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Paclitaxel Therapeutic Drug Monitoring in Cancer Patients

Description

The goals of this prospective, observational cohort study are to determine the feasibility of implementing paclitaxel therapeutic drug monitoring for cancer patients and explore the relationship between paclitaxel drug exposure and the development of neuropathic symptoms. This trial studies if paclitaxel can be consistently measured in the blood of patients with solid tumors undergoing paclitaxel treatment. Drugs used in chemotherapy, such as paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Nerve damage is one of the most common and severe side effects of paclitaxel. The ability to consistently measure paclitaxel in the blood may allow doctors to control the dose of paclitaxel, so that enough chemotherapy is given to kill the cancer, but the side effect of nerve damage is reduced.

Conditions

Solid Tumor, AdultMetastatic Nonsmall Cell Lung CancerAnatomic Stage IV Breast Cancer AJCC v8Metastatic Cervical CarcinomaMetastatic Ovarian CarcinomaMalignant Uterine NeoplasmVulvar CancerInvasive Breast CancerMetastatic Breast CarcinomaPrognostic Stage IV Breast Cancer AJCC v8Recurrent Breast CarcinomaRecurrent Cervical CarcinomaRecurrent Lung Non-Small Cell CarcinomaRecurrent Ovarian CarcinomaRecurrent Vulvar CarcinomaStage IV Cervical Cancer AJCC v8Stage IV Lung Cancer AJCC v8Stage IV Vulvar Cancer AJCC v8Stage IV Ovarian Cancer AJCC v8Stage IVA Cervical Cancer AJCC v8Stage IVA Lung Cancer AJCC v8Stage IVA Ovarian Cancer AJCC v8Stage IVA Vulvar Cancer AJCC v8Stage IVB Cervical Cancer AJCC v8Stage IVB Lung Cancer AJCC v8Stage IVB Ovarian Cancer AJCC v8Stage IVB Vulvar Cancer AJCC v8Vulva Squamous Cell Carcinoma
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Related Conditions:

Solid Tumor, AdultMetastatic Nonsmall Cell Lung CancerAnatomic Stage IV Breast Cancer AJCC v8Metastatic Cervical CarcinomaMetastatic Ovarian CarcinomaMalignant Uterine NeoplasmVulvar CancerInvasive Breast CancerMetastatic Breast CarcinomaPrognostic Stage IV Breast Cancer AJCC v8Recurrent Breast CarcinomaRecurrent Cervical CarcinomaRecurrent Lung Non-Small Cell CarcinomaRecurrent Ovarian CarcinomaRecurrent Vulvar CarcinomaStage IV Cervical Cancer AJCC v8Stage IV Lung Cancer AJCC v8Stage IV Vulvar Cancer AJCC v8Stage IV Ovarian Cancer AJCC v8Stage IVA Cervical Cancer AJCC v8Stage IVA Lung Cancer AJCC v8Stage IVA Ovarian Cancer AJCC v8Stage IVA Vulvar Cancer AJCC v8Stage IVB Cervical Cancer AJCC v8Stage IVB Lung Cancer AJCC v8Stage IVB Ovarian Cancer AJCC v8Stage IVB Vulvar Cancer AJCC v8Vulva Squamous Cell Carcinoma

Study Overview

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Study Details

Study overview

The goals of this prospective, observational cohort study are to determine the feasibility of implementing paclitaxel therapeutic drug monitoring for cancer patients and explore the relationship between paclitaxel drug exposure and the development of neuropathic symptoms. This trial studies if paclitaxel can be consistently measured in the blood of patients with solid tumors undergoing paclitaxel treatment. Drugs used in chemotherapy, such as paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Nerve damage is one of the most common and severe side effects of paclitaxel. The ability to consistently measure paclitaxel in the blood may allow doctors to control the dose of paclitaxel, so that enough chemotherapy is given to kill the cancer, but the side effect of nerve damage is reduced.

Pilot Feasibility Study of Paclitaxel Therapeutic Drug Monitoring in Cancer Patients

Paclitaxel Therapeutic Drug Monitoring in Cancer Patients

Condition
Solid Tumor, Adult
Intervention / Treatment

-

Contacts and Locations

Winston-Salem

Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, United States, 27157

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Male or female sex
  • * Age ≥ 18 years
  • * Individuals receiving treatment at the Wake Forest Comprehensive Cancer Center who are anticipated to receive paclitaxel for curative or palliative intent, with or without surgery and/or radiation (i.e. neoadjuvant, adjuvant, or in the setting of recurrent or metastatic disease) as per decision with their medical oncologist for the following malignancies and dosing regimens:
  • * Invasive breast cancer (any HER2 and ER/PR status)
  • * Patients considered for curative or palliative chemotherapy with paclitaxel 80-175 mg/m2 with or without doxorubicin, cyclophosphamide, carboplatin, trastuzumab, bevacizumab, or pertuzumab
  • * Patients considered for curative or palliative chemotherapy with paclitaxel 60-175 mg/m2 with or without cisplatin, carboplatin, or bevacizumab
  • * Ability to understand and the willingness to sign an IRB-approved informed consent document (either directly or via a legally authorized representative)
  • * Patients with prior radiation treatment or surgery will not be disqualified from enrollment into the study, unless the aforementioned interventions resulted in peripheral neuropathy as a complication
  • * Prior treatment with PTX, for any duration or indication
  • * Prior treatment with neurotoxic chemotherapy including any taxane, vinca alkaloid, platinum-containing agent, bortezomib, or thalidomide that has resulted in clinical symptoms of persistent, CTCAE grade II or higher peripheral neuropathy
  • * Concurrent enrollment in a clinical study of a neuroprotective intervention at the time of study initiation
  • * Any contraindication to Paclitaxel (e.g. history of allergic reaction to paclitaxel or Kolliphor EL)
  • * Current signs or symptoms of peripheral neuropathy at the time of enrollment, e.g. due to diabetes, HIV, or other conditions
  • * Known personal or family history of hereditary peripheral neuropathy (e.g. Charcot-Marie-Tooth disease)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Wake Forest University Health Sciences,

Roy Strowd, MD, PRINCIPAL_INVESTIGATOR, Wake Forest University Health Sciences

Study Record Dates

2025-03