | 26 | Day |
2016 | Year | 08 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000026195