intestinal cancer
Conditions
Interventions
A 5-FU dosing algorithm will be applied in this study to adjust the 5-FU
exposure in patients until the target window of 20-30 mg*h/L or dose limiting
toxicity has been reached. All other procedures
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Patient undergoing FOLFOX, FOLFIRI or FOLFIRINOX treatment. 2. Patient with age >= 18. 3. Patient is able and willing to give written informed consent. 4. Patient is able and willing to undergo extra blood sampling for 5-FU analysis.
Exclusion criteria
Exclusion criteria: 1. Patients with known substance abuse, psychotic disorders, and/or other diseases expected to interfere with study or the patient*s safety. 2. Inability to perform additional blood sampling in patient.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of the patients that achieve optimal 5-FU exposure within two dose cycles of 5-FU, which is defined by an AUC target of 5-FU between 20 and 30 mg h/L or dose limiting toxicity. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints of this study are: the minimum amount of blood sample required to safely adjust 5-FU dosing in our routine clinical practice, AUC contribution of 5-FU bolus infusion in PK model versus simple formula (Css x t), frequency of AEs below, within and above target window, intra-individual variation in 5-FU AUC, correlation DPD activity with 5-FU exposure and toxicity and the correlation between AEs and total 5-FU exposure. | — |
Countries
Netherlands
Outcome results
None listed