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Trial Title: Evaluating a Pharmacogenetic Testing Panel in Patients Suspected to be at Increased Risk for Pharmacogenetics-related AEs While Receiving Fluoropyrimidine or Irinotecan Therapy

NCT ID: NCT05583422

Condition: Cancer

Conditions: Keywords:
DPYD
UGT1A1

Study type: Interventional

Study phase: N/A

Overall status: Active, not recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Genetic
Intervention name: DPYD or UGT1A1 variants
Description: any CLIA certified lab can be used for confirmatory testing after patients have been identified through Michigan Genomics Initiative (MGI)
Arm group label: Cases

Summary: This study will be evaluating patients suspected to carry DPYD or UGT1A1 variants based off of Michigan Genomics Initiative (MGI) results. Standard of care treatment will be initiated with either Fluoropyrimidine or Irinotecan therapy. Retrospective collection of treatment related AEs and SAEs, dose delays, dose reductions, and treatment discontinuations will be completed.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age > 18 years - Prospectively enrolled cases: A. Suspected to carry an actionable DPYD phenotype per MGI and initiating treatment with systemic FP OR suspected to carry an actionable UGT1A1 phenotype per MGI and initiating treatment with irinotecan for cancer B. The ability to understand and the willingness to sign a written informed consent. - Retrospective cases: A. Confirmed actionable DPYD phenotype before treatment with systemic FP OR confirmed actionable UGT1A1 phenotype before treatment with irinotecan B. Clinician initiated dose reduction of the fluoropyrimidine or irinotecan therapy based upon genotype result - Retrospective controls: A. Suspected actionable DPYD phenotype per MGI and treatment with systemic FP OR suspected actionable UGT1A1 phenotype per MGI and treatment with irinotecan Exclusion Criteria: - For prospective cases, prior treatment with systemic FP if suspected to carry an actionable DPYD phenotype - For prospective cases, prior treatment with irinotecan if suspected to carry an actionable UGT1A1 phenotype - For prospective cases, inability to understand consent or make health-related decisions - History of allogeneic bone marrow transplant prior to genotype testing - History of liver transplant

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of Michigan Rogel Cancer Center

Address:
City: Ann Arbor
Zip: 48109
Country: United States

Start date: August 18, 2023

Completion date: December 2025

Lead sponsor:
Agency: University of Michigan Rogel Cancer Center
Agency class: Other

Source: University of Michigan Rogel Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05583422

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