Childhood Cancer, Neutropenia
Conditions
Brief summary
To validate blood draws via a central venous catheter (Port A Cath ®) for pharmacokinetic studies of ciprofloxacin in patients under treatment for childhood cancer.
Detailed description
The concentration of cipro will be determined using a validated high-performance liquid chromatographic (HPLC) method with fluorescence detection. Unbound concentration will be determined by adjusting the pH of the plasma samples to physiological pH (7.4) in a CO2 incubator, followed by ultrafiltration and extraction of ciprofloxacin from the ultrafiltrate (as described above) prior to injection onto the HPLC system.
Interventions
Ciprofloxacin will be administered via the PAC directly followed by a NaCl 0.9% flush to wash the PAC. At least 1 hour afterwards 500 microliter of blood will be drawn via the PAC. Directly hereafter a blood draw of 500 microliter will be performed either via capillary blood sampling or via a venipuncture. If an anaesthesia is foreseen for another procedure (e.g. a lumbar puncture or an osseous punction), we will strive to perform the peripheral blood draw under anaesthesia.
Sponsors
Study design
Eligibility
Inclusion criteria
Children who * are between 1 month and 18 years of age * are under treatment for any type of childhood cancer * use ciprofloxacin for prophylaxis of febrile neutropenia as part of regular treatment * have a PAC for intravenous medication and blood draws.
Exclusion criteria
Children will be excluded from this study if we are unable to * obtain informed consent of both parents and assent of the child (if he/she is over 12 years of age) * aspire blood from the PAC.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation between ciprofloxacin concentration drawn via Port a Cath (PAC) versus capillary/venous punction | 1 hour |
Countries
Belgium