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CompletedNCT00483457Updated Sep 3, 2012

Effects of Epidermal Growth Factor Receptor Inhibitor Therapy in the Skin of Cancer Patients

An observational study in Solid Tumor, sponsored by Vanderbilt-Ingram Cancer Center. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-09-03.

Sponsored by Vanderbilt-Ingram Cancer Center · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
33
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Studying samples of tissue and blood in the laboratory from patients with cancer receiving epidermal growth factor receptor (EGFR) inhibitors may help doctors understand the effects of EGFR inhibitor therapy in the skin.

PURPOSE: This laboratory study is looking at the effects of EGFR inhibitors in the skin of cancer patients.

Read the detailed description

OBJECTIVES:

  • Determine the effects of EGFR inhibitors on the EGFR pathway in the skin of cancer patients prior to and after receiving EGFR inhibitors (i.e., tyrosine kinase inhibitors and monoclonal antibodies).
  • Compare the effects of EGFR tyrosine kinase inhibitors vs monoclonal antibodies on the EGFR pathway in the skin of these patients.
  • Compare changes in the EGFR pathway with grade of rash in these patients.
  • Compare changes in EGFR pathway effectors in the skin with serum TGFα levels in these patients.

OUTLINE: This is a pilot study.

Patients undergo skin punch biopsies and blood sample collection at baseline, within 1 week of developing skin rash, and 6 weeks after beginning treatment. Samples are analyzed by immunohistochemistry and western blot for phosphorylated MAP kinase, AKT, and EGF levels and TGFα levels. Patients also complete diagrams to indicate locations of the rash once weekly during the first 6 weeks of treatment.

02

Conditions studied

  • Solid Tumor

Keywords

  • unspecified adult solid tumor, protocol specific
03

In context

Lead sponsor

Vanderbilt-Ingram Cancer Center is the lead sponsor of 220 studies on the registry; 32 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 18 (78%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients must be ≥ 18 years of age, have the diagnosis of a malignancy for which they are considering therapy with an inhibitor of the EGFR pathway, have no severe underlying skin disorder, must not have a bleeding diathesis that would preclude safe biopsy and patients on coumadin must not have an INR > 3.0 at time of biopsy.

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of a malignancy for which therapy on or off a clinical trial with an inhibitor of the EGFR pathway is under consideration

    • The therapy under consideration may be monotherapy or combined with other therapies as long as other therapies do not typically cause a rash

PATIENT CHARACTERISTICS:

  • INR ≤ 3.0 (for patients receiving concurrent warfarin)
  • No severe underlying skin disorder (e.g., toxic epidermal necrolysis or severe dermatitis) that would preclude study treatment
  • No bleeding diatheses that would preclude safe biopsy
  • No allergy to lidocaine or similar local anesthetics

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
33 participants (actual)

Interventions

  • Drugenzyme inhibitor therapy

    enzyme inhibitor therapy

  • Geneticprotein expression analysis

    protein expression analysis

  • Otherimmunohistochemistry staining method

    immunohistochemistry staining method

  • Otherlaboratory biomarker analysis

    laboratory biomarker analysis

  • Procedurebiopsy

    biopsy

06

What researchers measure

Primary outcomes

  1. Effects of EGFR inhibitors on the EGFR pathway in the skin prior to and after receiving EGFR inhibitors

    Time frame: baseline and at 6 weeks

Secondary outcomes

  1. Comparison of the effects of EGFR tyrosine kinase inhibitors vs monoclonal antibodies on the EGFR pathway in the skin

    Time frame: at 6 weeks

  2. Comparison of changes in the EGFR pathway with grade of rash

    Time frame: at 6 weeks

  3. Comparison of changes in EGFR pathway effectors in the skin with serum TGFα levels as assessed by immunohistochemistry and western blot

    Time frame: at 6 weeks

07

Study locations

1 site
  • Vanderbilt-Ingram Cancer Center
    Nashville, Tennessee 37232, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00483457
Lead sponsor
Vanderbilt-Ingram Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Laura W. Goff, MD (Assistant Professor of Medicine; Associate Director, Hematology/Oncology Fellowship Program; Medical Oncologist, Vanderbilt-Ingram Cancer Center) — Principal investigator
First posted
Jun 7, 2007
Start date
Feb 2006
Primary completion
Nov 2008
Completion
Nov 2008
Last update
Sep 3, 2012

Study contacts

Laura Goff, MD
principal investigator · Vanderbilt-Ingram Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2012. You cannot join it, but the record below documents what was studied.

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