UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000104
Receipt number R000000153
Scientific Title A randomized phase II (/III) study of TXT/TS-1 (DS) combination vs CDDP/5-FU therapy (FUP) in metastatic gastric cancer
Date of disclosure of the study information 2005/10/01
Last modified on 2011/09/18 12:49:31

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Basic information

Public title

A randomized phase II (/III) study of TXT/TS-1 (DS) combination vs CDDP/5-FU therapy (FUP) in metastatic gastric cancer

Acronym

A randomized phase II study of TXT/TS-1 (DS) vs CDDP/5-FU (FUP) in metastatic gastric cancer

Scientific Title

A randomized phase II (/III) study of TXT/TS-1 (DS) combination vs CDDP/5-FU therapy (FUP) in metastatic gastric cancer

Scientific Title:Acronym

A randomized phase II study of TXT/TS-1 (DS) vs CDDP/5-FU (FUP) in metastatic gastric cancer

Region

Japan


Condition

Condition

Chemotherapy-naïve metastatic gastric cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To compare docetaxel plus S-1 combination (DS) with CDDP/5-FU (FUP) for chemotherapy-naïve patients with advanced or recurrent gastric cancer

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II,III


Assessment

Primary outcomes

Tumor response rate

Key secondary outcomes

1)Duration of a CR, PR, or SD
2)Progression free-survival (PFS) and time to treatment failure (TTF)
3)Median overall survival (MST), 1- and 2-year survival rate,
4)Adverse events
5)Possible Biomarker
a)Association of genotype, mutation, and expression of ABCB1, CYP3A4, GSTP1, POR, TUBB, DPYD, and TYMS with phenotype
b)Development of efficacy prediction model using ABCB1, ABCG2, CYP2C8, CYP3A4, DPYD, GSTP1, MGMT, NQO1, POR, TOP2A, TUBB, and TYMS
c)Identification of possible biomarker genes other than ABCB1, CYP3A4, GSTP1, POR, TUBB, DPYD, and TYMS


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Intravenous administration of 40 mg/m2 docetaxel on Day 1 and oral administration of 80 mg/m2/day S-1 on Days 1 to 14 every 3 weeks

Interventions/Control_2

Intravenous continuous administration of 5-FU 800 mg/m2/day on Day 1 to Days 5 and intravenous administration of 80 mg/m2/day CDDP on Day 2 every 4 weeks

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 gastric cancer
(2)With at least one measurable lesion (RECIST)
(3)No prior irradiation and chemotherapy or 1 adjuvant chemotherapy regimen that was completed >=28 days prior to entry
(4)ECOG performance status<=2
(5)Age 20-75 years
(6)Life expectancy estimated>=12 weeks
(7)With adequate bone marrow, cardiac, respiratory, hepatic, and renal functions. Defined as: white blood cell count>=4000 mm3<=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>=60 ml/min.
(8)With written informed consent

Key exclusion criteria

(1)Accompanied serious diseases
(2)Prior adjuvant chemotherapy including a taxane, TS-1, CDDP and 5-FU
(3)Oral uptake disturbance
(4)A past history of drug allergy
(5)A past history of allergic reaction to polysorbate 80
(6)Symptomatic pleural effusion or ascites
(7)Symptomatic infectious disease
(8)Watery diarrhea
(9)Ileus and obstructive bowel disease
(10)Pulmonary fibrosis, interstitial pneumonia, symptomatic bleeding tendency, and Hemorrhage/bleeding>=grade 3 (NCI- CTC)
(11)Peripheral neuropathy>=grade 2
(12)Edema>=grade 2
(13)Concomitant therapy with flucytocine
(14)Active secondary cancer
(15)Uncontrollable diabetes
(16)Congestive heart failure, symptomatic ischemic heart disease, poorly controlled arrhythmia, A-V block>=grade 2, myocardial infarction cooured within 12 months
(17)Symptomatic psychological disease
(18)Pregnancy or breast feeding
(19)Decision as ineligible by principal investigator

Target sample size

130


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

info@hictdo.or.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

Hokkaido Univ, Asahikwa-Kosei General Hosp,Hakodate Goryoukaku Hosp,Nishi Sapporo Natl Hosp, Sapporo Social Insurance General Hosp, Sakai City Hosp, Hiroshima Univ, Okayama Univ, Saitama Medcl College

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 #4

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


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

2005 Year 04 Month 05 Day

Date of IRB


Anticipated trial start date

2005 Year 05 Month 01 Day

Last follow-up date

2011 Year 06 Month 01 Day

Date of closure to data entry

2011 Year 06 Month 01 Day

Date trial data considered complete

2011 Year 06 Month 01 Day

Date analysis concluded

2011 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2005 Year 09 Month 01 Day

Last modified on

2011 Year 09 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000153


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name