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Kinetics of Microparticles Under Chemotherapy in Patients With Gastric or Pancreatic Cancer


2018-07-23


2020-01-02


2020-01-02


3

Study Overview

Kinetics of Microparticles Under Chemotherapy in Patients With Gastric or Pancreatic Cancer

Microparticles have recently emerged as a thrombotic risk marker with a potential role in determining which patients are at greatest risk for developing thrombosis. Available data show an increase in the level of microparticles in cancer patients who are undergoing chemotherapy for solid tumors with a possible link to their thrombogenic state. Our study focuses on the kinetics of microparticles under chemotherapy in patients with pancreatic or gastric cancer by serial measurements of microparticles procoagulant activity. Detailed Description: The impact of chemotherapy on microparticles expression will be assessed by measuring their procoagulant activity on blood samples taken during the course of chemotherapy. The thrombotic risk will be evaluated by the score of Khorana in parallel. Microparticles expression in patients with thrombosis will be compared to that in other patients.

N/A

  • Pancreatic Cancer
  • Gastric Cancer
  • PROCEDURE: kinetics of microparticles under chemotherapy
  • DOMICA

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2018-02-12  

N/A  

2020-02-12  

2018-03-13  

N/A  

2020-02-17  

2018-03-20  

N/A  

2020-02  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Basic Science


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: kinetics of microparticles under chemotherapy

kinetics of microparticles under chemotherapy in patients with pancreatic or gastric cancer by serial measurements of microparticles procoagulant activity.

PROCEDURE: kinetics of microparticles under chemotherapy

  • Blood samples done before chemotherapy and 6 hours later for each of six chemotherapies required by the protocol.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Microparticles level will be assessed by automated and standardised measure of their procoagulant power using Kit STA©Procoag-PPL (Diagnostica Stago, Asnière, France)Before chemotherapies #1 to #6
Microparticles level will be assessed by automated and standardised measure of their procoagulant power using Kit STA©Procoag-PPL (Diagnostica Stago, Asnière, France)After 6 hours of chemotherapies #1 to #6
Secondary Outcome MeasuresMeasure DescriptionTime Frame
incidence of thrombosis during studyDeep vein thrombosis or pulmonary embolismBefore chemotherapies #1 to #6 and one year after inclusion.
Khorana score does assess the risk of thrombosis uner chemotherapy according to 3 levels :Score 0, 1, 2 or 3Score 0= low risk (incidence of thrombosis = 0.3%) Score 1 or 2= intermediate risk (incidence of thrombosis = 2%) Score >3 = high risk (incidence of thrombosis = 6.7%) The highest possible score is 6.Before chemotherapies #1 to #6

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • First-line chemotherapy indicated and accepted by the patient for pancreatic cancer or gastric cancer
  • Confirmed diagnosis of pancreatic cancer or gastric cancer
  • Free subject, without guardianship or trusteeship or subordination
  • Patient benefiting from a social security scheme or benefiting through a third party
  • Consent given by the patient after clear and fair information about the study

  • Exclusion Criteria:

  • Age < 18yo
  • Life expectancy ≤10days
  • Deep vein thrombosis ou pulmonary embolism ≤3months
  • Patient unable to receive chemotherapy (sepsis, acute coronary syndrome, recent stroke, heparin-induced thrombocytopenia, disseminated intravascular coagulation)
  • Person enjoying enhanced protection, namely minors, persons deprived of their liberty by a judicial or administrative decision, persons staying in a health or social institution, adults under legal protection, and finally patients in emergency situations
  • Pregnant or lactating woman and woman of childbearing age lacking effective contraception

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available