Breast Cancer Clinical Trial

Pharmacokinetic Study of Skeletal Muscle Area-based Paclitaxel Infusion in Patients With Breast Cancer

Summary

The primary objective of this pharmacokinetics study is to compare the maximum concentration level of paclitaxel in patients with low/sarcopenic skeletal muscle area (SMA), at the end of a 2-3 hour paclitaxel infusion, to the maximum level in patients with normal SMA at the end of a standard 1-hour infusion with the goal of determining whether lengthening the infusion in patients with low/sarcopenic SMA normalizes the levels to those of patients with normal SMA.

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Full Description

Paclitaxel is an FDA-approved and commonly used standard of care agent for patients with early-stage breast cancer. This study will use the standard dose of 80 mg/m^2, including the typical pre-medications as per University of Michigan Rogel Cancer Center institutional standard. The only investigational component of this study is lengthening the infusion duration from 1-hour to 2 or 3 hours for a single dose in patients with low SMA.

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Eligibility Criteria

Inclusion Criteria:

Stage 1-3 breast cancer
Planned neoadjuvant, adjuvant, or curative intent paclitaxel 80 mg/m^2, 1-hour infusion (note: combination treatment, e.g., trastuzumab, pertuzumab, carboplatin, or pembrolizumab, and prior treatment, e.g., doxorubicin and cyclophosphamide, are allowable.
Evaluable computed tomography (CT) scan, e.g., scan of the chest, abdomen, or pelvis for any indication within 1 year.
Adequate organ function based on paclitaxel label.
Ability to understand and the willingness to sign a written informed consent.

Exclusion Criteria:

Concomitant administration of any moderate or strong inducer or inhibitor of CYP2C8, including rifampin or clopidogrel.
History of hypersensitivity reaction to paclitaxel or any components of paclitaxel (e.g., Cremophor EL) that precludes continued treatment with standard dose and infusion length
Pregnant or nursing

Study is for people with:

Breast Cancer

Phase:

Phase 4

Estimated Enrollment:

22

Study ID:

NCT05183126

Recruitment Status:

Recruiting

Sponsor:

University of Michigan Rogel Cancer Center

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There is 1 Location for this study

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University of Michigan Rogel Cancer Center
Ann Arbor Michigan, 48109, United States More Info
Daniel L Hertz, PharmD, PhD
Principal Investigator

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Study is for people with:

Breast Cancer

Phase:

Phase 4

Estimated Enrollment:

22

Study ID:

NCT05183126

Recruitment Status:

Recruiting

Sponsor:


University of Michigan Rogel Cancer Center

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