UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002557
Receipt number R000003077
Scientific Title Multicenter randomized phase III study of adding Bevacizumab 5mg/kg or 10mg/kg to FOLFIRI in advanced colorectal cancer who have failed prior Bevacizumab plus Oxaliplatin-based therapy.
Date of disclosure of the study information 2009/09/30
Last modified on 2018/09/20 08:21:14

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Basic information

Public title

Multicenter randomized phase III study of adding Bevacizumab 5mg/kg or 10mg/kg to FOLFIRI in advanced colorectal cancer who have failed prior Bevacizumab plus Oxaliplatin-based therapy.

Acronym

Phase III study of Bevacizumab 5mg/kg or 10mg/kg to FOLFIRI in advanced CRC who have failed prior Bevacizumab plus Oxaliplatin-based therapy.

Scientific Title

Multicenter randomized phase III study of adding Bevacizumab 5mg/kg or 10mg/kg to FOLFIRI in advanced colorectal cancer who have failed prior Bevacizumab plus Oxaliplatin-based therapy.

Scientific Title:Acronym

Phase III study of Bevacizumab 5mg/kg or 10mg/kg to FOLFIRI in advanced CRC who have failed prior Bevacizumab plus Oxaliplatin-based therapy.

Region

Japan


Condition

Condition

advanced colorectal cancer

Classification by specialty

Medicine in general Gastroenterology Hepato-biliary-pancreatic medicine
Hematology and clinical oncology Surgery in general Gastrointestinal surgery
Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Multicenter randomized phase III study of adding Bevacizumab 5mg/kg or 10mg/kg to FOLFIRI in advanced colorectal cancer who have failed prior Bevacizumab plus Oxaliplatin-based therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

progression free survival

Key secondary outcomes

>Overall survival
>Overall survival from first line Second progression free survival (progression free survival from first line)
>Response rate
>Time to treatment failure
>Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

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

FOLFIRI plus bevacizumab 5mg/kg is treated until progression.

Interventions/Control_2

FOLFIRI plus bevacizumab 10mg/kg is treated until progression.

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) Disease progression(PD) or difficult to continue for other reason after chemotherapy with bevacizumab as 1st line Oxaliplatin containing regimen
(with measurable lesions in RECIST criteria)
(2) Oxaliplatin and bevacizumab were administrated for more than 4 times in 1stline
(3) Colorectal cancer, cytologically and/or histrogically
(4) Written informed consents
(5) Age: 20 years old and above
(6) Performance Status(ECOG):0~1
(7) Life expectancy estimated >= 3 months
(8) Sufficient organ functions




Key exclusion criteria

(1) Previously irinotecan treatment
(2) Administering transfusion/ hematopoietic factor or antithrombotic drug within 14 days
(3) Serious renal dysfunction
(4) Serious drug hypersensitivity or a history of drug allergy
(5) Active concomitant malignancy
(6) Active infections
(7) Symptomatic or asymptomatic but treated heart disease
(8) History of thrombosis, interstitial pneumonitis, pulmonary fibrosis or high-grade pulmonary emphysema
(9) Fresh hemorrhage from digestive tube, intestines tube paralysis, intestinal obstruction and peptic ulcer
(10) Pleural effusion, peritoneal fluid and pericardial fluid
(11) Symptomatic brain metastasis
(12) History of mental disturbances or cerebrovascular accident
(13) High blood pressure and diabetic that cannot be controlled
(14) Uncontrolled diarrhea
(15) Serious non-healing wound and/or major surgical procedure within 4weeks prior to enroll in this study
(16) Traumatic fracture of unrecovery
(17) Bleeding tendency and anti-platelets therapy (including aspirin and NSAIDS)
(18) Pregnant women, possibly pregnant women, wishing to become pregnant, and nursing mothers
(19) Need to treatment with atazanavir sulfate
(20) Paralyzed bowel
(21) Other conditions not suitable for this study

Target sample size

370


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 Chigusa Abe

Organization

Epidemiological and Clinical research Information Network (ECRIN)

Division name

Data Center

Zip code


Address

21-7 Shogoinn Sakyo-ku, Kyoto

TEL

075-762-1227

Homepage URL


Email

chigusa.abe@ecrin.or.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



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 09 Month 30 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

Results:

Three hundred and eighty-seven patients were randomized between September 2009 and January 2012 from 100 institutions in Japan. Baseline patient characteristics were well balanced between the two groups. Efficacy was evaluated
in 369 patients (5 mg/kg, n = 181 and 10 mg/kg, n = 188). Safety was evaluated in 365 patients (5 mg/kg, n = 180
and 10 mg/kg, n = 185). The median PFS was 6.1 versus 6.4 months (hazard ratio, 0.95; 95% confidence interval [CI]
0.75-1.21; P = 0.676), and median TTF was 5.2 versus 5.2 months (hazard ratio, 1.01; 95% CI 0.81-1.25; P = 0.967), respectively,for the bevacizumab 5 and 10 mg/kg groups. Follow-up of OS is currently ongoing. Adverse events, including
hypertension and hemorrhage, occurred at similar rates in both groups.

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

2009 Year 07 Month 28 Day

Date of IRB


Anticipated trial start date

2009 Year 10 Month 01 Day

Last follow-up date

2013 Year 09 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Annals of Oncology 26: 1427-1433, 2015

FOLFIRI plus bevacizumab as second-line therapy in patients with metastatic colorectal cancer after firstline bevacizumab plus oxaliplatin-based therapy: therandomized phase III EAGLE study

S. Iwamoto1,, T. Takahashi, H. Tamagawa, M. Nakamura, Y. Munemoto, T. Kato, T. Hata,T. Denda, Y. Morita, M. Inukai, K. Kunieda, N. Nagata, K. Kurachi, K. Ina14, M. Ooshiro,T. Shimoyama, H. Baba, K. Oba, J. Sakamoto & H. Mishima


Management information

Registered date

2009 Year 09 Month 28 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=R000003077


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name