UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000413
Receipt number R000000502
Scientific Title Validation of genetic diagnosis to predict sensitivity in primary systemic chemotherapy with paclitaxel in women with breast cancer
Date of disclosure of the study information 2006/05/01
Last modified on 2009/05/30 13:31:01

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Basic information

Public title

Validation of genetic diagnosis to predict sensitivity in primary systemic chemotherapy with paclitaxel in women with breast cancer

Acronym

Validation of genetic diagnosis to predict sensitivity in primary systemic chemotherapy with paclitaxel in women with breast cancer (GENESIS-BC-01)

Scientific Title

Validation of genetic diagnosis to predict sensitivity in primary systemic chemotherapy with paclitaxel in women with breast cancer

Scientific Title:Acronym

Validation of genetic diagnosis to predict sensitivity in primary systemic chemotherapy with paclitaxel in women with breast cancer (GENESIS-BC-01)

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Medicine in general Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Validate to predict pathological response by sensitivity test using genetic diagnosis in primary systemic chemotherapy with paclitaxel in patients with breast cancer. The validity is defined as accuracy of prediction system for sensitivity.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Accuracy of prediction system of sensitivity: Elucidate a population of patients who are sensitive to paclitaxel by performing quantitative RT-PCR on about 50 genes before administration of paclitaxel. Evaluate pathological response by paclitaxel in patients who are diagnosed as positive sensitivity and compare those in patients who do not receive sensitivity testing. Improvement of pathological response rate is judged as high accuracy of prediction system for sensitivity

Key secondary outcomes

Examine the influence of genetic diagnosis on pathological complete response rate, clinical response rate, breast conserving rate, disappearance rate of axillary node metastasis, distant-metastasis free survival, disease free survival and overall survival.
Examine the association between genetic polymorphism and adverse events by chemotherapy


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


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Diagnosis

Type of intervention

Medicine Maneuver

Interventions/Control_1

Arm A: Patients do not utilize genetic diagnosis for sensitivity to paclitaxel and receive primary chemotherapy with paclitaxel (Patients are randomized to arm A or B with ratio 1 to 4.)

Interventions/Control_2

Arm B: Patients utilize genetic diagnosis for sensitivity to paclitaxel. Patients who are diagnosed as sensitive to paclitaxel receive primary chemotherapy with paclitaxel. Pateints who are diagnosed as insensitive to paclitaxel receive primary chemotherapy with FEC100.(Patients are randomized to arm A or B with ratio 1 to 4.)

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


Not applicable

Age-upper limit

70 years-old >

Gender

Female

Key inclusion criteria

Histologically confirmed breast cancer with tumor size 3cm and more in stageIIA-StageIIIB.
Operable case.
Age below 70.
PS 0 or 1.
Life expectancy 6 months and more.
WBC:4,000/micro L and more or ANC:2,000/micro L and more.
Platelet:100,000/micro L and more.
Hemoglobin:9g/dl and more.
AST(GOT),ALT(GPT):twice of an upper limit of normal value and less.
Serum total bilirubin:1.5 mg/dl and less.
BUN,Creatinine:an upper limit of normal value and less.
ECG within normal limit.
Given written consent.

Key exclusion criteria

Non invasive or microinvasive breast cancer.
Stage IIIC, IV.
Inflammatory breast caner.
Male breast cancer.
Previously treated with chemotherapy, hormone therapy or radiotherapy.
Active double cancer.
Serious complication (infection, cardiac disease, pulmonary fibrosis interstitial pneumonitis, bleeding).
Hepatitis type B and its carrier.
Uncontrolled diabetes.
Heavy history of drug allergy.
History of allergic reaction to drugs using the vehicle Cremophor.
Pregnant, nursing or willing to be pregnant.
Inadequate to entry judged by investigators.

Target sample size

109


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshinori Ito

Organization

Cancer Institute Hospital, Japanese Foundation for Cancer Research

Division name

Department of Medical Oncology, Division of Breast Cancer

Zip code


Address

3-10-6, Ariake, Koto-ku, Tokyo, 135-8550 Japan

TEL

03-3520-0111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Daigo Syouji

Organization

Cancer Institute Hospital, Japanese Foundation for Cancer Research

Division name

Department of Medical Oncology

Zip code


Address

3-10-6, Ariake, Koto-ku, Tokyo, 135-8550 Japan

TEL

03-3520-0111

Homepage URL


Email



Sponsor or person

Institute

Cancer Institute Hospital, Japanese Foundation for Cancer Research

Institute

Department

Personal name



Funding Source

Organization

Ministry of Economy, Trade and Industry

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 05 Month 01 Day


Related information

URL releasing protocol


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

Terminated

Date of protocol fixation

2005 Year 12 Month 27 Day

Date of IRB


Anticipated trial start date

2006 Year 03 Month 01 Day

Last follow-up date

2012 Year 07 Month 01 Day

Date of closure to data entry

2012 Year 10 Month 01 Day

Date trial data considered complete

2012 Year 10 Month 01 Day

Date analysis concluded

2013 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 05 Month 01 Day

Last modified on

2009 Year 05 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000502


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name