Unique ID issued by UMIN | UMIN000031182 |
---|---|
Receipt number | R000032177 |
Scientific Title | Effects of rabeprazole on pharmacokinetics of capecitabine. |
Date of disclosure of the study information | 2018/02/08 |
Last modified on | 2018/02/07 10:44:32 |
Effects of rabeprazole on pharmacokinetics of capecitabine.
Drug-drug interaction between capecitabine and rabeprazole.
Effects of rabeprazole on pharmacokinetics of capecitabine.
Drug-drug interaction between capecitabine and rabeprazole.
Japan |
Colorectal cancer
Hematology and clinical oncology |
Malignancy
YES
Recent research have showm that coadministration of proton pump inhibitor (PPI) could reduce the efficacy of capecitabine. However,underlying mechanisms of the interaction between capecitabine and PPI ramain unclear. One possibility is the alteration of capecitabine pharmacokinetics by the coadministration of rabeprazole. This prospective study analyzes the effects of rabeplazole on the pharmacokinetics of capecitabine and its active metabolites.
Pharmacokinetics
Confirmatory
Pragmatic
Not applicable
To investigate Effects of rabeprazole on pharmacokinetics of capecitabine.
(1) To investigate association with the genetic polymorphism and the pharmacokinetics.
(2) To investigate efficacy and toxicity of capecitabine in combination with PPIs.
Interventional
Parallel
Non-randomized
Open -no one is blinded
No treatment
2
Treatment
Medicine |
Patients who take PPIs before the study are assigned to rabeprazole arm.
Patients who do not take PPIs before the study are assigned to control arm.
20 | years-old | <= |
Not applicable |
Male and Female
1)CapeOX and CapeOX+ Bevacizumab for metastatic colorectal cancer, CapeOX as adjuvant chemotherapy for colon cancer.
2)No history of chemotherapy within 2 weeks.
3)Eastern Cooperative Oncology Group (ECOG)performance status (PS) 0 or 1.
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.
1.Absolute neutrophil count >= 1,500/mm3
2.Platelet count >= 75,000/mm3
3.Hemoglobin >= 9.0g/dL
4.AST and ALT <= 2 times the upper limit of normal(ULN) (<= 5 times the ULN if liver metastases are present)
5.ALP <= 2.5 times the upper limit of normal(ULN) (<= 5 times the ULN if liver metastases are present)
6.Creatinine clearance 51 mL/min or higher. (Cockcroft-Gault equation)
6)Signed, written informed concent is obtained.
1)Interstitial pneumonia, pulmonary fibrosis.
2)Ongoing severe infection.
3)Prior treatment with capecitabine.
4)Unstable angina and Myocardial infarction less than 3 months before start of study drug.
5)Patients with severe complications (incontrollable diabetes mellitus or liver cirrhosis).
6)Concurrent cancer that is distinct in primary site.
7)Psychological condition that may interfere with the patient's participation in the study.
8)Pregnant patients. Men and women who want to make baby.
9)Patients with severe drug allergy or those who had severe drug allergy in the past.
10)Concomitant use of Carboxylesterase inducers.
11)Patients who are not appropriate to participate in the study safely.
40
1st name | |
Middle name | |
Last name | Yutaro Kubota |
Showa University School of Medicine
Department of internal medicine, Division of medical oncology
1-5-8 Hadanodai Shinagawa-ku Tokyo
03-3784-8607
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 Hadanodai Shinagawa-ku Tokyo
03-3784-8607
yutaro1008@hotmail.co.jp
Showa University institute of molecular oncology
Showa University School of Medicine, Division of Medical Oncology, Department of Medicine
Showa University institute of molecular oncology
Showa University School of Medicine, Division of Medical Oncology, Department of Medicine
Self funding
NO
昭和大学病院 (東京都)
2018 | Year | 02 | Month | 08 | Day |
Unpublished
Open public recruiting
2017 | Year | 07 | Month | 26 | Day |
2017 | Year | 08 | Month | 01 | Day |
2018 | Year | 02 | Month | 07 | Day |
2018 | Year | 02 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032177