Prevention of Heart Failure Induced by Doxorubicin With Early Administration of Dexrazoxane (PHOENIX1)
Primary Purpose
Healthy
Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Dexrazoxane
Sponsored by
About this trial
This is an interventional prevention trial for Healthy
Eligibility Criteria
Inclusion Criteria:
- Women,
- Age 18-65,
- Not pregnant, Not currently breast feeding
- No current illness,
Exclusion Criteria:
- Pregnancy, currently breast feeding
- Current illness,
- History of cardiac, or renal disease
Sites / Locations
- University of Arkansas for Medical SciencesRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Dexrazoxane 100mg/m2
Dexrazoxane 200mg/m2
Dexrazoxane 300mg/m2
Dexrazoxane 400mg/m2
Dexrazoxane 500mg/m2
Arm Description
one dose of 100mg/m2 dexrazoxane
one dose of 200mg/m2 dexrazoxane
one dose of 300mg/m2 dexrazoxane
one dose of 400mg/m2 dexrazoxane
one dose of 500 mg/m2
Outcomes
Primary Outcome Measures
Degradation of Topoisomerase 2 b
Topoisomerase 2 b degradation to less than 15 percent of baseline level in human blood of 5 volunteers.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03930680
Brief Title
Prevention of Heart Failure Induced by Doxorubicin With Early Administration of Dexrazoxane
Acronym
PHOENIX1
Official Title
Prevention of Heart Failure Induced by Doxorubicin With Early Administration of Dexrazoxane in Patients With Breast Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 14, 2021 (Actual)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
June 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Arkansas
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this research study is to determine whether early administration of Dexrazoxane prevents Doxorubicin induced cardiotoxicity.
Detailed Description
This is a study on volunteers to determine effective dose of dexrazoxane in degrading Topoisomerase 2 b in human blood samples. Each participant will receive one dose of dexrazoxane. Blood samples will be collected to determine the time course and degradation of Topoisomerase 2b and Topoisomerase 2a
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Each subject will receive one dose of dexrazoxane.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Dexrazoxane 100mg/m2
Arm Type
Experimental
Arm Description
one dose of 100mg/m2 dexrazoxane
Arm Title
Dexrazoxane 200mg/m2
Arm Type
Experimental
Arm Description
one dose of 200mg/m2 dexrazoxane
Arm Title
Dexrazoxane 300mg/m2
Arm Type
Experimental
Arm Description
one dose of 300mg/m2 dexrazoxane
Arm Title
Dexrazoxane 400mg/m2
Arm Type
Experimental
Arm Description
one dose of 400mg/m2 dexrazoxane
Arm Title
Dexrazoxane 500mg/m2
Arm Type
Experimental
Arm Description
one dose of 500 mg/m2
Intervention Type
Drug
Intervention Name(s)
Dexrazoxane
Other Intervention Name(s)
Zinecard
Intervention Description
One dose of dexrazoxane
Primary Outcome Measure Information:
Title
Degradation of Topoisomerase 2 b
Description
Topoisomerase 2 b degradation to less than 15 percent of baseline level in human blood of 5 volunteers.
Time Frame
48 hours after administration
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Women,
Age 18-65,
Not pregnant, Not currently breast feeding
No current illness,
Exclusion Criteria:
Pregnancy, currently breast feeding
Current illness,
History of cardiac, or renal disease
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hui-Ming Chang, MD,MPH
Phone
501-686-7575
Email
hchang@uams.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Edward TH Yeh, MD
Phone
501-686-7045
Email
eyeh@uams.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hui-Ming Chang, MD,MPH
Organizational Affiliation
University of Arkansas
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Arkansas for Medical Sciences
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hui-Ming Chang, MD, MPH
Phone
501-686-7575
Email
hchang@uams.edu
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
29145954
Citation
Chang HM, Moudgil R, Scarabelli T, Okwuosa TM, Yeh ETH. Cardiovascular Complications of Cancer Therapy: Best Practices in Diagnosis, Prevention, and Management: Part 1. J Am Coll Cardiol. 2017 Nov 14;70(20):2536-2551. doi: 10.1016/j.jacc.2017.09.1096. Erratum In: J Am Coll Cardiol. 2018 Feb 6;71(5):587.
Results Reference
background
PubMed Identifier
23104132
Citation
Zhang S, Liu X, Bawa-Khalfe T, Lu LS, Lyu YL, Liu LF, Yeh ET. Identification of the molecular basis of doxorubicin-induced cardiotoxicity. Nat Med. 2012 Nov;18(11):1639-42. doi: 10.1038/nm.2919. Epub 2012 Oct 28.
