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Name:
UMIN ID:

Recruitment status Completed
Unique ID issued by UMIN UMIN000001367
Receipt No. R000001662
Scientific Title An Open-Label Randomized Phase III Study of Capecitabine(6 months) versus Capecitabine(12 months) as Adjuvant Chemotherapy for Stage III(Dukes'C) Colon Cancer Patients.
Date of disclosure of the study information 2008/09/10
Last modified on 2019/03/18

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Basic information
Public title An Open-Label Randomized Phase III Study of Capecitabine(6 months) versus Capecitabine(12 months) as Adjuvant Chemotherapy for Stage III(Dukes'C) Colon Cancer Patients.
Acronym An Open-Label Randomized Phase III Study of Capecitabine(6 months) versus Capecitabine(12 months) as Adjuvant Chemotherapy for Stage III(Dukes'C)Colon Cancer Patients.
(JFMC37-0801)
Scientific Title An Open-Label Randomized Phase III Study of Capecitabine(6 months) versus Capecitabine(12 months) as Adjuvant Chemotherapy for Stage III(Dukes'C) Colon Cancer Patients.
Scientific Title:Acronym An Open-Label Randomized Phase III Study of Capecitabine(6 months) versus Capecitabine(12 months) as Adjuvant Chemotherapy for Stage III(Dukes'C)Colon Cancer Patients.
(JFMC37-0801)
Region
Japan

Condition
Condition Colon cancer
Classification by specialty
Gastrointestinal surgery
Classification by malignancy Malignancy
Genomic information NO

Objectives
Narrative objectives1 To demonstrate that capecitabine(12 months) is superior to capecitabine(6 months) in terms of desease free survival(DFS) in chemotherapy-naive Stage III(Dukes'C)colon cancer patients.
Basic objectives2 Safety,Efficacy
Basic objectives -Others
Trial characteristics_1 Exploratory
Trial characteristics_2 Pragmatic
Developmental phase Phase III

Assessment
Primary outcomes Disease free survival
Key secondary outcomes Relapse free survival, Overall survival, 2-year disease-free survival rate, Adverse events, Individual dose intensity, Health related quality of life, Pharmacoeconomics

Base
Study type Interventional

Study design
Basic design Parallel
Randomization Randomized
Randomization unit Individual
Blinding Open -no one is blinded
Control Active
Stratification NO
Dynamic allocation YES
Institution consideration Institution is considered as adjustment factor in dynamic allocation.
Blocking NO
Concealment Central registration

Intervention
No. of arms 2
Purpose of intervention Treatment
Type of intervention
Medicine
Interventions/Control_1 Capecitabine (Xeloda) is administered orally as tablets, 1250 mg/m2 twice daily for 14 days followed by a 7-days resting period without treatment, as an intermittent therapy in a 3-weeks cycle for 8 treatment cycles (6 months).
Interventions/Control_2 Capecitabine (Xeloda) is administered orally as tablets, 1250 mg/m2 twice daily for 14 -days followed by a 7-days resting period without treatment, as an intermittent therapy in a 3-weeks cycle for 16 treatment cycles (12 months).
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
80 years-old >
Gender Male and Female
Key inclusion criteria 1) Histologically confirmed Colorectal adenocarcinoma
2) Histological Stage III Colon, Rectosigmoid cancer
3) Curative resection with D2 or more lymph node dissection
4) Resection of histological curability A was performed
5) Performance status(ECOG): 0 or 1
6) No prior chemotherapy and radiotherapy
7) Oral intake is possible
8) Sufficient organ functions
WBC >= 3,000/mm3, <12,000/mm3
Hemoglobin >= 9.0g/dL
Platelet >= 90,000/mm3
Serum creatinine <= 1.5xULN
Total bilirubin <= 1.5 xULN
AST,ALT <= 2.5xULN
ALP <= 2.5xULN
9) Creatinine clearance >50mL/min
10) Chemotherapy will be started within 8 weeks from operation
11) Written informed consent
Key exclusion criteria 1) Pregnant or nursing
2) Medical history of allergy or hypersensitivity reactions to fluoropyrimidines
3) The past of the internal organ transplant
4) Serious coexisting illness
a; severe pulmonary dysfunction
b; ileus or colon dysfunction
c; uncontrolled diabetes mellitus
d; liver cirrhosis
e; uncontrolled hypertension
f; history of myocardial infarction, unstable angina within 6 months prior to the registration
5) Active synchronous or metachronous malignancy other than carcinoma in situ
6) Uncontrollable infectious disease
7) Not suitable for participating in the study for any other reason
Target sample size 1200

