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Trial registered on ANZCTR
Registration number
ACTRN12610000776000
Ethics application status
Approved
Date submitted
7/09/2010
Date registered
16/09/2010
Date last updated
15/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The use of novel protein biomarkers in predicting clinical outcomes in patients with localised and metastatic colorectal cancer
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Scientific title
The use of novel protein biomarkers in predicting clinical outcomes in patients with localised and metastatic colorectal cancer
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Secondary ID [1]
252651
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Colorectal cancer
258146
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Condition category
Condition code
Cancer
258325
258325
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Predictive biomarker (plasma proteomics) study.
This is a prognostic/ predictive factor study investigating the utility of plasma proteomics in predicting toxicity and patient outcomes for patients with metastatic colorectal cancer. Plasma (2 10ml Tubes) is collected at 4 time points- (1) day 7-10 prior to chemotherapy, (2) prior to starting chemotherapy at day 1, (3) Day 3 of chemotherapy and (4) Day 15 of chemotherapy.
The decision to take either at Day 7 or 10 prior to chemotherapy is dependent on the day patients are reviewed in clinic and/ or convenience. This timepoint is to make sure there is no variation at this time period and the day of starting chemotherapy.
The types of chemotherapy are 5-fluorouracil based infusional chemotherapy which are undertaken on a 14 day cycle. In general, patients receiving adjuvant chemotherapy have 12 cycles (6 months of chemotherapy). There is no set number of cycles of chemotherapy for patients with metastatic disease and is physician discreation and ondividual patient response. In general, patients receive at least 4 cycles of chemotherapy prior to evaluation of response. This study is also recruiting patients not having chemotherapy and investigating the role of protoemics in predicting the development of cancer cachexia.
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Intervention code [1]
257160
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Other interventions
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Intervention code [2]
257218
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Diagnosis / Prognosis
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
259178
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Haematological and non-haematological toxicity after first 2 cycles of chemotherapy.
Haemotological assessment will be performed through collection of full blood count and assessed using the National Cancer Institute (NCI) Toxicity Criteria. Similarly, non-haematological tooxicity will be assessed using NCI criteria thorugh patients diaries and interview with clinical trials staff.
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Assessment method [1]
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Timepoint [1]
259178
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At the end of cycle 1 (at Day 15) and end of cycle 2 (day 29) of chemotherapy
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Secondary outcome [1]
265524
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Response rate (for patients with metastatic disease)
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Assessment method [1]
265524
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Timepoint [1]
265524
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Response rate after 4 cycles of treatment
Assessment through radiological scans (computed tomography or CT) by an independet reviewer using specified criteria.
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Secondary outcome [2]
265552
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Progression free survival
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Assessment method [2]
265552
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Timepoint [2]
265552
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Time of progression based on radiologial scans as above. Patients are followed up for evidence of progression/death every 8 weeks (for those with metastatic disease) or 16 weeks (those with locally advanced disease).
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Secondary outcome [3]
265553
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Overall survival
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Assessment method [3]
265553
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Timepoint [3]
265553
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Time of progression based on radiologial scans as above. Patients are followed up for evidence of progression/death every 8 weeks (for those with metastatic disease) or 16 weeks (those with locally advanced disease).
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Eligibility
Key inclusion criteria
Patients with biopsy proven metastatic or locally advanced colorectal cancer starting chemotherapy involving infusional 5-fluoroouracil or
Patients with biopsy proven metastatic colorectal cancer for symotomatic management only
AND
Eastern Cooperative Oncology Group (ECOG) performance status 0-2 AND
age over 18 years AND
ability to comply and provide informed written consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pior chemotherapy for metastatic colorectal cancer or adjuvant chemotherapy in the last 6 months
Other active malignancy
Active autoimmune, inflammatory disease or infection
Symptoms and signs of cancer cachexia
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
26/11/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Cancer Institute NSW
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Address [1]
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Australian Technology Park
Biomedical Building
Suite 101
1 Central Avenue (off Garden Road)
EVELEIGH NSW 2015
Australia
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Country [1]
257615
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Australia
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Primary sponsor type
Government body
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Name
Cancer Institute NSW
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Address
Australian Technology Park
Biomedical Building
Suite 101
1 Central Avenue (off Garden Road)
EVELEIGH NSW 2015
Australia
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Country
Australia
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Secondary sponsor category [1]
256837
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None
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Name [1]
256837
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Address [1]
256837
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Country [1]
256837
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
This study is investigating the utility of a novel technique called 'proteomics' using serial blood samples to see if there are differences in plasma proteins whicn are able to predict toxicity and patient response to chemotherapy for patients with colorectal cancer. The hypothesis is that proteomic techniques are able to (1) identify patients more likely to respond to chemotherapy and predict overall outcome (2) identify patients more likely to expereince side effects and (3) predict the development of cancer cachexia in patients with metastatic colorectal cancer The intervention is the collection of blood samples at 4 time points during chemotherapy or observation. In addition there will be standard care (radiological and nutritional assessment) plus follow up as set out by the trial protocol.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31618
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Address
31618
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Country
31618
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Phone
31618
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Fax
31618
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Email
31618
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Contact person for public queries
Name
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Wei Chua
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Address
14865
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Sydney Cancer Centre
Department of Medical Oncology
Building 76, Hospital Road
Concord Repatriation General Hospital
Concord NSW 2139
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Country
14865
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Australia
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Phone
14865
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612 9767 6354
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Fax
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Email
14865
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[email protected]
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Contact person for scientific queries
Name
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Stephen J Clarke
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Address
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Sydney Cancer Centre
Department of Medical Oncology
Building 76, Hospital Road
Concord Repatriation General Hospital
Concord NSW 2139
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Country
5793
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Australia
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Phone
5793
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612 9767 6775
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Fax
5793
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Email
5793
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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