Recruiting PHASE4 Colorectal Neoplasms

New treatment option for Colorectal Neoplasms

Official title DPYD Pharmacogenomics and Fluoropyrimidine (FP) Dose-Adjustment

ClinicalTrials.gov ID: NCT07158164

What this study is testing

What is Fluorouracil injection?

Fluorouracil injection is an investigational medicine, given as an once-weekly infusion into a vein, being studied as a potential treatment for colorectal neoplasms.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
To prospectively evaluate the efficacy and safety of DPYD-guided dosing strategies in a real-world clinical setting, specifically by comparing the incidence of severe (Grade 3 and 4) fluoropyrimidine-related toxicities of heterozygous DPYD variant patients assigned to DPYD-guided reduced dosing versus patients with standard dosing in the control arm.
  • Phase 4: studies an already-approved treatment

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Diagnosis of cancer in either the adjuvant or metastatic setting requiring initial therapy with 5-FU or Capecitabine.
  • DPYD testing performed by a CLIA-certified laboratory (i.e., Guardant 360 or Caris blood testing for genomic profiling, DPYD testing by the Mayo...
  • DPYD testing results falling into one of the following cohorts for first-line therapy with a fluoropyridine:
  • Study Cohort: Patients with one DPYD variant in one gene (heterozygotes).
  • Control Arm: Patients with normal or wild-type DPYD genes, for comparison, will be treated at the usual 100% dose. --FOLFOX regimen (N=50)

You likely can't join if

  • Patients for whom 5-FU or Capecitabine therapy is contraindicated or not deemed appropriate in the judgment of the treating physician.
  • Patients with two DPYD variants (homozygous deletions or non-functional genetic variants, or double heterozygotes with two different abnormalities)...
  • Pregnant Women and Children
See the full eligibility criteria
Who can join
  • Diagnosis of cancer in either the adjuvant or metastatic setting requiring initial therapy with 5-FU or Capecitabine.
  • DPYD testing performed by a CLIA-certified laboratory (i.e., Guardant 360 or Caris blood testing for genomic profiling, DPYD testing by the Mayo Clinic or other certified laboratory) with results available before...
  • DPYD testing results falling into one of the following cohorts for first-line therapy with a fluoropyridine:
  • Study Cohort: Patients with one DPYD variant in one gene (heterozygotes).
  • Control Arm: Patients with normal or wild-type DPYD genes, for comparison, will be treated at the usual 100% dose. --FOLFOX regimen (N=50)
  • ECOG Performance Status 0-2.
  • Measurable disease or non-measurable disease allowed, including adjuvant 5-FU-based regimens.
What rules you out
  • Patients for whom 5-FU or Capecitabine therapy is contraindicated or not deemed appropriate in the judgment of the treating physician.
  • Patients with two DPYD variants (homozygous deletions or non-functional genetic variants, or double heterozygotes with two different abnormalities) should not receive 5-FU or Capecitabine and are therefore excluded from...
  • Pregnant Women and Children

The study team makes the final eligibility decision.

Where it's taking place

  • Belleville, New Jersey, United States
  • Elizabeth, New Jersey, United States
  • Hamilton, New Jersey, United States
  • Jersey City, New Jersey, United States
  • Livingston, New Jersey, United States
  • New Brunswick, New Jersey, United States
  • Newark, New Jersey, United States
  • Somerville, New Jersey, United States
  • Toms River, New Jersey, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Belleville, New Jersey, United States; Elizabeth, New Jersey, United States; Hamilton, New Jersey, United States; Jersey City, New Jersey, United States; Livingston, New Jersey, United States; New Brunswick, New Jersey, United States and 3 more location(s). Enter your location above to see the nearest site and check your eligibility.

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BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.