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CompletedNCT00755898Updated Nov 30, 2023

Urinary Excretion of Acetylamantadine by Cancer Patients

A Phase 2 interventional study of Ingestion of a 200 mg dose of amantadine hydrochloride and Ingestion of a 200 mg dose of amantadine hydrochloride in Cancer, sponsored by University of Manitoba. Completed at 1 site in Canada. Open to participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-30.

Sponsored by University of Manitoba · Phase 2, Interventional, and Diagnostic

Phase
Phase 2
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The investigators have determined that the drug amantadine hydrochloride is metabolized by acetylation by a specific enzyme named spermidine/spermine N-acetyltransferase (SSAT). This enzyme is increased in cancer cells. The investigators hypothesized that the amount of N-acetylamantadine excreted in urine during the first 12 hours after an oral dose would serve as a diagnostic biomarker for the presence of cancer in a human test subject.

Read the detailed description

When patients present to their physician with symptoms of cancer at a later stage of development, survival tends to be poorer. Earlier diagnosis of cancer is expected to provide improved survival of patients due to earlier treatment intervention. However, implementation of this screening process is impaired by access and by cost. A simple and inexpensive test would serve as a screening tool that could be safely repeated at regular intervals to identify persons for whom more expensive and less accessible diagnostic investigations might become more appropriately directed. The specificity for an enzyme that increases markedly in cancer tissue, and the ease of administration of an already licensed pharmaceutical prescription product, amantadine hydrochloride, would appear to provide promise of such a desirable screening test.

02

Conditions studied

  • Cancer

Keywords

  • cancer
  • diagnostic test
  • urine
  • amantadine acetylation
03

In context

Lead sponsor

University of Manitoba is the lead sponsor of 542 studies on the registry; 87 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 5 (42%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Either a medical diagnosis of cancer, or determination of general good health after a medical check-up within two weeks of participation in the study

Exclusion criteria

Exclusion Criteria:

  • Allergy to amantadine hydrochloride
  • Chronic liver or kidney disease
  • Chronic disease state not controlled by drug therapy, e.g. hypertension
  • Pregnancy
05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (actual)

Study arms

  • Active comparator
    1

    Patients with a medical diagnosis of cancer appearing at outpatient clinics for treatment and/or monitoring of their disease status

    Drug: Ingestion of a 200 mg dose of amantadine hydrochloride

  • Active comparator
    2

    Healthy adult volunteers

    Drug: Ingestion of a 200 mg dose of amantadine hydrochloride

Interventions

  • DrugIngestion of a 200 mg dose of amantadine hydrochloride

    Volunteer cancer patients ingest 2 x 100 mg tablets of amantadine hydrochloride with a glass of cold water 2 hours after supper.

  • DrugIngestion of a 200 mg dose of amantadine hydrochloride

    Healthy subject ingests 2 x 100 mg tablets of amantadine hydrochloride with a glass of cold water 2 hours after supper

06

What researchers measure

Primary outcomes

  1. Amount of N-acetylamantadine excreted in a 12 hour urine sample collected after a single oral dose of amantadine hydrochloride ingested two hours after supper

    Time frame: 12 hours

07

Study locations

1 site
  • University of Manitoba
    Winnipeg, Manitoba R3E 0W3, Canada
08

References and documents

Publications

  • Bras AP, Janne J, Porter CW, Sitar DS. Spermidine/spermine n(1)-acetyltransferase catalyzes amantadine acetylation. Drug Metab Dispos. 2001 May;29(5):676-80. PubMed 11302933 ↗
  • Bras AP, Hoff HR, Aoki FY, Sitar DS. Amantadine acetylation may be effected by acetyltransferases other than NAT1 or NAT2. Can J Physiol Pharmacol. 1998 Jul-Aug;76(7-8):701-6. doi: 10.1139/cjpp-76-7-8-701. PubMed 10030449 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00755898
Lead sponsor
University of Manitoba
Collaborators
Canadian Institutes of Health Research (CIHR), BioMark Technologies Inc.
Responsible party
DanielSitar (Professor Emeritus, University of Manitoba) — Principal investigator
First posted
Sep 19, 2008
Start date
Dec 2003
Primary completion
Jun 2008
Completion
Jul 2008
Last update
Nov 30, 2023

Study contacts

Daniel S Sitar, PhD
principal investigator · University of Manitoba

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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