Try our beta test site
IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more...

Study of Glucarpidase (CPG2) for the Management of Patients With Delayed Methotrexate Clearance

This study has been completed.
Information provided by:
BTG International Inc. Identifier:
First received: September 15, 2005
Last updated: September 10, 2014
Last verified: September 2014
To evaluate the safety and efficacy of glucarpidase in patients with impaired methotrexate (MTX) clearance owing to MTX-induced renal failure following high-dose MTX therapy, or with intrathecal MTX overdose.

Condition Intervention Phase
Drug: glucarpidase (50 Units/kg)
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Study of Recombinant Carboxypeptidase G2 (CPG2) for the Management of Patients With Delayed Methotrexate (MTX) Clearance or Intrathecal MTX Overdosage

Resource links provided by NLM:

Further study details as provided by BTG International Inc.:

Primary Outcome Measures:
  • Reduction in serum MTX concentration

Secondary Outcome Measures:
  • serum blood-urea-nitrogen
  • serum creatinine
  • creatinine clearance
  • haematology (complete blood count and differential)
  • biochemistry (electrolytes, SGOT, SGPT, alkaline phosphatase, bilirubin, total protein)
  • urinalysis (dip-stick)
  • MTX-related toxicity
  • Adverse events
  • Mortality

Study Start Date: January 2000
Estimated Study Completion Date: June 2003

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Written informed consent by patient or legally valid representative
  • Patients receiving high-dose MTX (>1 g/m2 body surface area (BSA) given as an infusion over 24 hours) for the treatment of ALL, NHL or a solid tumour (e.g. osteosarcoma)
  • Age ≥ 18 years
  • Serum MTX >5 µmol/L 42 hours or later after the start of MTX infusion, or serum MTX >1 μmol/L 42 hours or later after the start of MTX infusion together with renal insufficiency, or serum MTX >0.4 µmol/L 48 hours or later after the start of MTX infusion together with renal insufficiency. Renal insufficiency was defined as serum creatinine >1.5 × the upper limit of normal (ULN) and/or oliguria (urine output < 500 mL/24 hours despite adequate hydration, diuretics and alkalinisation).

Exclusion Criteria:

  • Pregnant or lactating females
  • Unwillingness of patient or relative/legal representative to give informed consent
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00219791

Charite - Universitätsmedizin Berlin
Berlin, Germany, 12200
Sponsors and Collaborators
BTG International Inc.
Principal Investigator: Thiel Eckhard, Prof. Charite - Universitätsmedizin Berlin
  More Information Identifier: NCT00219791     History of Changes
Other Study ID Numbers: PR001-CLN-rpt002
Study First Received: September 15, 2005
Last Updated: September 10, 2014

Keywords provided by BTG International Inc.:
delayed elimination
renal insufficiency

Additional relevant MeSH terms:
Abortifacient Agents, Nonsteroidal
Abortifacient Agents
Reproductive Control Agents
Physiological Effects of Drugs
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Dermatologic Agents
Enzyme Inhibitors
Folic Acid Antagonists
Immunosuppressive Agents
Immunologic Factors
Antirheumatic Agents
Nucleic Acid Synthesis Inhibitors processed this record on May 25, 2017