UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000896
Receipt number R000001053
Scientific Title A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)
Date of disclosure of the study information 2007/12/01
Last modified on 2010/11/15 09:22:13

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Basic information

Public title

A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)

Acronym

A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)

Scientific Title

A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)

Scientific Title:Acronym

A combination phase II study of gemcitabine and S-1 for platinum-refractory patients with non-small cell lung cancer (TORG 0705)

Region

Japan


Condition

Condition

Non-small cell lung cancer

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate clinical relevance of combination chemotherapy consisting of S-1 and gemcitabine for patients with relapsed and/or first-line chemotherapy resistant non-small cell lung carcinoma.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate

Key secondary outcomes

Toxicity, Overall survival, Progression free survival, Subset analyses


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

Chemotherapy
S-1 (60 mg/m2, days 1-14, every 3 weeks)
Gemcitabine (1,000 mg/m2, days 8 and 15, every 3 weeks)
at least 3 courses, until reaching PD

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Histologically/cytologically proven non-small cell lung cancer.
2) Prior chemotherapy of 2 or less than 2 regimens. Post-operative adjuvant chemotherapy, induction chemotherapy and intra-thoracic installation of cytotoxic agents are not considered as a regimen.
3) Prior chemotherapy consisting of platinum agents in at least one regimen.
4) Relapse after and/or resistant (SD or PR) to prior chemotherapy.
5) Interval of more than 28 days from the last chemotherapy/radiotherapy.
6) Lesions evaluated with RECIST.
7) PS (ECOG) of 0-1.
8) Preserved organ functions as
a) Hb >= 9.0 g/dL
b) Neutrophils >= 2,000/mm3
c) Platelets >= 100,000/mm3
d) AST/ALT <= 2.5 x upper limit of the normal value
e) T. Bil <= 2.0 mg/dL
f) Serum creatinine <= 1.5 mg/dL
g) Creatinine crearance >=50 ml/min
h) PaO2 >= 70 torr
9) Written informed consent.

Key exclusion criteria

1) Any contraindication for S-1 or gemcitabine.
2) Active concomitant malignancy.
3) Active infectious diseases.
4) Prior resection of primary tumor.
5) Interstitial pneumonia obviously presented by x-ray and/or clinical manifestations.
6) Experience of any pulmonary event during the previous chemotherapy.
7) Prior chemotherapy including any primidine analogue such as 5-FU, tegafur, UFT, S-1, capecitabine, gemcitabine and Ara-C.
8) Brain metastasis with symptoms or requirement of treatment.
9) Requirement of thoracic irradiation.
10) Pleural effusion, ascites or pericardial effusion requiring treatment.
11) Serious abnormalty in ECG.
12) Uncontrolled diabetes mellitus.
13) Women in regnancy, potential pregnancy, or breast feeding. Men willing to cause pregnancy.
14) Other inadequate conditions .

Target sample size

32


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takiguchi, Yuichi

Organization

Chiba University

Division name

Department of Respirology (B2)

Zip code


Address

1-8-1, Inohana, Chuo-Ku, Chiba, Japan

TEL

043-226-2577

Email



Public contact

Name of contact person

1st name
Middle name
Last name Kojima, Hiroyuki

Organization

Thoracic Oncology Research Group

Division name

Secretariat office

Zip code


Address

1-45-5, Denn-Enn-Chofu, Ohta-Ku, Tokyo

TEL

03-3722-5330

Homepage URL


Email

NPOTORGHKojima@aol.com


Sponsor or person

Institute

Thoracic Oncology Research Group

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

TORG0705

Org. issuing International ID_1

Thoracic Oncology Research Group

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 12 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Treatment was administered for median 4 courses (range 1 - 13) over a median 125-day period in 34 patients The overall response rate was 23.5% (no complete response and 8 partial response; 95% confidence interval: 9.1 - 38.0%). The median progression-free and overall survival times were 6.6 and 19.9 months, respectively. The 1- and 2-year survival rates were 58.8 and 30.9%, respectively. Toxicity was mild during the entire treatment period, except for 3 grade 3 interstitial pneumonia.

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

2007 Year 07 Month 10 Day

Date of IRB


Anticipated trial start date

2007 Year 11 Month 01 Day

Last follow-up date

2010 Year 04 Month 01 Day

Date of closure to data entry

2010 Year 04 Month 01 Day

Date trial data considered complete

2010 Year 05 Month 01 Day

Date analysis concluded

2010 Year 05 Month 01 Day


Other

Other related information

ISSN: 1556-0864/10/0512-0001
Journal of Thoracic Oncology6; Volume 5, Number 12, December 2010 (in press)


Management information

Registered date

2007 Year 11 Month 15 Day

Last modified on

2010 Year 11 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001053


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name