Kidney Impairment
Conditions
Keywords
nephrotoxic chemotherapy, pediatric cancer patients, renal adverse drug events, renal function, renal tubular injury, Uromodulin, drug related kidney injury, kidney markers
Brief summary
This study is to investigate blood and urine kidney injury markers (especially Uromodulin) in pediatric cancer patients treated with nephrotoxic chemotherapy. Uromodulin is a marker to detect and monitor tubular injury and renal function.
Interventions
blood test for renal biomarkers (uromodulin,Neutrophil gelatinase-associated lipocalin, beta-trace protein, creatinine, cystatin C)
urine test for renal biomarkers (uromodulin, alpha-1 microglobulin, retinol-binding protein, Neutrophil gelatinase-associated lipocalin (NGAL), beta-trace protein, cylinder, albumin, immunoglobulin G (IgG), transferrin, creatinine)
Sponsors
Study design
Eligibility
Inclusion criteria
* signed informed consent by their-selves (≥ 14 years) or their legal representatives (\< 14 years or in case of lacking capacity of judgement) * cancer diagnosis, that indicates a nephrotoxic chemotherapy including the drugs High Dose MTX (HD-MTX), ifosfamide, cis- and carboplatin.
Exclusion criteria
* critically-ill patients with inotropic and/or vasopressor drugs * signs of severe Sepsis * receiving other nephrotoxic drugs parallel to the chemotherapy cycle
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in serum uromodulin levels (ng/ml) | from baseline (i.e. prior to first nephrotoxic chemotherapy cycle) to post-baseline (i.e. at the end of the first nephrotoxic chemotherapy cycle exposure); depending on chemotherapy protocol (maximally 24 - 72 hours) | Change in serum uromodulin levels (ng/ml) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in serum uromodulin levels (ng/ml) | at baseline (i.e. prior to first nephrotoxic chemotherapy cycle) and post-baseline (i.e. before, dur-ing and at the end of each nephrotoxic chemotherapy cycle),maximally 6- 9 months | Change in serum uromodulin levels (ng/ml) |
| Change in urine uromodulin levels (ng/ml) | at baseline (i.e. prior to first nephrotoxic chemotherapy cycle) and post-baseline (i.e. before, dur-ing and at the end of each nephrotoxic chemotherapy cycle), maximally 6- 9 months | Change in urine uromodulin levels (ng/ml) |
Countries
Switzerland