DPDIMP#1-trial: Impact of DPYD gene test on the safety and efficacy of fluoropyrimidine therapy

2024-518448-20-00 Phase III and Phase IV (Integrated) Ended

Start 17 Oct 2019 · End 17 Mar 2025 · Status Ended · 1 EU/EEA countries · 3 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ended
Participants planned 1,000
Countries 1
Sites 3

Breast cancer

The aims of this study are to investigate the impact of implementation of DPYD gene test on the safety and efficacy of fluoropyrimidine therapy in Finnish patients and to search for novel genetic variants and other individual characteristics associated with the efficacy and safety of cytostatic therapies.

Key facts

Sponsor
HUS-Yhtymae
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
17 Oct 2019 → 17 Mar 2025
Decision date (initial)
2024-10-29
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518448-20-00
EudraCT number
2018-002255-15

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacogenetic, Pharmacokinetic

The aims of this study are to investigate the impact of implementation of DPYD gene test on the safety and efficacy of fluoropyrimidine therapy in Finnish patients and to search for novel genetic variants and other individual characteristics associated with the efficacy and safety of cytostatic therapies.

Conditions and MedDRA coding

Breast cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Signed informed consent
  2. Age ≥18 years
  3. Diagnosed breast cancer or colon cancer, which is treated at Helsinki University Central Hospital Cancer Center, in Oulu University Hospital or in Turku University Central Hospital
  4. Planned fluoropyrimidine medication
  5. The result of the DPYD gene test is available before starting fluodopyrimidine medication.

Exclusion criteria 3

  1. A person referred to in Sections 7-10 of the Medical Research Act (disabled, a minor, pregnant, breastfeeding or a prisoner)
  2. Contraindication to planned fluoropyrimidine medication
  3. Fluoropyrimidine medication as part of chemoradiotherapy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The concentrations of fluorouracil, tegafur, and capecitabine and their metabolites and pharmacokinetic variables in plasma and fingertip capillary blood samples.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

Teysuno 15 mg/4.35 mg/11.8 mg hard capsules

PRD538060 · Product

Active substance
Tegafur
Substance synonyms
N1-(2-TETRAHYDROFURYL)-5-FLUOROURACIL
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
99 mg milligram(s)
Max total dose
99 mg milligram(s)
Max treatment duration
99 Week(s)
Authorisation status
Authorised
ATC code
L01BC53 — TEGAFUR, COMBINATIONS
Marketing authorisation
EU/1/11/669/001
MA holder
NORDIC GROUP B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Capecitabine Orion 150 mg kalvopäällysteiset tabletit

PRD1625260 · Product

Active substance
Capecitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
99 mg milligram(s)
Max total dose
99 mg milligram(s)
Max treatment duration
99 Week(s)
Authorisation status
Authorised
ATC code
L01BC06 — CAPECITABINE
Marketing authorisation
31391
MA holder
ORION CORPORATION
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fluorouracil Accord 50 mg/ml injektio-/infuusioneste, liuos

PRD1972816 · Product

Active substance
Fluorouracil
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INFUSION
Max daily dose
99 ml millilitre(s)
Max total dose
99 ml millilitre(s)
Max treatment duration
99 Week(s)
Authorisation status
Authorised
ATC code
L01BC02 — FLUOROURACIL
Marketing authorisation
23977
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

HUS-Yhtymae

Sponsor organisation
HUS-Yhtymae
Address
Stenbackinkatu 9
City
Helsinki
Postcode
00290
Country
Finland

Scientific contact point

Organisation
HUS-Yhtymae
Contact name
HUS Diagnostic Center, Clinical Pharmacology unit, Biomedicum

Public contact point

Organisation
HUS-Yhtymae
Contact name
HUS Diagnostic Center, Clinical Pharmacology unit, Biomedicum

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ended 1,000 3
Rest of world 0

Investigational sites

Finland

3 sites · Ended
Oulu University Hospital
Cancer Center, Kajaanintie 50, 90220, Oulu
Turku University Hospital
Clinical Pharmacology, Kiinamyllynkatu 10, 20520, Turku
HUS-Yhtymae
HUS Diagnostic Center, Clinical Pharmacology, P. O. Box 705, 00029, Helsinki

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2019-10-17 2025-03-17 2019-10-17 2025-02-26

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) DPDIMP_1-tutkimus_Tutkimussuunnitelma julkinen 1
Recruitment arrangements (for publication) Transitiotutkimus 1
Subject information and informed consent form (for publication) DPDIMP_1-tutkimus_Suostumus 1
Subject information and informed consent form (for publication) DPDIMP_1-tutkimus_Tiedote 1
Summary of Product Characteristics (SmPC) (for publication) DPDIMP_1-tutkimus_Valmisteyhteenveto fluorourasiili 1
Summary of Product Characteristics (SmPC) (for publication) DPDIMP_1-tutkimus_Valmisteyhteenveto kapesitabiini 1
Summary of Product Characteristics (SmPC) (for publication) DPDIMP_1-tutkimus_Valmisteyhteenveto tegafuuri 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-16 Finland Acceptable
2024-10-29
2024-10-29