CHildren Treated With Vincristine: A Trial Regarding Pharmacokinetics, DNA And Toxicity of Targeted Therapy In Pediatric Oncology Patients.
NCT05844670 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2023-05-06
Summary
The goal of this clinical trial is to individualize the dosage of vincristine, a chemotherapy drug, in children with cancer. The main question it aims to answer is: can vincristine dosage be optimized while carefully monitoring toxicity.
The following will happen:
* Participants will receive vincristine according to the institutional treatment protocol.
* After receiving vincristine, blood samples will be taken at three time points.
* The amount of vincristine in the blood samples will be determined.
* If the amount of vincristine in the blood samples is lower than the reference and the participants do not experience toxicity due to vincristine, the dose of vincristine may be increased.
* Toxicity will be carefully monitored.
Conditions
- Pediatric Cancer
Interventions
- DRUG
-
Vincristine
The initial vincristine dosage will be according to institutional treatment protocol. After vincristine administration, three blood samples will be taken at T=1, T=1.5 and T=4 hours. The concentration of vincristine will be analyzed in the samples. If the concentration of 2 or more samples is lower than the reference concentration and there is no toxicity, an advice will be given to increase dosage by 20%. Whether or not a dosage is given, vincristine concentrations will be measured again for the next dose administration. For the feasibility study, both venous blood samples and finger prick blood samples using Mitra tips will be taken. The cycle can be repeated maximum 2 times. For the rest of the study, finger prick blood samples using Mitra tips will be taken. The cycle can be repeated maximum 3 times. Toxicity will be monitored through physical exam and questionnaire, bilirubin levels and clinical status of the patient.
Sponsors & Collaborators
-
Princess Maxima Center for Pediatric Oncology
collaborator OTHER -
Amsterdam UMC, location VUmc
collaborator OTHER -
Moi University
lead OTHER
Principal Investigators
-
Festus M Njuguna, MD, PhD · Moi University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 2 Years
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-20
- Primary Completion
- 2024-08-01
- Completion
- 2024-11-01
Countries
- Kenya
Study Locations
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