relationship between the CYP3A and CYP2D6 probe dextromethorphan and the pharmacokinetics of tamoxifen in breast cancer patients who require tamoxifen monotherapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histological or cytological confirmed history of breast cancer for which treatment with tamoxifen monotherapy is indicated; 2. Age> or = 18 years; 3. WHO 0 or 1; 4. Adequate renal and hepatic functions; 5. Adequate hematological function; 6. Written informed consent; 7. Use of tamoxifen monotherapy for at least 3 weeks.
Exclusion criteria
Exclusion criteria: 1. Pregnant or lactating patients; 2. Patients with reproductive potential must use a reliable method of contraception; 3. Impossibility to take oral drugs; 4. Serious illness or medical unstable condition requiring treatment; 5. Symptomatic CNS-metastases or history of psychiatric disorder that would prohibit the understanding and giving of ijnformed consent; 6. Unwillingness to abstain form grapefruit (juice), (herbal) dietary supplements, herbals and over the counter medication (except paracetamol and ibuprofen) and other drugs known for to seriously interact with CYP3A and/or ABCB1 and/or ABCG2 during the study period; 7. Use of strong CYP3A and/or P-glycoprotein inhibiting and inducing medication, dietary supplements or other inhibiting compounds.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Relationships between dextromethorphan clearance and the clearance of tamoxifen in breast cancer patients. | — |
Secondary
| Measure | Time frame |
|---|---|
| Relationships between other PK-parameters (AUC, Cmax and Tmax); effects of known polymorphisms in CYP2D6 and CYP3A and other relevant drug metabolizing enzymes and transporters on the pahrmacokinetics of tamoxifen and dextromethorphan. | — |