UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001990
Receipt number R000002421
Scientific Title Randomized phase II study comparing Gemcitabine/TS-1 combination chemoradiotherapy with Gemcitabine/TS-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.
Date of disclosure of the study information 2009/05/22
Last modified on 2017/05/16 19:11:46

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Basic information

Public title

Randomized phase II study comparing Gemcitabine/TS-1 combination chemoradiotherapy with Gemcitabine/TS-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.

Acronym

Randomized phase II study comparing Gemcitabine/TS-1 combination chemoradiotherapy with Gemcitabine/TS-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.

Scientific Title

Randomized phase II study comparing Gemcitabine/TS-1 combination chemoradiotherapy with Gemcitabine/TS-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.

Scientific Title:Acronym

Randomized phase II study comparing Gemcitabine/TS-1 combination chemoradiotherapy with Gemcitabine/TS-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.

Region

Japan


Condition

Condition

Unresectable locally advanced pancreatic cancer.

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical effectiveness of Gemcitabine/TS-1 combination chemoradiotherapy with Gemcitabine /TS-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Two year survival rate

Key secondary outcomes

Progression free survival(PFS)
Overall Survival(OS)
Adverse events
Response rate


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

NO

Institution consideration


Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Group A : Gemcitabine 1,000mg/m2 is administered with 30 min intravenous infusion on day 1 and 8 every 3 weeks. TS-1 60mg/m2/day is administered orally for 2 consecutive weeks every 3 weeks.

Interventions/Control_2

Group B : Gemcitabine 600mg/m2 is administered with 30 min intravenous infusion on day 1 and 8 every 3 weeks. TS-1 60mg/m2/day is administered orally for 2 consecutive weeks every 3 weeks. Concurrent radiotherapy (a total dose of 50.4Gy) was delivered in 28 fractions.
Maintenance TS-1+ Gemcitabine combination chemoradiotherapy was administered.

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 or cytologically confirmed adenocarcinoma, adenocarcinoma squamous carcinoma of pancreatic cancer.
2. Patients who confirmed unresectable locally advanced pancreatic cancer with the criteria below.
a: Involving over 1/2 circumference of major artery (SMA/CA). (Under 1/2 that was borderline lesion.)
b: Involving over the merging section of portal-SMV.
c: No distal metastasis with diagnostic imaging.
d: Confirmed by CT image performed with in four weeks before registration.
3. Performance Status:0-1(ECOG)
4. Patients of age =>20 and 80>
5. Sufficient organ functions.
(1) neutrophils >=1,500/mm3
(2) platelets >=100,000/mm3
(3) hemoglobin >=9.0g/dl
(4) AST(GOT)/ALT(GPT) <=150IU
(5) total bilirubin <=2.0mg/dl
(or <=3.0mg/dl if biliary drainage were present)
(6) serum creatinine <=1.2mg/dl
(7) creatinine clearance>=60ml/min
6. Life expectancy more than 3 months.
7. Written informed consent.

Key exclusion criteria

1) Lung fibrosis or intestinal pneumoni, and anamnesis or imaging findings.
2) Watery diarrhea
3) Severe infection
4) Severe complication
(heart failure, renal failure, hepatic insufficiency,hemorrhagic peptic ulcer, intestines paralysis,ileus or uncontrolled diabetes etc)
5) Massive pleural or abdominal effusion.
6) Metastasis to central nervous system.
7) Active synchronous or metachronous malignancy other than carcinoma in situ.
8) Regular use of frucitocin, fenitoin or warfarin
9) Pregnant or lactation women, or women with known or suspected pregnancy and men who want let to pregnancy
10) Severe mental illness
11) Patients who are judged inappropriate for the entry into the study by the investigater.

Target sample size

110


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tatsuya Ioka

Organization

Osaka Medical Center for Cancer and Cardiovascular Diseases

Division name

Department of Medical Oncology

Zip code


Address

3-3 Nakamichi 1cho-me, Higashinari-ku Osaka, Japan

TEL

06-6972-1181

Email

ioka-ta@mc.pref.osaka.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tatsuya Ioka

Organization

Osaka Medical Center for Cancer and Cardiovascular Diseases

Division name

Department of Medical Oncology

Zip code


Address

3-3 Nakamichi 1cho-me, Higashinari-ku Osaka, Japan

TEL

06-6972-1181

Homepage URL


Email

ioka-ta@mc.pref.osaka.jp


Sponsor or person

Institute

Osaka Medical Center for Cancer and Cardiovascular Diseases
Department of Medical Oncology

Institute

Department

Personal name



Funding Source

Organization

Osaka foundation for the prevention of cancer and cardiovascular diseases data center

Organization

Division

Category of Funding Organization

Non profit foundation

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

NCT01430052

Org. issuing International ID_1

ClinicalTrials.gov

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

大阪府立成人病センター(大阪府)、神戸大学(兵庫県)、杏林大学(東京都)、関西医科大学枚方病院(大阪府)、国立病院機構大阪医療センター(大阪府)、神奈川県立がんセンター(神奈川県)、東京女子医科大学(東京都)、


Other administrative information

Date of disclosure of the study information

2009 Year 05 Month 22 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

Main results already published

Date of protocol fixation

2009 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2009 Year 04 Month 01 Day

Last follow-up date

2014 Year 05 Month 31 Day

Date of closure to data entry

2014 Year 06 Month 04 Day

Date trial data considered complete

2014 Year 06 Month 04 Day

Date analysis concluded

2015 Year 05 Month 10 Day


Other

Other related information



Management information

Registered date

2009 Year 05 Month 21 Day

Last modified on

2017 Year 05 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002421


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name