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Trial registered on ANZCTR
Registration number
ACTRN12606000477527
Ethics application status
Approved
Date submitted
15/11/2006
Date registered
15/11/2006
Date last updated
15/11/2006
Type of registration
Prospectively registered
Titles & IDs
Public title
Rifampicin test as a predictor of Irinotecan toxicity in metastatic colorectal cancer.
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Scientific title
A correlative study to test whether hyperbilirubinemia after oral rifampicin can predict for irinotecan toxicity in patients with metastatic colorectal cancer.
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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:
Patients with metastatic colorectal cancer
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Condition category
Condition code
Cancer
1548
1548
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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
The patients with metastatic colorectal cancer being considered for Irinotecan treatment will take single 900 mg dose of oral rifampicin. Bilirubin levels will be measured after 4 hours. The patients will go on to have standard Irinotecan treatment. There will be at least 48 hours interval between rifampicin ingestion and irinotecan treatment. They will be monitored for toxicities especially diarrhoea and neutropenia after cycle 1 irinotecan. A correlation will be done between rise in bilirubin and toxicities. Both the intervention- rifampicin intake and irinotecan administration will be on a single day only 2 days apart. Patients will be monitored for 3 weeks after irinotecan dose for toxicities. Blood will also be analysed for UGT 1A1 polymorphism and correlated with toxicities and rise in bilirubin.
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Intervention code [1]
1448
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Diagnosis / Prognosis
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To determine if rifampicin induced hyperbilirubinemia can predict irinotecan toxicity.
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Assessment method [1]
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Timepoint [1]
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Measured on day 21 after irinotecan dose.
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Secondary outcome [1]
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To correlate the findings of the serum test with a laboratory based enzyme assay.
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Assessment method [1]
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Timepoint [1]
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The secondary outcome will be measured on day 21 after irinotecan dose.
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Eligibility
Key inclusion criteria
1.Patients with metastatic CRC being considered for irinotecan therapy. 2.Able to consent.3.Normal bilirubin; SGOT and SGPT = 3 times upper limit normal in absence of liver metastases or = 5 times upper limit normal in presence of liver metastases. 4.No prior exposure to irinotecan.
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Minimum age
16
Years
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Maximum age
85
Years
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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
1.Known hypersensitivity to Rifampicin. 2.Presence of jaundice or hyperbilirubinemia.3.Pregnancy.4.Concomitant infection with tuberculosis or leprosy. 5.Patients on treatment with saquinavir and ritonavir.There will be no age or gender restrction.
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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
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
Phase 2
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Type of endpoint/s
Safety
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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
15/11/2006
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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
30
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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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Hospital
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Name [1]
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Department of Medical Oncology, Royal Adelaide Hospital
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Nimit Singhal
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Address
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Country
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Michael Brown
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Address [1]
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Country [1]
1491
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Adelaide Hospital
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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30/08/2006
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Ethics approval number [1]
3139
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60713
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Summary
Brief summary
Rifampicin increases bilirubin level in blood, in a small proportion of individual. This is because of deficiency of an enzyme called UGT (uridine diphosphate (UDP)-glucuronosyl-transferase ). The same enzyme metabolizes the chemotherapy drug called Irinotecan. If somebody has the deficiency of the UGT enzyme, they will be at increase risk of toxicity from irinotecan treatment. In this study we are trying to do the same. We will give rifampicin tablets and check whether bilirubin increases or not. Then the irinotecan treatment as scheduled will be given. The side effects from the treatment will be noted. We will try to find if by doing a simple blood test, one can predict if a particular patient is at risk of irinotecan toxicity.
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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
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Nimit Singhal
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Address
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Medical Oncology, Royal Adelaide Hospital, Adelaide, SA 5000
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Country
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Australia
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Phone
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+61 8 82224398
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Fax
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+61 8 82224358
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Nimit Singhal
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Address
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Medical Oncology, Royal Adelaide Hospital, Adelaide, SA 5000
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Country
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Australia
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Phone
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+61 8 82224398
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Fax
1565
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+61 8 82224358
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Email
1565
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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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