Pain Clinical Trial
Official title:
The Role of COX-2 Mediated Prostaglandin Production on Paclitaxel-Induced Myalgias and Arthralgias.
RATIONALE: Learning about pain in patients with cancer receiving paclitaxel may help plan
treatment and may help patients live more comfortably. Studying samples of urine from
patients with cancer in the laboratory may help doctors identify and learn more about
biomarkers related to muscle and joint pain.
PURPOSE: This phase I trial is studying the role of biomarkers in muscle pain and joint pain
in patients with solid tumors receiving paclitaxel.
OBJECTIVES:
Primary
- To determine the change in urinary prostaglandin E metabolite (PGE-M) level after
paclitaxel treatment in patients with a variety of solid tumor malignancies.
- To determine whether a change in PGE-M level correlates with paclitaxel dose.
- To determine whether the change in urinary PGE-M level correlates with patient
reporting of pain, as measured by a visual analog scale and the Brief Pain Inventory
short form (BPI-SF).
Secondary
- To determine whether leukotriene levels are affected by paclitaxel treatment.
OUTLINE: At baseline (prior to the first dose of paclitaxel), patients complete a
questionnaire about their baseline pain symptoms (including the Brief Pain Inventory short
form and the visual analog scale); cigarette smoking status and second-hand smoke exposure;
and routine use of any pain medications (including NSAIDs, selective COX-2 inhibitors, and
opioid analgesics), corticosteroids, or leukotriene antagonists (montelukast or
zafirlukast). Patients also complete questionnaires about their pain daily on days 2-7 after
paclitaxel administration.
Urine samples are collected at baseline for urinary prostaglandin E metabolite (PGE-M),
urinary leukotriene E_4 (LTE_4), and urinary cotinine levels and on day 4 for urinary PGE-M
and LTE_4 levels.
;
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