UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001568
Receipt number R000001888
Scientific Title Phase II trial of neoadjuvant chemotherapy with Bevacizumab plus FOLFOX6 chemotherapy for Resectable case of liver metastasis
Date of disclosure of the study information 2008/12/12
Last modified on 2015/03/09 08:49:26

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Basic information

Public title

Phase II trial of neoadjuvant chemotherapy with Bevacizumab plus FOLFOX6 chemotherapy for Resectable case of liver metastasis

Acronym

Before study

Scientific Title

Phase II trial of neoadjuvant chemotherapy with Bevacizumab plus FOLFOX6 chemotherapy for Resectable case of liver metastasis

Scientific Title:Acronym

Before study

Region

Japan


Condition

Condition

synchronous metastatic liver tumors of colorectal cancer

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Hematology and clinical oncology
Gastrointestinal surgery Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluate the feasibility and efficacy of neoadjuvant chemotherapy with Bevacizumab plus FOLFOX6 chemotherapy for resectable case of synchronous liver metastasis from colo-rectal cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

response rate

Key secondary outcomes

safety, R-resection rate
pathological response
change of Grading
disease free survival
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

Neoadjuvant chemotherapy with mFOLFOX6x1, mFOLFOX6+Bevacitumab x 6 and mFOLFOX6x1 followd by resection of origin

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

75 years-old >

Gender

Male and Female

Key inclusion criteria

1. colorectal cancer diagnosed by histopathology
2. first treatment for measurable synchronous liver metastases. Curative cases by D2 or D3 resection.
3. Enrollment is within 6 weeks after original resection.
4. Written informed consent.
5. Age are from 20 to 74 years old.
6. PS by ECOG is 0 and 1.
7. a life expectancy greater than 3 months.
8. Function of main organ is kept as below, adequate hematologic function (leucocyte count > 3,000/uL, granulocyte count > 1,500/uL, hemoglobin level > 9.0 g/dL, and platelet count > 100,000/uL), adequate renal function (serum creatinine concentration < 1.5). Total bilirubin is within 1.5 times of normal limits. AST and ALT are within 5 times of normal limits. ALP is within 5 times of normal limits. Creatinin is within normal limits. (7) Written informed consent
9. Criteria of operable metastases are below, 1. Within 10 metastases, 2. Liver function is A by Child-Pough classification. 3. Operable case is judged by HBP surgeon.

Key exclusion criteria

1. No extrahepatic lesion
2. No carcinomatous fluid
3. No brain tumor and brain metastases
4. Another cancer with disease free survival within 5 year
5. No cranial nerve and vessel problem, and no past history within 1 year of cranial nerve and vessel problem
6. Operation and incisional biopsy within 2 weeks. Or punctual cytology within 1 week.
7. Thrombosis with present and past history
8. Oral taking with Aspirin and steroid for RA and chronic inflammatory disease
9. Bleeding tendency and clotting abnormality
10. Uncontrollable peptic ulcer disease
11. Perforation of GI tract within 1 year
12. Untreatment of traumatic bone fracture
13. Require treatment of renal dysfunction, or urine protein > +2 within 2 weeks.
14. Uncontrollable hypertension
15. Cardiac disease (over Grade 2 by CTCAE v3.0). Or myocardial infarction within 1 year.
16. No severe anaphylaxis of Leucovorin(LV), 5-Fluorouracil(5-FU) and L-OHP
17. Uncontrollable diarrhea
18. interstitial lung disease, pulmonary fibrosis
19. organ recipient receiving an immunosuppressant
20. Uncontrollable infection
21. pregnant woman, lactating woman, positive of pregnancy test. Or no willing of birth-control
22. case whom principal investigator deny the enrollment.

Target sample size

45


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Michiaki Unno

Organization

Tohoku University Graduate School of Medicine

Division name

Tohoku University Graduate School of Medicine, Division of Hepato-Biliary Pancreatic Surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, JAPAN

TEL

022-717-7205

Email

m_unno@surg1.med.tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kei Nakagawa

Organization

Miyagi HBPCOG

Division name

Division of Hepato-Biliary Pancreatic Surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, JAPAN

TEL

022-717-7205

Homepage URL


Email

kein_h11@surg1.med.tohoku.ac.jp


Sponsor or person

Institute

Miyagi HBPCOG

Institute

Department

Personal name



Funding Source

Organization

Tohoku University Graduate School of Medicine, Division of Hepato-Biliary Pancreatic Surgery

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

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 12 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

No longer recruiting

Date of protocol fixation

2008 Year 04 Month 22 Day

Date of IRB


Anticipated trial start date

2008 Year 06 Month 01 Day

Last follow-up date

2013 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 12 Month 12 Day

Last modified on

2015 Year 03 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001888


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name