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CompletedNCT05250869Updated Jul 22, 2024

Comparative Quantification of MTX and Its Metabolites Post Glucarpidase

An observational study in Lymphoma and Acute Lymphatic Leukemia, sponsored by Charite University, Berlin, Germany. Completed at 1 site in Germany. Per ClinicalTrials.gov, last updated 2024-07-22.

Sponsored by Charite University, Berlin, Germany · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
4
Sex
All
01

Study summary

Acidification (i.e., addition of hydrochloric acid) of plasma samples from patients who have received Glucarpidase post high-dose MTX treatment is regarded as a necessary preanalytic step to avoid further in vitro enzymatic cleavage of MTX. However, it is unclear whether this acidification step is essential. A comparative study, which evaluates concentrations of MTX and its metabolites in paired (acidified versus non-acidified) plasma samples, has not yet been performed. Processing plasma samples without acidification would facilitate quantification of MTX, including plasma samples from patients treated at centers without adequate laboratory facilities.

Read the detailed description

Stored plasma samples (paired - acidified and non-acidified) from the specimens collection ('Tumorbiobank') of the Charité Comprehensive Cancer Center will be analysed by HPLC/MS.

A total of 136 samples from patients post Voraxaze across 3 levels of MTX concentrations:

30 without additive, 10 with 0.9% NaCl, 30 with HCl (stored at -80C) 9 without additive, 9 with HCl (stored at +4C and analysed after 3-5 days) 9 without additive, 9 with HCl (stored at -20C and analysed after 3-5 days) 30 with HCl (stored at +4C versus ambient temperature)

02

Conditions studied

  • Lymphoma
  • Acute Lymphatic Leukemia

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Keywords

  • Preanalytical Conditions
03

In context

Leukemia, Lymphoid

1,780 studies on the registry are indexed under Leukemia, Lymphoid; 176 are open to participants now.

This study's enrollment of 4 is below the median of 112 across 227 observational studies indexed under Leukemia, Lymphoid.

Browse Leukemia, Lymphoid studies →

Lead sponsor

Charite University, Berlin, Germany is the lead sponsor of 836 studies on the registry; 129 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients treated with high-dose Methotrexate and Glucarpidase

Inclusion criteria

  • Treatment with Glucarpidase

Exclusion criteria

Exclusion Criteria:

  • Lacking patient consent
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
4 participants (actual)
Patient registry
No

Interventions

  • Diagnostic testHPLC/MS

    Quantification of MTX and its metabolites by HPLC/MS under various preanalytical conditions

06

What researchers measure

Primary outcomes

  1. Consistency of MTX concentrations in paired acidified vs. non-acidified samples

    Comparison of MTX/metabolite concentrations

    Time frame: within 3 days of Glucarpidase treatment

Secondary outcomes

  1. Consistency of MTX concentrations in paired samples stored at -80C vs. +4C vs. ambient temperature

    Comparison of MTX/metabolite concentrations

    Time frame: within 3 days of Glucarpidase treatment

07

Study locations

1 site
  • Charité - Universitätsmedizin Berlin
    Berlin, 12200, Germany
08

References and documents

Publications

  • Knornschild FL, Liebig S, Kiessling P, Prpic M, Kim T, Keller U, Kappert K, Schwartz S, Jahic A. Simplified preanalytical laboratory procedures for therapeutic drug monitoring (TDM) in patients treated with high-dose methotrexate (HD-MTX) and glucarpidase. Clin Chem Lab Med. 2024 Jul 15;63(1):e11-e15. doi: 10.1515/cclm-2024-0523. Print 2025 Jan 29. No abstract available. PubMed 38997789 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05250869
Lead sponsor
Charite University, Berlin, Germany
Responsible party
Stefan Schwartz (PD Dr. Stefan Schwartz, Charite University, Berlin, Germany) — Principal investigator
First posted
Feb 22, 2022
Start date
Jul 6, 2022
Primary completion
Aug 31, 2022
Completion
Dec 31, 2022
Last update
Jul 22, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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