Results Reference
background
PubMed Identifier
23861158
Citation
Lipshultz SE, Lipsitz SR, Kutok JL, Miller TL, Colan SD, Neuberg DS, Stevenson KE, Fleming MD, Sallan SE, Franco VI, Henkel JM, Asselin BL, Athale UH, Clavell LA, Michon B, Laverdiere C, Larsen E, Kelly KM, Silverman LB. Impact of hemochromatosis gene mutations on cardiac status in doxorubicin-treated survivors of childhood high-risk leukemia. Cancer. 2013 Oct 1;119(19):3555-62. doi: 10.1002/cncr.28256. Epub 2013 Jul 16.
Results Reference
background
PubMed Identifier
6093249
Citation
Tewey KM, Rowe TC, Yang L, Halligan BD, Liu LF. Adriamycin-induced DNA damage mediated by mammalian DNA topoisomerase II. Science. 1984 Oct 26;226(4673):466-8. doi: 10.1126/science.6093249.
Results Reference
background
PubMed Identifier
14583452
Citation
Olson LE, Bedja D, Alvey SJ, Cardounel AJ, Gabrielson KL, Reeves RH. Protection from doxorubicin-induced cardiac toxicity in mice with a null allele of carbonyl reductase 1. Cancer Res. 2003 Oct 15;63(20):6602-6.
Results Reference
background
PubMed Identifier
14597774
Citation
Azuma Y, Arnaoutov A, Dasso M. SUMO-2/3 regulates topoisomerase II in mitosis. J Cell Biol. 2003 Nov 10;163(3):477-87. doi: 10.1083/jcb.200304088. Epub 2003 Nov 3.
Results Reference
background
PubMed Identifier
17875725
Citation
Lyu YL, Kerrigan JE, Lin CP, Azarova AM, Tsai YC, Ban Y, Liu LF. Topoisomerase IIbeta mediated DNA double-strand breaks: implications in doxorubicin cardiotoxicity and prevention by dexrazoxane. Cancer Res. 2007 Sep 15;67(18):8839-46. doi: 10.1158/0008-5472.CAN-07-1649.
Results Reference
background
PubMed Identifier
9193323
Citation
Swain SM, Whaley FS, Gerber MC, Weisberg S, York M, Spicer D, Jones SE, Wadler S, Desai A, Vogel C, Speyer J, Mittelman A, Reddy S, Pendergrass K, Velez-Garcia E, Ewer MS, Bianchine JR, Gams RA. Cardioprotection with dexrazoxane for doxorubicin-containing therapy in advanced breast cancer. J Clin Oncol. 1997 Apr;15(4):1318-32. doi: 10.1200/JCO.1997.15.4.1318.
Results Reference
background
PubMed Identifier
27371756
Citation
Bluethmann SM, Mariotto AB, Rowland JH. Anticipating the "Silver Tsunami": Prevalence Trajectories and Comorbidity Burden among Older Cancer Survivors in the United States. Cancer Epidemiol Biomarkers Prev. 2016 Jul;25(7):1029-36. doi: 10.1158/1055-9965.EPI-16-0133.
Results Reference
background
PubMed Identifier
29145955
Citation
Chang HM, Okwuosa TM, Scarabelli T, Moudgil R, Yeh ETH. Cardiovascular Complications of Cancer Therapy: Best Practices in Diagnosis, Prevention, and Management: Part 2. J Am Coll Cardiol. 2017 Nov 14;70(20):2552-2565. doi: 10.1016/j.jacc.2017.09.1095.
Results Reference
background
PubMed Identifier
24638000
Citation
Armstrong GT, Kawashima T, Leisenring W, Stratton K, Stovall M, Hudson MM, Sklar CA, Robison LL, Oeffinger KC. Aging and risk of severe, disabling, life-threatening, and fatal events in the childhood cancer survivor study. J Clin Oncol. 2014 Apr 20;32(12):1218-27. doi: 10.1200/JCO.2013.51.1055. Epub 2014 Mar 17.
Results Reference
background
PubMed Identifier
20159360
Citation
Darby SC, Cutter DJ, Boerma M, Constine LS, Fajardo LF, Kodama K, Mabuchi K, Marks LB, Mettler FA, Pierce LJ, Trott KR, Yeh ET, Shore RE. Radiation-related heart disease: current knowledge and future prospects. Int J Radiat Oncol Biol Phys. 2010 Mar 1;76(3):656-65. doi: 10.1016/j.ijrobp.2009.09.064.
Results Reference
background
PubMed Identifier
14564513
Citation
Swain SM, Vici P. The current and future role of dexrazoxane as a cardioprotectant in anthracycline treatment: expert panel review. J Cancer Res Clin Oncol. 2004 Jan;130(1):1-7. doi: 10.1007/s00432-003-0498-7. Epub 2003 Oct 17.
