Description of the Cystatin C as an Early Nephrotoxic Bio-marker in Pediatric Oncology
CysPed
Assessment of Cystatin C as a Tubular and Glomerular Marker of Nephrotoxicity in Pediatric Oncology
2 other identifiers
interventional
42
1 country
1
Brief Summary
Cisplatin and ifosfamide are commonly used drugs in chemotherapy. They are known to involve renal toxic threats in children given their immature kidney. This toxicity is increased especially after nephrectomy and/or concomitant radiotherapy. In pediatric oncology, the available evaluation methods of the renal function could be very restrictive to perform on children. In this study, the investigators intend to test the use of the cystatin C as an effective and reliable biological marker of renal toxicity in children treated with cisplatin and / or ifosfamide.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2012
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 17, 2012
CompletedFirst Submitted
Initial submission to the registry
February 3, 2016
CompletedFirst Posted
Study publicly available on registry
July 4, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 4, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
May 4, 2021
CompletedApril 1, 2026
April 1, 2022
9.2 years
February 3, 2016
March 31, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Urinary cystatin C rate
1 month
Urinary cystatin C rate
at T2a and T2b (at the middle of treatment). It can depend on pathology
6 months
Urinary cystatin C rate
at T3 (at the end of treatment)It can depend on pathology
1 year
Urinary cystatin C rate
2 years
Urinary cystatin C rate
5 years
Secondary Outcomes (2)
Sensibility, specificity and positive predictive value for urinary CysC
5 years
Predictive value for Glomerular Filtration Rate with blood rate of CysC (with Bouvet calculation method)
5 years
Study Arms (1)
Urinary and blood sample
EXPERIMENTALUrinary and blood samples for cystatin C dosage
Interventions
Urinary and blood cystatin C are sampled in patient with nephrotoxic risks before the treatment beginning, after the first course of chemotherapy, in the middle and at the end of the treatment. A follow up assessment is also required at 2 and 5 years. The cystatin C measurements are compared to traditional nephrology markers. Their sampling requires additional blood and urinary collection but involve minimal risks for patient.
Eligibility Criteria
You may qualify if:
- Children of 0 to18 years treated with cisplatin and / or ifosfamide in the hematology-oncology unit of Toulouse University Hospital of children regardless to the pathology they have been treated for
- Children with more than 4kg
- Written informed consent given by both parents or legal representative
- Patient covered by a social security agreement
You may not qualify if:
- Impossibility to monitor and follow up the patient until the foreseeable end of the treatment (geographic reasons, etc.)
- Contraindication to EDTA clearance performing
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHU Toulouse
Toulouse, 31059, France
Related Publications (1)
Lambert M, White-Koning M, Alonso M, Garnier A, Alphonsa G, Puiseux C, Munzer C, Berthier J, Malard L, Pasquet M, Chatelut E. Plasma cystatin C is a marker of renal glomerular injury in children treated with cisplatin or ifosfamide. Pediatr Blood Cancer. 2021 Jan;68(1):e28747. doi: 10.1002/pbc.28747. Epub 2020 Oct 15.
PMID: 33058496RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marlène Pasquet
University Hospital, Toulouse
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 3, 2016
First Posted
July 4, 2016
Study Start
February 17, 2012
Primary Completion
May 4, 2021
Study Completion
May 4, 2021
Last Updated
April 1, 2026
Record last verified: 2022-04
Data Sharing
- IPD Sharing
- Will not share