UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000102
Receipt number R000000150
Scientific Title Pharmacogenomic Study for Individual Response to CPT-11 in Colorectal Cancer Patients (Step 2)
Date of disclosure of the study information 2005/10/01
Last modified on 2008/09/01 13:51:31

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Basic information

Public title

Pharmacogenomic Study for Individual Response to CPT-11 in Colorectal Cancer Patients (Step 2)

Acronym

Pharmacogenomic Study of CPT-11 in Colorectal Cancer Patients (Step 2)

Scientific Title

Pharmacogenomic Study for Individual Response to CPT-11 in Colorectal Cancer Patients (Step 2)

Scientific Title:Acronym

Pharmacogenomic Study of CPT-11 in Colorectal Cancer Patients (Step 2)

Region

Japan


Condition

Condition

Stage IV colorectal cancer after palliative operation

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and safety of weekly 100 mg/m2 CPT-11 administration as the first-line adjuvant chemotherapy for Stage IV colorectal cancer patients, and identify the potent biomarkers

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

1)Tumor response rate
2)Genotype-phenotype association (CYP3A4,CES1,2, UGT1A1, ABCG2, ABCB1, and ABCC1,2 vs toxicity), mutation -phenotype association (TOP1A, ABCG2 vs tumor response), and expression-phenotype association (TOP1A, ABCG2 vs tumor response)

Key secondary outcomes

1)Adverse events,
2)Progression free-survival (PFS)
3)Overall survival (OS)
4)Genotype-phenotype association (CYP3A4,CES1,2, UGT1A1, ABCG2, ABCB1, and ABCC1,2 vs PK parameter)
Gene expression-phenotype association
(TOP1A, ABCG2 vs PK parameter)
5)Possible biomarkers other than the above 9 genes
6)Microsatellite instability (MSI)- phenotyppe association
(BAT26, D2S136, D3S1067, TP53, and D18S51 vs tumor response)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Intravenous adminstration of CPT-11 100 mg/m2 on Days 1, 8, and 15, every 4 weeks

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

(1)With pathologically proven colorectal cancer
(2)With Stage IV colorectal cancer after palliative operation
(3)With at least one measurable lesion (RECIST)
(4)With adequate bone marrow, cardiac, respiratory, hepatic, and renal functions. Defined as:
white blood cell count 4000-12,000 mm3, neutrophil count>=2000 mm3, hemoglobin>=9.0 g/dl, platelet>=100,000 mm3, AST and ALT within two times the upper limit of normal for the institution, serum bilirubin level<=1.5 mg/dl, BUN<=25 mg/dl, serum creatinine level<=1.5 mg/dl, creatinine clearance>=50 ml/min., C-reactive protein<=1.0 mg/dl, normal ECG
(5)ECOG performance status<=2
(6)No prior therapy other than the palliative operation
(7)Palliative operation was completed>=21 days prior to entry
(8)Life expectancy estimated>=12 weeks
(9)Age 20-75 years
(10)With collected tissue samples for pharmacogenomic analysis
(11)With written informed consent

Key exclusion criteria

(1)Other serious accompanied diseases
(2)Symptomatic infectious disease
(3)Watery diarrhea
(4)Ileus, Obstructive bowel disease
(5)Interstitial pneumonia, pulmonary fibrosis
(6)Symptomatic ascites or pleural effusion
(7)Symptomatic jaundice
(8)Ischemic heart disease or arrhythmia required medical care
(9)Myocardiac infarction occurred within 6 month,
(10)Liver cirrhosis
(11)Hemorrhage/bleeding>=grade 3 (NCI-CTC)
(12)Symptomatic psychological disease
(13)Uncontrollable diabetes
(14)Serious surgery-related complication
(15)Active secondary cancer
(16)A past history of drug allergy
(17)Pregnancy or breast feeding
(18)Active hepatitis or syphilis

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiko Nishiyama

Organization

Research Institute for Radiation Biology and Medicine, Hiroshima University

Division name

Department of Translational Cancer Research

Zip code


Address

1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan

TEL

082-257-5839

Email



Public contact

Name of contact person

1st name
Middle name
Last name Masahiko Nishiyama

Organization

Research Institute for Radiation Biology and Medicine, Hiroshima University

Division name

Department of Translational Cancer Research

Zip code


Address

1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan

TEL

082-257-5839

Homepage URL

http://www.hictdo.or.jp/tiken.html

Email

yamacho@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima Cancer Therapy Development Organization (HiCTDO)

Institute

Department

Personal name



Funding Source

Organization

Hiroshima Cancer Therapy Development Organization (HiCTDO)

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Osaka Med. Ctr. Cancer and Cardiovasc. Dis., Sakai City Hosp., Osaka Seamen's Insurance Hosp., Kobe Univ., Hokkaido Univ., Suita Municipal Hosp., Aomori Municipal Hosp., Hiroshima Univ.

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

HiCTDO protocol #3

Org. issuing International ID_1

Hiroshima Cancer Therapy Development Organization (HiCTDO)

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 10 Month 01 Day


Related information

URL releasing protocol

http://www.hictdo.or.jp/tiken.html

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Paper is being prepared (Sep.1/2008)

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2004 Year 04 Month 05 Day

Date of IRB


Anticipated trial start date

2004 Year 04 Month 01 Day

Last follow-up date

2007 Year 12 Month 01 Day

Date of closure to data entry

2007 Year 12 Month 01 Day

Date trial data considered complete

2007 Year 12 Month 01 Day

Date analysis concluded

2008 Year 06 Month 01 Day


Other

Other related information

Interim results have been published. (ASCO2006 Abst.#2060; ESMO2006 Abst.# 841P)


Management information

Registered date

2005 Year 09 Month 01 Day

Last modified on

2008 Year 09 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000150


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name