Advanced Cancer Clinical Trial
Official title:
CSF Pharmacokinetics of Systemic Anti-Cancer Therapies in Patients With Advanced Cancer
This clinical trial is being done to learn more about how different types of cancer treatments affect cancer cells when they spread to the brain. Many cancer treatments are not able to make their way into the brain or into spinal fluid of the central nervous system. This is because they cannot cross what is called the "blood-brain barrier" or "BBB". The BBB is like a protective shield that only allows certain materials pass through to reach the brain but not others. This study is being initiated to help researchers learn more about what types of cancer treatments make it through the BBB to attack cancer cells within the brain, and what treatments do not make it through the BBB. Learning more about this may help future researchers develop more effective cancer drugs that better fight cancer cells that have spread to the brain.
Very little is known about the penetration of systemic therapies through the normal blood
brain barrier and the ways in which a brain metastasis or radiation would impact the
permeability of the blood brain barrier. This study would be one of the first to examine the
concentrations of systemic cancer therapies in the cerebrospinal fluid (CSF) with matched
serum samples. Additionally, the concentration of these therapies in brain metastasis
surgical specimens would be of particular interest to correlate with serum and CSF levels,
length of time on therapy, and latency to developing brain metastases in future studies.
As participants in this study, patients scheduled for a lumbar puncture per their standard of
care treatment will be subject to a withdrawal of 15cc's of cerebrospinal fluid for
pharmacokinetic analysis. They will also have a blood draw of 5mL within 2 hours of the
lumbar puncture for serum pharmacokinetics. If the patient is eligible for and elects to
proceed with surgical resection of a brain metastasis, optional CSF and serum samples would
be drawn at the time of resection.
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