Peripheral Nervous System Diseases Clinical Trial
Official title:
Establishing of Neuronal-like Cells From Patients With Cisplatin-Induced Peripheral Neuropathy
This study targets patients with cisplatin-induced peripheral neuropathy and will allow us to: a) study peripheral neuropathy in diverse human sensory neurons in ways that were not possible previously; b) gain insight on druggable targets to treat or prevent this devastating side effect of chemotherapy; c) provide a human cellular model that can be used for screening of drugs to determine if they are neurotoxic. The combination of patient information and in vitro measurements provides a highly relevant and clinically useful model for studies aimed to impact treatment selection for the individual cancer patient.
Primary Objective-To establish a biobank of specimens that allows for the future creation of
iPS cells with the potential to make human neurons for functional studies of specific
genes/genetic variants.
Secondary Objectives-To develop a clinically relevant in vitro model of cisplatin induced
peripheral neuropathy to be used to 1) screen new drugs for the treatment or prevention of
peripheral neuropathy; 2) evaluate candidate genes for their role in cisplatin induced
neuropathy.
Study Procedures-Subjects who wish to participate will undergo the following study
procedures, which will be performed after the informed consent document is obtained:
1. Sample Collection-A trained phlebotomist will conduct a blood draw for the collection of
SIX samples for peripheral blood mononuclear cell (PBMC) isolation and infectious
disease testing.
2. Patient Self-Report of Toxicities-All patients in the study will be asked to fill out
the Patient-reported Toxicity Form. This will take approximately 10 minutes to complete
and consists of 20 questions related to patient symptoms describing toxicities
experienced secondary to receiving cisplatin chemotherapy. They will be asked to fill
out the form twice: (1) describing the peripheral neuropathy they currently are
experiencing and (2) describing the worst peripheral neuropathy toxicity they
experienced as a result of cisplatin therapy. These paper forms will be filled out at
time of enrollment in the study.
3. Physician Report of Toxicities-The patient's physician or the designatee will complete
an adverse event form at day of enrollment detailing the physician's assigned grade of
toxicities (according to CTCAE version 4.3) experienced from cisplatin. Other
information regarding the particularly severe neurotoxicity may also be collected from
physicians (e.g. patient use of walker or wheelchair, patient application for disability
based on neuropathy).
4. General Information- This information will be collected at the same time point as all of
the other study procedures (i.e., Day One). This will include but may not be limited to:
age, height, weight, patient-identified race and ethnicity, information about the
chemotherapy regimen, total cisplatin dose administered and date of last cisplatin dose.
5. Cisplatin Dose-Total cumulative dose of cisplatin administered will be recorded. Outside
records will be obtained where needed.
6. Follow-up and Duration of Follow-Up-There will be no subsequent patient follow-up after
time of enrollment. Subjects may withdraw consent for specimen use by contacting the PI
in writing.
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