Results Reference
background
PubMed Identifier
27541948
Citation
Yeh ET, Chang HM. Oncocardiology-Past, Present, and Future: A Review. JAMA Cardiol. 2016 Dec 1;1(9):1066-1072. doi: 10.1001/jamacardio.2016.2132.
Results Reference
background
PubMed Identifier
4290058
Citation
Tan C, Tasaka H, Yu KP, Murphy ML, Karnofsky DA. Daunomycin, an antitumor antibiotic, in the treatment of neoplastic disease. Clinical evaluation with special reference to childhood leukemia. Cancer. 1967 Mar;20(3):333-53. doi: 10.1002/1097-0142(1967)20:33.0.co;2-k. No abstract available.
Results Reference
background
PubMed Identifier
496103
Citation
Von Hoff DD, Layard MW, Basa P, Davis HL Jr, Von Hoff AL, Rozencweig M, Muggia FM. Risk factors for doxorubicin-induced congestive heart failure. Ann Intern Med. 1979 Nov;91(5):710-7. doi: 10.7326/0003-4819-91-5-710.
Results Reference
background
PubMed Identifier
6293697
Citation
Doroshow JH. Effect of anthracycline antibiotics on oxygen radical formation in rat heart. Cancer Res. 1983 Feb;43(2):460-72.
Results Reference
background
PubMed Identifier
7350193
Citation
Doroshow JH, Locker GY, Myers CE. Enzymatic defenses of the mouse heart against reactive oxygen metabolites: alterations produced by doxorubicin. J Clin Invest. 1980 Jan;65(1):128-35. doi: 10.1172/JCI109642.
Results Reference
background
PubMed Identifier
1997858
Citation
Doroshow JH. Doxorubicin-induced cardiac toxicity. N Engl J Med. 1991 Mar 21;324(12):843-5. doi: 10.1056/NEJM199103213241210. No abstract available.
Results Reference
background
PubMed Identifier
18669466
Citation
Gianni L, Herman EH, Lipshultz SE, Minotti G, Sarvazyan N, Sawyer DB. Anthracycline cardiotoxicity: from bench to bedside. J Clin Oncol. 2008 Aug 1;26(22):3777-84. doi: 10.1200/JCO.2007.14.9401.
Results Reference
background
PubMed Identifier
3917371
Citation
Herman EH, Ferrans VJ, Myers CE, Van Vleet JF. Comparison of the effectiveness of (+/-)-1,2-bis(3,5-dioxopiperazinyl-1-yl)propane (ICRF-187) and N-acetylcysteine in preventing chronic doxorubicin cardiotoxicity in beagles. Cancer Res. 1985 Jan;45(1):276-81.
Results Reference
background
PubMed Identifier
6340204
Citation
Myers C, Bonow R, Palmeri S, Jenkins J, Corden B, Locker G, Doroshow J, Epstein S. A randomized controlled trial assessing the prevention of doxorubicin cardiomyopathy by N-acetylcysteine. Semin Oncol. 1983 Mar;10(1 Suppl 1):53-5. No abstract available.
Results Reference
background
PubMed Identifier
19010377
Citation
Martin E, Thougaard AV, Grauslund M, Jensen PB, Bjorkling F, Hasinoff BB, Tjornelund J, Sehested M, Jensen LH. Evaluation of the topoisomerase II-inactive bisdioxopiperazine ICRF-161 as a protectant against doxorubicin-induced cardiomyopathy. Toxicology. 2009 Jan 8;255(1-2):72-9. doi: 10.1016/j.tox.2008.10.011. Epub 2008 Oct 25.
Results Reference
background
PubMed Identifier
1380833
Citation
Capranico G, Tinelli S, Austin CA, Fisher ML, Zunino F. Different patterns of gene expression of topoisomerase II isoforms in differentiated tissues during murine development. Biochim Biophys Acta. 1992 Aug 17;1132(1):43-8. doi: 10.1016/0167-4781(92)90050-a.
Results Reference
background
PubMed Identifier
20448213
Citation
Wang J, Zhang S, Rabinovich B, Bidaut L, Soghomonyan S, Alauddin MM, Bankson JA, Shpall E, Willerson JT, Gelovani JG, Yeh ET. Human CD34+ cells in experimental myocardial infarction: long-term survival, sustained functional improvement, and mechanism of action. Circ Res. 2010 Jun 25;106(12):1904-11. doi: 10.1161/CIRCRESAHA.110.221762. Epub 2010 May 6.
Results Reference
background
PubMed Identifier
9768817
Citation
Hasinoff BB. Chemistry of dexrazoxane and analogues. Semin Oncol. 1998 Aug;25(4 Suppl 10):3-9.
Results Reference
background
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Prevention of Heart Failure Induced by Doxorubicin With Early Administration of Dexrazoxane
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