Comparison of Creatinine Clearance Calculation for Estimation of GFR in Patients Receiving HD Methotrexate



Status:Completed
Conditions:Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:1/23/2019
Start Date:March 2011
End Date:September 1, 2017

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Comparison of Creatinine Clearance Calculation Methods for Estimation of Glomerular Filtration Rate in Patients Receiving High-Dose Methotrexate

The purpose of this study is to compare different estimates of calculating creatinine
clearance by mathematical formula and compare them to creatinine clearance based on a timed
urine collection in patients who received high-dose methotrexate for the treatment of primary
CNS lymphoma or CNS involvement of systemic lymphoma.

We intend to perform a retrospective chart review to identify a serum creatinine-based
equation that gives the best estimate of CrCl as compared with an equation derived from a
24-hour urine collection.

Study subjects will be identified using the Brigham and Women's Hospital and Dana-Farber
Cancer Institute's Adult Pharmacy systems to identify patients who received high-dose
methotrexate. Data will be collected starting with December 31, 2010 and proceeding
chronologically backwards until the target enrollment of 40 patients is reached.

Inclusion Criteria:

- Age >/= 18 years

- Received high-dose methotrexate therapy at Dana-Farber Cancer Institute/Brigham and
Women's Hospital for the treatment of primary CNS lymphoma or CNS involvement of
systemic lymphoma

- Available timed urine collection within 1 week of HDMTX

Exclusion Criteria:

- Receiving high-dose methotrexate for indications other than primary CNS lymphoma or
CNS involvement of systemic lymphoma

- Documented viral hepatitis
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