A Phase III Randomized Trial Assessing the Utility of a Test Dose Program With Taxanes
Study Details
Study Description
Brief Summary
The purpose of this study are to determine whether a test dose program for taxanes will reduce the rate and/or severity of hypersensitivity reactions (HSR); and to determine whether a test dose program for taxanes will result in cost reduction due to decreased drug wastage.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Detailed Description
Patients will be randomized on to one of two arms:
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Test dose arm 1 mg paclitaxel or docetaxel test dose is prepared in 3 ml of normal saline and administered over two to five minutes IV push at least 30 minutes after prescribed IV and PO pre-medications. If no discernable adverse reaction ensues, the balance of the taxane dose is prepared and administered as per standard or specific chemotherapy protocol.
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Non test dose arm The full taxane dose is prepared and administered as per standard or specific chemotherapy protocol, at least 30 minutes after prescribed IV and PO pre-medications.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: 1 Test Dose
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Drug: paclitaxel, docetaxel, taxane
1 mg paclitaxel or docetaxel test dose is prepared in 3 ml of normal saline and administered over two to five minutes IV push at least 30 minutes after prescribed IV and PO pre-medications. If no discernable adverse reaction ensues, the balance of the taxane dose is prepared and administered as per standard or specific chemotherapy protocol.
Other Names:
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Active Comparator: 2) Non test dose arm
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Drug: taxane
The full taxane dose is prepared and administered as per standard or specific chemotherapy protocol, at least 30 minutes after prescribed IV and PO pre-medications.
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Outcome Measures
Primary Outcome Measures
- Patient HSR severity will be graded with an integer from 1 to 5 using the National Cancer Institute's Common Toxicity Criteria (CTC) for allergy/immunology. All Grade 3-4 HSRs will be reported through the FDA's MedWatch program [2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patient must sign informed consent
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Patient must be greater than 18 years of age
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Patient must be receiving his/her first dose of either Taxol or Taxotere
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Patient must have received routine premedications for hypersensitivity reactions
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of New Mexico | Albuquerque | New Mexico | United States | 87131 |
Sponsors and Collaborators
- New Mexico Cancer Care Alliance
Investigators
- Principal Investigator: Ian Rabinowitz, MD, University of New Mexico
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 0902C