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Nerve Function in Older Diabetic Patients Who Are Undergoing Chemotherapy for Metastatic Solid Tumors

Primary Purpose

Neurotoxicity, Unspecified Adult Solid Tumor, Protocol Specific

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
management of therapy complications
Sponsored by
Case Comprehensive Cancer Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Neurotoxicity focused on measuring neurotoxicity, unspecified adult solid tumor, protocol specific

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Diagnosis of solid tumor Metastatic disease (stage IV) Planning neoadjuvant or adjuvant treatment of locoregional definitive or systemic therapy comprising ≥ 1 of the following: Taxane (paclitaxel or docetaxel) Platinum (cisplatin, carboplatin, or oxaliplatin) Diagnosis of type I or II diabetes mellitus PATIENT CHARACTERISTICS: Performance status Not specified Life expectancy Not specified Hematopoietic Not specified Hepatic Not specified Renal Not specified Other No other disease that reduces peripheral nerve function (e.g., HIV/AIDS, uremia, spinal injuries, alcoholism, or CNS problems) PRIOR CONCURRENT THERAPY: Chemotherapy See Disease Characteristics No prior chemotherapy No prior or concurrent neurotoxic drugs (i.e., vincristine)

Sites / Locations

  • Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center

Outcomes

Primary Outcome Measures

Cutaneous sensation as measured by Semmes-Weinstein monofilaments
Gait and balance as measured by Tinetti Performance Oriented Assessment of Gait and Balance Instrument
Vibration as measured by tuning fork
Lower extremity muscle strength as measured by Dynamometer
Blood pressure changes
Glycemic control as measured by Glycosylated Hemoglobin Assay

Secondary Outcome Measures

Full Information

First Posted
December 7, 2005
Last Updated
June 10, 2010
Sponsor
Case Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00263861
Brief Title
Nerve Function in Older Diabetic Patients Who Are Undergoing Chemotherapy for Metastatic Solid Tumors
Official Title
Impact of Treatment With Taxane or Platinum-Containing Regimens on Peripheral Nerve Functioning in Older Cancer Patients With Diabetes: An Exploratory Study
Study Type
Interventional

2. Study Status

Record Verification Date
June 2010
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
September 2007 (Actual)
Study Completion Date
September 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Case Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Learning about the side effects of chemotherapy may help plan treatment and may help patients live more comfortably. PURPOSE: This clinical trial is studying nerve function in older diabetic patients who are undergoing chemotherapy for metastatic solid tumors.
Detailed Description
OBJECTIVES: Primary Determine changes in peripheral nerve function in older patients with diabetes and metastatic solid tumors treated with taxane or platinum-containing chemotherapy regimens. Determine the extent to which age, pre-existing diabetes mellitus, and level of glycemic control predict a differential pattern in outcome beyond the effect of the drugs in patients treated with these regimens. Develop a clinical assessment that would predict whether or not patients with diabetes mellitus are more or less susceptible to the neurotoxic effects of chemotherapy. OUTLINE: This is a longitudinal study. Patients undergo an interview and clinical evaluation to measure demographic data, cutaneous sensation, gait and balance, vibration, lower extremity muscle strength, orthostatic blood pressure, and glycemic control. Patients are evaluated at baseline, every 3 weeks during chemotherapy for up to 4 treatments, and at 2 months after completion of treatment. PROJECTED ACCRUAL: A total of 50 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neurotoxicity, Unspecified Adult Solid Tumor, Protocol Specific
Keywords
neurotoxicity, unspecified adult solid tumor, protocol specific

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Procedure
Intervention Name(s)
management of therapy complications
Intervention Description
Patients undergo an interview and clinical evaluation to measure demographic data, cutaneous sensation, gait and balance, vibration, lower extremity muscle strength, orthostatic blood pressure, and glycemic control.
Primary Outcome Measure Information:
Title
Cutaneous sensation as measured by Semmes-Weinstein monofilaments
Time Frame
baseline, every 3 weeks for 4 courses, and then 2 months after completion of study treatment
Title
Gait and balance as measured by Tinetti Performance Oriented Assessment of Gait and Balance Instrument
Time Frame
baseline, every 3 weeks for 4 courses, and then 2 months after completion of study treatment
Title
Vibration as measured by tuning fork
Time Frame
baseline, every 3 weeks for 4 courses, and then 2 months after completion of study treatment
Title
Lower extremity muscle strength as measured by Dynamometer
Time Frame
baseline, every 3 weeks for 4 courses, and then 2 months after completion of study treatment
Title
Blood pressure changes
Time Frame
baseline, every 3 weeks for 4 courses, and then 2 months after completion of study treatment
Title
Glycemic control as measured by Glycosylated Hemoglobin Assay
Time Frame
baseline, every 3 weeks for 4 courses, and then 2 months after completion of study treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of solid tumor Metastatic disease (stage IV) Planning neoadjuvant or adjuvant treatment of locoregional definitive or systemic therapy comprising ≥ 1 of the following: Taxane (paclitaxel or docetaxel) Platinum (cisplatin, carboplatin, or oxaliplatin) Diagnosis of type I or II diabetes mellitus PATIENT CHARACTERISTICS: Performance status Not specified Life expectancy Not specified Hematopoietic Not specified Hepatic Not specified Renal Not specified Other No other disease that reduces peripheral nerve function (e.g., HIV/AIDS, uremia, spinal injuries, alcoholism, or CNS problems) PRIOR CONCURRENT THERAPY: Chemotherapy See Disease Characteristics No prior chemotherapy No prior or concurrent neurotoxic drugs (i.e., vincristine)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Constance Visovsky, PhD, RN, ACNP
Organizational Affiliation
Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106-5047
Country
United States

12. IPD Sharing Statement

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Nerve Function in Older Diabetic Patients Who Are Undergoing Chemotherapy for Metastatic Solid Tumors

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