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Therapeutic drug monitoring study for avoiding severe neutropenia of amrubicin therapy based on the exposure-response relationship with pharmacokinetic/pharmacodynamic parameters.

Therapeutic drug monitoring study for avoiding severe neutropenia of amrubicin therapy based on the exposure-response relationship with pharmacokinetic/pharmacodynamic parameters. - TDM study of Amrubicin

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000045953
Enrollment
44
Registered
2021-11-01
Start date
2021-11-25
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Small cell lung cancer

Interventions

Prediction by TDM/uncontrolled

Sponsors

Saitama Medical University
Lead Sponsor
National Cancer Center Hospital
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Patients with histologically or cytologically diagnosed small cell lung cancer. (2) Patients who have received platinum-based chemotherapy and are scheduled for treatment with amrubicin hydrochloride. (3) Patients aged 20 years or older at the time of consent acquisition. 4) ECOG performance status of 0 or 1 at the time of enrollment 5) Body surface area less than 2.0 m2 immediately before enrollment (up to 2 weeks before the start of treatment) (6) Patients who can understand the explanation and consent documents for this clinical trial and have obtained written consent from the patient.

Exclusion criteria

Exclusion criteria: (1) Patients who have received treatment with amrubicin hydrochloride in the past. 2) Patients who require concomitant use of other anticancer drugs, immunotherapy, or concomitant use of thoracic irradiation. (3) Patients who have received anticancer drugs (excluding immune check inhibitors) within 3 weeks prior to enrollment or within 5 times the half-life of other therapies, whichever is shorter, or who have not recovered from the toxicity of these previous therapies (grade 1 or up to baseline). (4) Patients who have not recovered from the toxicity of radiation or major surgery performed prior to the start of enrollment (Grade 1 or baseline). (5) Patients with symptomatic unstable brain metastasis or central nervous system invasion (6) Patients currently participating in other clinical trials. (6) Patients currently participating in other clinical trials, but not excluded if they are undergoing follow-up after the completion of the trial or if participation in this clinical trial is permitted in the relevant trial. (7) Female patients who may be pregnant, or pregnant or lactating women. (8) Active infectious diseases requiring systemic administration of antimicrobial agents (prophylactic administration is not excluded) Fluid retention (pleural effusion, pericardial effusion) that requires puncture and drainage within 14 days prior to enrollment and continuous treatment after the procedure Poorly controlled heart failure, coronary artery disease, arrhythmia, arteriovenous thrombosis, cerebral infarction, diabetes mellitus, autoimmune disease, psychiatric symptoms Complications of interstitial pneumonia or pulmonary fibrosis evident on chest x-ray (including pre-existing conditions) (9) COVID-19 positive patients (10) HIV-positive patients

Design outcomes

Primary

MeasureTime frame
Percentage of FN expression in the first course of treatment

Secondary

MeasureTime frame
Percentage of severe neutropenia in the first course of treatment Relative Dose Intensity (RDI) Progression-free survival Overall survival Cost-effectiveness

Countries

Japan

Contacts

Public ContactYoshinori Makino

Saitama Medical University International Medical Center Cancer Genome Medicine / Pharmacy

ymakino@saitama-med.ac.jp0429844161

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026