Brief Title
Relationship of Ochratoxin A to Upper Urologic Cancers
Official Title
The Relationship of Ochratoxin A to Upper Tract TCC Malignancies, Testicular Cancer, and Renal Cell Cancer
Brief Summary
This pilot study will explore the relationship of Ochratoxin A (OTA) levels in patients with upper tract transitional cell (TCC), renal cell, and testicular cancers by measuring levels of OTA in serum and tumor samples. Dietary exposure will also be analyzed.
Detailed Description
Ochratoxin A (OTA, a ubiquitous mycotoxin) is a common food contaminant that enters the food chain from plants such as cereals. OTA can be inhaled or ingested and livestock and humans feeding on OTA contaminated food have been found to have detectable levels of this chemical in their sera, liver, and kidneys. There is risk for occupational and environmental exposure to OTA. Thus, exposure to this mycotoxin may be a poorly recognized problem in our society. OTA has been classified as a group 2b possible carcinogen. Exposure to OTA has been implicated in teratogenesis (fetal malformation), nephrotoxicity, gonadotoxicity and carcinogenesis. The mechanisms for these effects of OTA have not been fully explained. There is an increasing incidence of testis cancer in Western societies combined with the increasing OTA exposures being reported. As well as studying the relationship of OTA to TCC initially, we also plan to examine a possible relationship between OTA and testicular cancer as well as renal cell carcinoma (RCC). To date, very little research into the effects of mycotoxins in humans has been performed. We plan to apply proven techniques of serum analysis using: 1. ELISA or Enzyme Linked Immuno-absorbent Assay which is used to measure the presence of an antibody or antigen in the bloodstream 2. Immunohistochemistry (pathological analysis from resected tumors) 3. High -pressure liquid chromatography (HPLC) of tumor tissue to investigate the role of OTA in human genitourinary cancers. A group of subjects without cancer will be used as a control group.
Study Type
Observational
Condition
Transitional Cell Carcinoma
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Estimated Enrollment
60
Start Date
September 2005
Completion Date
April 2007
Primary Completion Date
April 2007
Eligibility Criteria
Inclusion Criteria: - Study Group 1. Informed consent 2. Must have resectable non-metastatic upper tract transitional cell carcinoma, renal cell carcinoma, or testicular carcinoma. 3. Willingness to be followed for survival data. - Control Group 1. Informed consent 2. No history of carcinoma Exclusion Criteria: 1. Metastatic upper tract transitional cell carcinoma, renal cell carcinoma, or testicular carcinoma. 2. Any other ongoing or previous malignancy other than basal or squamous cell skin cancer.
Gender
All
Ages
18 Years - N/A
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Contacts
Stephen Pautler, MD, FRCSC, ,
Location Countries
Canada
Location Countries
Canada
Administrative Informations
NCT ID
NCT00216801
Organization ID
R-05-082
Secondary IDs
11293
Study Sponsor
Lawson Health Research Institute
Study Sponsor
Stephen Pautler, MD, FRCSC, Study Director, Lawson Health Research Institute
Verification Date
January 2009