UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000450
Receipt number R000000546
Scientific Title Phase I/II study on combination therapy consisting of a fixed dose-rate infusion of gemcitabine with oral fluorinated pyrimidine compound S-1 (FGS) in patients with gemcitabine-refractory advanced pancreatic cancer
Date of disclosure of the study information 2006/07/20
Last modified on 2011/07/18 21:58:39

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Basic information

Public title

Phase I/II study on combination therapy consisting of a fixed dose-rate infusion of gemcitabine with oral fluorinated pyrimidine compound S-1 (FGS) in patients with gemcitabine-refractory advanced pancreatic cancer

Acronym

Phase I/II study on combination therapy consisting of a fixed dose-rate infusion of gemcitabine with S-1 (FGS) in patients with gemcitabine-refractory advanced pancreatic cancer

Scientific Title

Phase I/II study on combination therapy consisting of a fixed dose-rate infusion of gemcitabine with oral fluorinated pyrimidine compound S-1 (FGS) in patients with gemcitabine-refractory advanced pancreatic cancer

Scientific Title:Acronym

Phase I/II study on combination therapy consisting of a fixed dose-rate infusion of gemcitabine with S-1 (FGS) in patients with gemcitabine-refractory advanced pancreatic cancer

Region

Japan


Condition

Condition

Patients with gemcitabine-refractory metastatic pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety of a combination therapy consisting of a fixed dose-rate infusion of gemcitabine with oral fluorinated pyrimidine compound S-1 (FGS) in patients with gemcitabine-refractory advanced pancreatic cancer to determine the recommended dose (RD) and maximum tolerated dose (MTD), and to evaluate the efficacy of the treatment regimen at the RD.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I,II


Assessment

Primary outcomes

Phase 1: Rate of dose-limiting toxicity
Phase 2: Response rate

Key secondary outcomes

Toxicity, Progression free survival, Overall survival


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

Gemcitabine,Day1
Level 0:600 mg/m2/60 min
Level 1:800 mg/m2/80 min
Level 2:1000 mg/m2/100 min
Level 3:1200 mg/m2/120 min
Level 4:1200 mg/m2/120 min

S-1, Days 1 - 7
Level 0:dose A
Level 1:dose A
Level 2:dose A
Level 3:dose A
Level 4:dose B

BSA / daily dose A / daily dose B
<=1.25 m2 / 80 mg / 100 mg
1.25 m2 - 1.5 m2 / 100 mg / 120 mg
>1.5 m2 / 120 mg / 150 mg
Repeat every 2 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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Histologically confirmed adenocarcinoma
2) Progression during GEM-based first-line chemotherapy
3) Oral intake is possible
4) Measurable or assessable metastatic lesion(s)
5) Age of more than 20 years
6) ECOG performance status (PS) of 0 to 2
7) Interval of at least 2 weeks between last chemotherapy treatment and start of present chemotherapy regimen
8) Adequate organ function
a. WBC : 3,500/mm3
b. neutrophils : 1,500/mm3
c. platelets : 100,000/mm3
d. Hb : 9.0 g/dL
e. T-Bil : 2.0 mg/dL
f. GOT, GPT : 100 U/L
g. Cr : 1.1 mg/dL
9) Written informed consent

Key exclusion criteria

1) Regular use of fenitoin, warfarin or frucitocin
2) History of fluorinated pyrimidine use
3) Severe diarrhea
4) Severe mental disorder
5) Severe infection
6) Severe complication
7) Intestinal pneumonia or lung fibrosis
8) History of chest radiotherapy
9) Massive pleural or abdominal effusion
10) Symptomatic brain metastasis
11) History of other active malignancy
12) Pregnancy or the desire to preserve fecundity
13) Inadequate physical condition, as diagnosed by primary physician

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Chigusa Morizane

Organization

National Cancer Center Hospital

Division name

Hepatobiliary and Pancreatic Oncology Division

Zip code


Address

5-1-1 Tsukiji, Chuo-ku Tokyo, 104-0045, Japan

TEL

0335422511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Chigusa Morizane

Organization

National Cancer Center Hospital

Division name

Hepatobiliary and Pancreatic Oncology Division

Zip code


Address

5-1-1 Tsukiji, Chuo-ku Tokyo, 104-0045, Japan

TEL

03-3542-2511

Homepage URL


Email

cmorizan@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital, Hepatobiliary and Pancreatic Oncology Division

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labor and Welfare

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 07 Month 20 Day


Related information

URL releasing protocol


Publication of results

Partially published


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

2006 Year 05 Month 25 Day

Date of IRB


Anticipated trial start date

2006 Year 06 Month 01 Day

Last follow-up date

2008 Year 05 Month 01 Day

Date of closure to data entry

2009 Year 03 Month 01 Day

Date trial data considered complete

2009 Year 09 Month 01 Day

Date analysis concluded

2010 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 07 Month 18 Day

Last modified on

2011 Year 07 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000546


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name