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Trial registered on ANZCTR
Registration number
ACTRN12622000963729
Ethics application status
Approved
Date submitted
4/07/2022
Date registered
7/07/2022
Date last updated
7/07/2022
Date data sharing statement initially provided
7/07/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
GeneScreen 5-FU Genotype-guided Personalised Fluoropyrimidine Dosing: Feasibility and Implementation Pilot Study
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Scientific title
GeneScreen 5-FU Genotype-guided Personalised Fluoropyrimidine Dosing: Feasibility and Implementation Pilot Study in Adults with Solid Cancer Tumours
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Secondary ID [1]
307488
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
GeneScreen 5-FU Pilot Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cancer
326887
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chemotherapy toxicity
326888
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DPYD variant
326889
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Condition category
Condition code
Cancer
324095
324095
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0
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Any cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Adult patients with solid organ tumours intended to or already undertaking Fluoropyrimidine chemotherapies are eligible for inclusion. Patients submit a blood sample to be collected either by phlebotomy trained nurse or usual blood collection facility) for DPYD genotyping to identify DPYD variants that carry important clinical significant for fluoropyrimidine related toxicity. Samples are genotyped and results provided back to oncologist. This is a feasibility study measuring turn around time of testing. Any decisions regarding DPYD variant results are at clinician discretion.
Patients and clinical stakeholders (Oncology clinicians, oncology pharmacists and oncology nurses) are invited to participate in a questionnaire exploring the perceived knowledge and attitudes toward upfront DPYD genotyping. We also explore the enablers and barriers that contribute to upfront testing as perceived by questionnaire respondents.
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Intervention code [1]
323943
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Early detection / Screening
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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turn around time collected through audit of study records
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Assessment method [1]
331895
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Timepoint [1]
331895
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time from receipt of sample at pathology to return of results to clinician
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Secondary outcome [1]
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Toxicity through audit of study records
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Assessment method [1]
411521
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Timepoint [1]
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Toxicities recorded from first 3 cycles Fluoropyrimidine chemotherapy
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Secondary outcome [2]
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Implementation factors, extracted from completed questionnaires specifically designed for this study. Factors will include perceived barriers and enablers surrounding DPYD genotyping as obtained from semi-quantitative questionnaires, and attitudinal scales.
This is a composite endpoint
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Assessment method [2]
411522
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Timepoint [2]
411522
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Patient participants to complete 1-2 months after DPYD education and blood collection (to allow time for return of/discussion of results)
Stakeholder questionnaires completed at beginning of site recruitment
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Eligibility
Key inclusion criteria
18 years and older
Intended to receive, currently receiving or recently received Fluoropyrimidine chemotherapy (either capecitabine or 5-fluorouracil)
Able to consent for a blood test +/- questionnaire invitation
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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
Not willing to provide consent or blood sample
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Study design
Purpose of the study
Prevention
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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)
single arm feasibility study
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
simple statistical analysis of both discrete and continuous data points
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
19/01/2021
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Date of last participant enrolment
Anticipated
30/12/2022
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Actual
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Date of last data collection
Anticipated
28/02/2023
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Actual
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Sample size
Target
100
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Accrual to date
71
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
22689
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Lake Macquarie Private Hospital - Gateshead
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Recruitment hospital [2]
22690
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Gosford Hospital - Gosford
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Recruitment hospital [3]
22691
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Newcastle Private Hospital - New Lambton Heights
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Recruitment hospital [4]
22692
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Muswellbrook Hospital - Muswellbrook
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Recruitment postcode(s) [1]
37967
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2290 - Gateshead
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Recruitment postcode(s) [2]
37968
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2250 - Gosford
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Recruitment postcode(s) [3]
37969
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2305 - New Lambton Heights
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Recruitment postcode(s) [4]
37970
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2333 - Muswellbrook
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Newcastle
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Address [1]
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University Drive
Callaghan NSW 2308
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Clinician- Prof Stephen Ackland
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Address
Lake Macquarie Hospital
Gateshead NSW 2290
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Country
Australia
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Secondary sponsor category [1]
313228
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University
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Name [1]
313228
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University of Newcastle
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Address [1]
313228
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University Drive
Callaghan NSW 2308
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Country [1]
313228
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
311209
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HNELHD HREC
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Ethics committee address [1]
311209
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John Hunter Hospital Kookaburra Circuit New Lambton Heights NSW 2305
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Ethics committee country [1]
311209
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Australia
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Date submitted for ethics approval [1]
311209
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01/09/2020
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Approval date [1]
311209
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16/09/2020
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Ethics approval number [1]
311209
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2020/ETH02297
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Ethics committee name [2]
311210
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UoN Research Integrity Unit
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Ethics committee address [2]
311210
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Research & Innovation Services Research Integrity Unit The University of Newcastle Callaghan NSW 2308
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Ethics committee country [2]
311210
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Australia
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Date submitted for ethics approval [2]
311210
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01/10/2020
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Approval date [2]
311210
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01/10/2020
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Ethics approval number [2]
311210
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H-2020-0351
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Summary
Brief summary
The aim of this study is to investigate if testing for the DPYD gene in patients is practical and useful, for the purpose of providing personalised dosing of chemotherapy treatment Fluoropyrimidine (FP; 5FU, Capecitabine). Who is it for? You may be eligible to join this study if you are aged 18 years or older; and have or will be receiving Fluoropyrimidine chemotherapy treatment. Study details All patients will be asked to provide a blood sample, and the blood sample will be tested for the DPYD gene. The result will be shared with the patient's doctor, and whether this affects the patient's chemotherapy treatment or not will be decided by the patient's doctor. Additionally, patients and medical professionals will also be invited to do a questionnaire exploring the perceived knowledge and attitudes toward genetic testing for DPYD. It is hoped that this study will reveal if screening for the DPYD gene can be used to inform personalised chemotherapy dosing, and understand factors that affect this process, to be able to provide better care to cancer patients.
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Trial website
https://gicancer.org.au/clinical-trial/genescreen-5-fu/
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Stephen Ackland
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Address
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Hunter Cancer Centre
Lake Macquarie Specialist Medical Center
6-8 Sydney St, Gateshead NSW 2290
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Country
120338
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Australia
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Phone
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+61 408492868
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Cassandra White
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Address
120339
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Medical Oncology Unit
Maitland Hospital
Metford Road
Metford NSW 2323
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Country
120339
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Australia
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Phone
120339
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+61240871000
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Fax
120339
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Email
120339
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[email protected]
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Contact person for scientific queries
Name
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Cassandra White
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Address
120340
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Medical Oncology Unit
Maitland Hospital
Metford Road
Metford NSW 2323
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Country
120340
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Australia
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Phone
120340
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+61240871000
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Fax
120340
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Email
120340
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
IPD underlying published cohort results, de-identified
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When will data be available (start and end dates)?
from time of publication onward
data will only be available as part of de-identified patient cohort data
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Available to whom?
Other researchers
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Available for what types of analyses?
meta-analyses
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How or where can data be obtained?
Contact principle investigator or study coordinator via email:
[email protected]
[email protected]
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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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