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RecruitingNCT05183126Updated Jul 2, 2026

Pharmacokinetic Study of Skeletal Muscle Area-based Paclitaxel Infusion in Patients With Cancer

A Phase 4 interventional study of Paclitaxel and Paclitaxel in Breast Cancer, Metastatic Gastric Cancer and Esophageal Cancer, sponsored by University of Michigan Rogel Cancer Center. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-02.

Sponsored by University of Michigan Rogel Cancer Center · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2022; still recruiting 4 years 6 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The primary objective of this pharmacokinetics study is to compare the maximum concentration level of paclitaxel in patients with low/sarcopenic skeletal muscle area (SMA), at the end of a 2-3 hour paclitaxel infusion, to the maximum level in patients with normal SMA at the end of a standard 1-hour infusion with the goal of determining whether lengthening the infusion in patients with low/sarcopenic SMA normalizes the levels to those of patients with normal SMA.

Read the detailed description

Paclitaxel is an FDA-approved and commonly used standard of care agent for patients with early-stage breast cancer. This study will use the standard dose of 80 mg/m\^2, including the typical pre-medications as per University of Michigan Rogel Cancer Center institutional standard. The only investigational component of this study is lengthening the infusion duration from 1-hour to 2 or 3 hours for a single dose in patients with low SMA.

JAN2025 update, Paclitaxel is an FDA-approved and commonly used standard of care agent for patients with early-stage breast cancer or metastatic gastric or esophageal cancers.

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Conditions studied

  • Breast Cancer
  • Metastatic Gastric Cancer
  • Esophageal Cancer

Keywords

  • pharmacokinetics
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 22 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

University of Michigan Rogel Cancer Center is the lead sponsor of 316 studies on the registry; 46 are open to participants now.

Of its 46 completed or terminated interventional studies of FDA-regulated products, 30 (65%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Planned paclitaxel 80 mg/m\^2, 1-hour infusion
  • Evaluable computed tomography (CT) scan, positron emission tomography computed tomography (PET-CT) scan, or MRI scan (e.g. scan of the chest, abdomen, or pelvis for any indication w/in 1 year)
  • Female
  • ≥ 18 years old
  • Adequate organ function to receive paclitaxel treatment as defined in the protocol
  • Ability to understand and the willingness to sign a written informed consent

Exclusion criteria

Exclusion Criteria:

  • Concomitant administration of any moderate or strong inducer or inhibitor of CYP2C8, including rifampin or clopidogrel.
  • History of hypersensitivity reaction to paclitaxel or any components of paclitaxel (e.g., Cremophor EL) that precludes continued treatment with standard dose and infusion length
  • Pregnant or nursing
  • Receiving any other dose (i.e., not 80 mg/m2) or infusion rate (i.e., not 60 minute infusion) either due to toxicity during a previous cycle or any other reason
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
22 participants (estimated)

Study arms

  • Active comparator
    Normal SMA (>7310 mm^2)

    Standard paclitaxel infusion time.

    Drug: Paclitaxel

  • Experimental
    Low SMA (5120 - 7310 mm^2) and Sarcopenic SMA (<5120 mm^2)

    Adjusted paclitaxel infusion time during only one dose; standard paclitaxel infusion time for all other doses.

    Drug: Paclitaxel

Interventions

  • DrugPaclitaxel

    Weekly intravenous (IV) infusion of a standard dose of paclitaxel 80 mg/m\^2. Dose 1 is a 90-minute infusion. All other doses administered as a 1-hour infusion for a total of 12 weekly doses.

    Also known as: Taxol

  • DrugPaclitaxel

    Weekly intravenous (IV) infusion of a standard dose of paclitaxel 80 mg/m\^2. Dose 1 is a 90-minute infusion. During doses 2-12, patients with low SMA will receive one 2-hour infusion and patients with sarcopenic SMA will receive one 3-hour infusion. All other doses during weeks 2-12 are standard infusion time.

    Also known as: Taxol

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What researchers measure

Primary outcomes

  1. Maximum concentration (Cmax) of paclitaxel plasma

    Compare Cmax in patients with lower SMA with an adjusted infusion duration (i.e., 2-hour or 3-hour) to that of patients with normal SMA receiving standard 1-hour infusion. Blood samples for pharmacokinetic analysis will be collected within 5 minutes prior to the end of SMA-based and standard paclitaxel infusions. Measurement of plasma paclitaxel concentration for Cmax will be conducted using a liquid chromatography/mass spectroscopy assay.

    Time frame: Up to week 12

Secondary outcomes

  1. Two- to three-hour Cmax vs. one-hour Cmax in low SMA patients

    To compare Cmax in patients with lower SMA when receiving adjusted infusion duration (i.e., 2-hour or 3-hour) versus standard 1-hour infusion. Blood samples for pharmacokinetic analysis will be collected within 5 minutes prior to the end of SMA-based and standard paclitaxel infusions. Measurement of plasma paclitaxel concentration for Cmax will be conducted using a liquid chromatography/mass spectroscopy assay.

    Time frame: Up to week 12

  2. One-hour Cmax in normal SMA patients vs. one-hour Cmax in low SMA patients

    To compare Cmax in patients with lower SMA versus patients with normal SMA receiving when both receive standard 1-hour infusion. Blood samples for pharmacokinetic analysis will be collected within 5 minutes prior to the end of standard 1-hour paclitaxel infusions in both groups. Measurement of plasma paclitaxel concentration for Cmax will be conducted using a liquid chromatography/mass spectroscopy assay.

    Time frame: Up to week 12

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Study locations

1 of 1 sites recruiting
  • University of Michigan Rogel Cancer Center
    Ann Arbor, Michigan 48109, United States
    • Daniel L Hertz, PharmD, PhD · Principal investigator
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2026, 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
NCT05183126
Lead sponsor
University of Michigan Rogel Cancer Center
Responsible party
Sponsor
First posted
Jan 10, 2022
Start date
Mar 28, 2022
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
Jul 2, 2026

Study contacts

Cancer AnswerLine
Contact
CancerAnswerLine@med.umich.edu
800-865-1125
Daniel L Hertz, PharmD, PhD
principal investigator · University of Michigan Rogel Cancer Center

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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