Inter-ethnic differences in tolerance of anti-cancer drugs in non-small cell lung cancer patients
Exploration of differences in tolerance between Caucasian and Asian non-small cell lung cancer patients receiving palliative chemotherapy with carboplatin and paclitaxel
Sydney Cancer Centre
120 participants
Jan 24, 2007
Observational
Conditions
Summary
Recent evidence shows an ethnic variability in tolerance of anticancer drugs between Asian and Caucasian non-small cell lung cancer patients. Pharmacogenetic differences in drug metabolising enzymes have been proposed as the cause of these differences, however they have not been associated with altered cytotoxic drug pharmacokinetics (PK). Other possible explanations include differences in dietary/concomitant medicine intake and inflammatory status. The aim of this study was to investigate inter-ethnic differences in cytotoxic drug metabolism, inflammatory/nutritional status, genotype and outcomes between Asian and Caucasian non-small cell lung cancer patients.
Eligibility
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Interventions
Observe side effects, nutritional status, inflammatory factors and measure drug clearance of the cycle 1 treatment (21 days): Paclitaxel 175 mg/m2 in 3 hour intravenous infusion, day 0 Carboplatin AUC 6 in 1 hour intravenous infusion, day 0 Collect Deoxyribonucleic acid (DNA) samples for pharmacogenomics purpose Toxicity observation is implemented during the first cycle only, response observation is implemented after 3 cycles. Patients recruited over 5 years.
Locations(1)
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ACTRN12611000013965