UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002094
Receipt number R000002513
Scientific Title Multicenter PhaseII study of Combination FOLFIRI with Erbitux in advanced/metastatic colorectal cancer: EGFR positive and KRAS wild type
Date of disclosure of the study information 2009/06/22
Last modified on 2018/09/20 08:20:07

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Basic information

Public title

Multicenter PhaseII study of Combination FOLFIRI with Erbitux in advanced/metastatic colorectal cancer:
EGFR positive and KRAS wild type

Acronym

Multicenter PhaseII study of Combination FOLFIRI with Erbitux in advanced/metastatic colorectal cancer:
EGFR positive and KRAS wild type

Scientific Title

Multicenter PhaseII study of Combination FOLFIRI with Erbitux in advanced/metastatic colorectal cancer:
EGFR positive and KRAS wild type

Scientific Title:Acronym

Multicenter PhaseII study of Combination FOLFIRI with Erbitux in advanced/metastatic colorectal cancer:
EGFR positive and KRAS wild type

Region

Japan


Condition

Condition

Colorectal Cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

This study is designed to evaluate efficacy of cetuximab plus FOLFIRI regimen in Japanese patients with EGFR-detectable and KRAS wild type metastatic colorectal carcinoma

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Response rate

Key secondary outcomes

Overall survival, progression-free survival, disease control rate, dose intensity, response rate according to internal organs, safety profile


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

FOLFIRI (CPT-11, 5-FU bolus, 5-FU infusional, l-LV)+ Erbitux
Cetuximab 400 mg/m2(day1)
Cetuximab 250 mg/m2/week, (except day 1)
CPT-11 100 or 150 mg/m2/bi-week
l-LV 200 mg/m2/bi-week
5-FU/bolus 400 mg/m2/bi-week
5-FU/infusional 2,400 mg/m2/bi-week (day 1-3)

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


Not applicable

Gender

Male and Female

Key inclusion criteria

(1)Patients with histologically proven colorectal cancer
(2)EGFR expression in the primary or metastatic tumor tissue is confirmed by immunohistochemical evaluation regardless of intensity
(3)KRAS wild type in codon 12 and 13 in the primary or metastatic tumor tissue is confirmed
(4)Curatively unresectable mCRC patients who had received and failed at least one regimen of oxaliplatin-contained chemotherapy
(5)Age 20 years<=
(6)ECOG performance status 0-1
(7)Presence of at least one measurable lesion (according to the RECIST)
(8)Prior chemotherapy was done in the first study treatment before at least 28days
(9)Patiens have enough organ function for study treatment
1. WBC>=3,000/mm3 , Neurtophils>=1,500/mm3
2. Platelets>=100,000/mm3
3. Hemoglobin>=9.0g/dl
4. Total bilirubin<=upper limit of normal (ULN)*3
5. AST and ALT<=upper limit of normal (ULN)*3 (<=ULN*5 in case of liver metastasis)
6. Creatinine<=upper limit of normal (ULN)*2
(10)Life expectancy of 3 months
(11)Written informed consent

Key exclusion criteria

(1)Severe bone marrow suppression
(2)Wattery diarrhea
(3)Severe infectious disease
(4)Massive pleural effusion or ascites
(5)Comorbidity or history of heart failure
(6)Comorbidity or history of interstitial lung disease or pulmonary fibrosis
(7)Paralytic or mechanical bowel obstruction
(8)Jaundice
(9)Patients who is receiving Atazanavir Sulfate
(10)History of severe allergy
(11)Pregnant or lactating women or women of childbearing potential
(12)Severe comorbidity (uncontrolable diabetes, hypertension, hypercarcemia etc)
(13)Symptomatic brain metastasis
(14)Simultaneous or metachronous double cancers
(15)Any other cases who are regarded as inadequate for study enrollment by the investigator.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideyuki Mishima

Organization

Aichi Medical University

Division name

Cancer Center

Zip code


Address

1-1, Yazakokarimata, Nagakute, Aichi

TEL

0561-62-3311

Email

hmishima@aichi-med-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Mai Hatta

Organization

Young Leaders&#39; Program (YLP), Nagoya University School of Medicine

Division name

See Above

Zip code


Address

65 Tsurumai Showa-ku Nagoya

TEL

052-744-2442

Homepage URL


Email

m-hatta@med.nagoya-u.ac.jp


Sponsor or person

Institute

Epidemiological and Clinical Research Information Network (ECRIN)

Institute

Department

Personal name



Funding Source

Organization

Epidemiological and Clinical Research Information Network (ECRIN)

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

2009 Year 06 Month 22 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

Anticancer Res. 2014 Apr;34(4):1967-73.

Results:Sixty-seven patients (59.8%) were EGFR-positive and KRAS wild-type. The mean age of the enrolled patients (n=60) was 62.6 years (range=37-82 years). The response rate was 31.7% and stable disease was observed in 53.3%. No objective response was observed in patients with BRAF or PIK3CA mutations. The median PFS and OS were 7.4 and 18.2 months, respectively. Grade-3/4 adverse events were leucopenia (26.7%), neutropenia (43.3%), paronychia (10.0%), fissure (10.0%) and acne-like rash (5.0%).

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

2008 Year 11 Month 15 Day

Date of IRB


Anticipated trial start date

2008 Year 12 Month 01 Day

Last follow-up date

2011 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Multicenter phase II study of second-line cetuximab plus folinic acid/5-fluorouracil/irinotecan (FOLFIRI) in KRAS wild-type metastatic colorectal cancer: the FLIER study.
Iwamoto S, Hazama S, Kato T, Miyake Y, Fukunaga M, Matsuda C, Bando H, Sakamoto J, Oba K, Mishima H.


Management information

Registered date

2009 Year 06 Month 19 Day

Last modified on

2018 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002513


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name