Research contact person
Name of lead principal investigator
1st name
Middle name
Last name Naohiro Tomita
Organization Hyogo College of Medicine
Division name Department of Surgery
Zip code
Address 1-1, Mukogawa , Nishinomiya City, Hyogo, 663-8501, Japan
TEL
Email

Public contact
Name of contact person
1st name
Middle name
Last name Japanese Foundation for Multidisciplinary Treatment of Cancer
Organization Japanese Foundation for Multidisciplinary Treatment of Cancer
Division name Office
Zip code
Address TaniBuilding3F, 1-28-6, kameido, koutou-ku, Tokyo, 136-0071, Japan
TEL 03-5627-7594
Homepage URL http://www.jfmc.or.jp/
Email jfmc-dc@jfmc.or.jp

Sponsor
Institute Japanese Foundation for Multidisciplinary Treatment of Cancer
Institute
Department

Funding Source
Organization Japanese Foundation for Multidisciplinary Treatment of Cancer
Organization
Division
Category of Funding Organization Non profit foundation
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
2008 Year 09 Month 10 Day

Related information
URL releasing protocol http://www.jfmc.or.jp/wp-content/uploads/2015/01/jfmc37_0801.pdf
Publication of results Published

Result
URL related to results and publications https://doi.org/10.1038/s41416-019-0410-0
Number of participants that the trial has enrolled 1306
Results The 5-year DFS
6M:65.3% (95% CI: 61.45-68.79)
12M:68.7% (95% CI: 64.92-72.10)
HR 0.858 (90% CI: 0.732-1.004; p = 0.0549)

The 5-year RFS
6M:69.3% (95% CI: 65.57-72.69)
12M:74.1% (95% CI: 70.53-77.32)
HR 0.796 (90% CI: 0.670-0.945; p = 0.0143)

The 5-year OS
6M:83.2% (95% CI: 80.07-85.87)
12M:87.6% (95% CI: 84.73-89.89)
HR 0.727 (90% CI: 0.575-0.919; p = 0.0124)
Results date posted
2019 Year 03 Month 18 Day
Results Delayed
Results Delay Reason
Date of the first journal publication of results
Baseline Characteristics Postoperative colorectal cancer patients who meet the criteria described in the study plan.
Participant flow Excluding two patients due to registration error, 1304 patients were randomly assigned to the two groups: 654 patients in the 6M group (control arm) and 650 patients in the 12M group (study arm).Eight and 17 patients were ineligible and 11 and 12 did not receive the protocol treatment in the 6M and 12M groups, respectively.
Adverse events The overall incidence rate of AEs was 91.7% and 94.7% in the 6M and 12M groups, respectively. The most common AE was hand-foot syndrome (HFS). Twelve months of adjuvant capecitabine demonstrated a higher cumulative incidence of HFS than the standard 6-month treatment; meanwhile, while toxicities even after 12-month capecitabine were clinically acceptable.
Outcome measures DFS:disease free survival
RFS:relapse free survival
OS:overall survival
Safety
IDI:Individual Dose Intensity
Plan to share IPD
IPD sharing Plan description

Progress
Recruitment status Completed
Date of protocol fixation
2008 Year 06 Month 12 Day
Date of IRB
2008 Year 06 Month 12 Day
Anticipated trial start date
2008 Year 09 Month 01 Day
Last follow-up date
2014 Year 12 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
2008 Year 09 Month 10 Day
Last modified on
2019 Year 03 Month 18 Day


Link to view the page
URL(English) https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001662

Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name


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