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Amendment on the CYPTAM documentation study: effect of CYP2D6 genotype on pharmacokinetics and clinical outcome in tamoxifen treated breast cancer patients:;(P07.234 CYPTAM study) Validation and optimization of 13C-dextrometorphan breath test (DM-BT) for CYP2D6 phenotyping

Amendment on the CYPTAM documentation study: effect of CYP2D6 genotype on pharmacokinetics and clinical outcome in tamoxifen treated breast cancer patients:;(P07.234 CYPTAM study) Validation and optimization of 13C-dextrometorphan breath test (DM-BT) for CYP2D6 phenotyping - CYPTAM second amendment

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON38059
Enrollment
6
Registered
2007-11-27
Start date
2008-02-14
Completion date
Unknown
Last updated
2024-06-18

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

Conditions

breast cancer

Interventions

Patients included in the amendment will be given 50 mg 13-C dextromethorphan, prior to the breath test. Subjects are asked to breath in a plastic bag for 11 times during each breath test. One sample

Sponsors

Leids Universitair Medisch Centrum
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1. Pre- and postmenopausal women who have already been using tamoxifen as part of a standard adjuvant therapy for newly diagnosed breast cancer;2. Willing and able to give written informed consent ;3. Age >= 18 years;4. Women who have already been enrolled in the first amendment on the CYPTAM documentation study ((P.07.234): Addition of CYP2D6 phenotyping by a 13C-dextrometorphan breath test (DM-BT)) and are currently on tamoxifen therapy for at least two months.

Exclusion criteria

Exclusion criteria: Inability or unwillingness to fast overnight prior to the study session. Inability or willingness to abstain from drinking alcohol for 24 h prior to the DM-BT. A diagnosis of pulmonary disease such as asthma or other respiratory disease associated with hypercapnia. Existence of metabolic or gastrointestinal disorders which influence absorption and/or gastric emptying. A demonstrated adverse reaction to previous dextromethorphan exposure. Impaired hepatic function as defined by >= Grade 3 AST, alkaline phosphatase or total bilirubin or a history of liver chirrosis Renal insufficiency Use of medication known to slow gastric emptying or gastrointestinal motility within 24 hours of the breath test (known to slow gastric emptying or gastrointestinal motility • The use of MAO inhibitors in the last two weeks Use of dextrometorphan cough syrup/tablets within 24 hours of the breath test.

Design outcomes

Primary

MeasureTime frame
Correlation between CYP2D6 phenotype (by 13C-dextromethorphan breath test) and endoxifen serum levels.

Secondary

MeasureTime frame
none

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)