UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000813
Receipt number R000000973
Scientific Title Phase II Study of Amrubicin and Nitroglycerin in Third-Line Chemotherapy in Previously Treated Patients with Non-Small-Cell Lung Cancer
Date of disclosure of the study information 2007/09/12
Last modified on 2010/04/02 11:53:19

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Basic information

Public title

Phase II Study of Amrubicin and Nitroglycerin in Third-Line Chemotherapy in Previously Treated Patients with Non-Small-Cell Lung Cancer

Acronym

Phase II Study of Amrubicin and Nitroglycerin in Third-Line Chemotherapy in Previously Treated Patients with Non-Small-Cell Lung Cancer

Scientific Title

Phase II Study of Amrubicin and Nitroglycerin in Third-Line Chemotherapy in Previously Treated Patients with Non-Small-Cell Lung Cancer

Scientific Title:Acronym

Phase II Study of Amrubicin and Nitroglycerin in Third-Line Chemotherapy in Previously Treated Patients with Non-Small-Cell Lung Cancer

Region

Japan


Condition

Condition

Previously treated non-small-cell lung cancer

Classification by specialty

Pneumology Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To study the efficacy and toxicity of amrubicin plus nitroglycerin regimen in third-line chemotherapy in previously treated patients with non-small cell lung cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Progression free survival

Key secondary outcomes

(1) response rate
(2) disease control rate
(3) Frequency of toxicities
(4) Overall survival
(5) Change in plasma vascular endothelial growth factor level during nitroglycerin treatment for 3 days before chemotherapy as an indicator for response to nitroglycerin plus docetaxel and cisplatin regimen


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Transdermally applied nitroglycerin, 10 mg/day, for consecutive 5 days between before the start of chemotherapy using 36 mg/m2 of amrubicin, D1-3, every 4 weeks and the day 2 of chemotherapy

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

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(a) The diagnosis of non-small cell lung cancer was confirmed with histological or cytological examination;
(b) Stage IIIB, stage IV, or relapse after operation;
(c) Prior two chemotherapeutic regimens;
(d) Confirmation of progressive disease, refractory disease, or relapse after prior treatment either chemotherapy or chemoradiotherapy;
(e) A measurable or evaluable tumor lesion according to WHO criteria in CT or MRI performed within 4 weeks;
(f) Good performance status: a performance status (PS) of 0-1 according to the Eastern Cooperative Oncology Group (ECOG) scale;
(g) Adequate hepatic function (serum bilirubin level<1.5 x LN, ALT and AST < 2.5 x LN);
(h) Adequate renal function (serum creatinine level<1.5 x LN);
(i) Adequate hematologic function (neutrophil count; equal to or more than 1,500/micro L, hemoglobin; equal to or more than 10g/dL, platelet count; equal to or more than 100,000/micro L);
(j) Adequate cardiac function (cardiothoracic ratio< 55%);
(k) Informed consent to receive chemotherapy and attend this study was obtained;
(l) Scheduled treatment with chemotherapy and without radiotherapy;
(m) Predicted prognosis equal to or more than 3 months;

Key exclusion criteria

(a) No treatment with a vasodilator such as calcium channel blockers;
(b) No treatment with nitric oxide donationg drugs;
(c) No prior chemotherapy using amrubicin;
(d) No radiotherapy to evaluable tumor lesions during this protocol treatment
(e) Without brain metastasis;
(f) No unstable ischemic heart disease;
(g) No active hepatitis;
(h) No active interstitial pneumonitis;
(i) No active hematological disease such as leukemia;
(j) No incurable duplicative cancers;
(k) No uncontrollable psychological disease;
(l) No female under nursing or pregnancy
(m) No enrollment in another interventional study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyasu Yasuda

Organization

Kyoto University Hospital

Division name

Division of Clinical Trial Design and Management, Translational Clinical Center/ Outpatient Oncology Unit

Zip code


Address

54 Shogoin, Kawara-cho, Sakyo-ku, Kyoto, 606-8507, Japan

TEL

075-751-4770

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroyasu Yasuda

Organization

Kyoto University Hospital

Division name

Division of Clinical Trial Design and Management, Translational Clinical Center/ Outpatient Oncology

Zip code


Address

54 Shogoin, Kawara-cho, Sakyo-ku, Kyoto, 606-8507, Japan

TEL

075-751-4770

Homepage URL


Email

yasuda@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Division of Clinical Trial Design and Management, Translational Clinical Center, Kyoto University Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Science and Culture (19689018, and 17790524) of the Japanese government

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Tohoku Univ. Hospital, Jikei Univ. Hospital, Jyuntendo Univ. Hospital, Showa Univ. Hospital, National Cancer Center Hospital East, Shinshu Univ. Hospital, Kumamoto Univ. Hospital, etc

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

2007 Year 09 Month 12 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

Enrolling by invitation

Date of protocol fixation

2007 Year 08 Month 27 Day

Date of IRB


Anticipated trial start date

2007 Year 09 Month 01 Day

Last follow-up date

2011 Year 06 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2007 Year 08 Month 30 Day

Last modified on

2010 Year 04 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000973


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name