FATTAX: Influence of Body Composition on Chemotherapy Outcomes in Localized Breast Cancer
Study Details
Study Description
Brief Summary
The purpose of this study is to determine if pharmacokinetics of docetaxel is modified by the body composition (assessed by the BMI but also by CT-scan) in patients treated by docetaxel as adjuvant treatment of a localized breast cancer
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Half of the patients treated for a localized breast cancer are obese or overweighted. Recently published post-hoc analyses of a large randomised trial (BIG-2-98) revealed that BMI could impact the benefit of a docetaxel based chemotherapy, but not of an anthracyclin based chemotherapy.
One of the hypothesis is that the distribution volume of hydrophobic drugs, such as docetaxel, may be influenced by the BMI, and more precisely by the amount of total fat.
In that context, we aim to assess the docetaxel pharmacokinetics during its first exposure for localized breast cancer, and compare these results according to 3 groups of patients (lean, overweight and obese).
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Pharmocokinetics blood sample assessment during first administration of docetaxel several pharmacokinetics samples will be assessed |
Biological: pharmacokinetics blood sample assessment
pharmacokinetics blood sample assessment during the first exposure to docetaxel
|
Outcome Measures
Primary Outcome Measures
- Comparison of docetaxel area under courb between obese and lean patients [8 hours after the end of first cycle of docetaxel]
Secondary Outcome Measures
- Comparison of docetaxel area under courb between overweight and lean patients [8 hours after the end of first cycle of docetaxel]
- Comparison of docetaxel area under courb according to BMI versus body composition (assessed by CT scan) [8 hours after the end of first cycle of docetaxel]
- Interrelationship of docetaxel area under courb and docetaxel induced side effects [3 months after first cycle of docetaxel]
- Interrelationship between of body composition and leptine/adiponectine rates [8 hours after the end of first cycle of docetaxel]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Woman older than
-
Early breast cancer
-
CT-scan of less than 3 months, including L3 level
-
Indication of docetaxel at 100 mg/m² as adjuvant CT
Exclusion Criteria:
-
HER2 amplified or triple negative tumors
-
Pregnant or breastfeeding women
-
Patients under guardianship or curatorship
-
Concomitant administration of another cytotoxic drug or targeted therapy
-
Psychosocial disorder
-
Administration of another cytotoxic drug or targeted therapy within 20 days prior to blood collection
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Centre Henri Becquerel | Rouen | France | 76038 |
Sponsors and Collaborators
- Centre Henri Becquerel
- Erasmus Medical Center
- Universitaire Ziekenhuizen KU Leuven
Investigators
- Principal Investigator: Florian Clatot, Prof, Centre Henri Becquerel
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHB22.03