UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002632
Receipt number R000003207
Scientific Title Clinical pharmacology study of anti-estrogen based on pharmacogenomics and pharmacokinetics for hormone-sensitive breast cancer patients (JBCRG-15)
Date of disclosure of the study information 2009/11/01
Last modified on 2021/08/13 16:09:25

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Basic information

Public title

Clinical pharmacology study of anti-estrogen based on pharmacogenomics and pharmacokinetics for hormone-sensitive breast cancer patients (JBCRG-15)

Acronym

JBCRG-15
(PGx-PK based clinical pharmacology study of anti-estrogen)

Scientific Title

Clinical pharmacology study of anti-estrogen based on pharmacogenomics and pharmacokinetics for hormone-sensitive breast cancer patients (JBCRG-15)

Scientific Title:Acronym

JBCRG-15
(PGx-PK based clinical pharmacology study of anti-estrogen)

Region

Japan


Condition

Condition

Breast Cancer

Classification by specialty

Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Investigate the difference in toremifen metabolite concentration between 40mg and 120mg in patients who are poor metaboliser for tamoxifen

Basic objectives2

Pharmacokinetics

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in toremifen metabolite concentration between 40mg and 120mg

Key secondary outcomes



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

Toremifen 40mg PO
Dose escaration to 120mg

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

70 years-old >=

Gender

Male and Female

Key inclusion criteria

Histologycally proven breast cancer
On tamoxifen
Reduced tamoxifen activity
Able to take toremifen at least 3 months
ECOG PS 0~2
20 to 70years old
Adequite organ function
Written IC obtained

Key exclusion criteria

History of thromboembolism
Clinically significant myoma uteri
Requiring CYP3A4 inhibitor
Clinically significant co-morbidity
Pregnant or its posibility

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Ishiguro

Organization

Kyoto University Hospital

Division name

Outpatient Oncology Unit

Zip code

606-8507

Address

54 Syogoinkawahara-cho, Sakyo-ku, Kyoto-city

TEL

075-751-4771

Email

hishimd@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Ishiguro

Organization

Kyoto University Hospital

Division name

Outpatient Oncology Unit

Zip code

606-8507

Address

54 Syogoinkawahara-cho, Sakyo-ku, Kyoto-city

TEL

075-751-4771

Homepage URL


Email

hishimd@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

JBCRG(Japan Breast Cancer Research Group)

Institute

Department

Personal name



Funding Source

Organization

JBCRG(Japan Breast Cancer Research Group)

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

N/A

Address

N/A

Tel

N/A

Email

N/A


Secondary IDs

Secondary IDs

YES

Study ID_1

C-351

Org. issuing International ID_1

Kyoto University Hospital

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

京都大学医学部附属病院(京都府)
九州がんセンター(福岡県)
兵庫県立がんセンター(兵庫県)
群馬県立がんセンター(群馬県)
広島大学病院(広島県)


Other administrative information

Date of disclosure of the study information

2009 Year 11 Month 01 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-bin/ctr/ctr_up_reg_f5.cgi

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007%2Fs12282-019-00952-9

Number of participants that the trial has enrolled

14

Results

TOR activity increased significantly with dose escalation, even among poor TAM metabolizers, and was maintained for >=24 weeks. TOR might be a valid alternative to TAM in patients predicted to be poor TAM metabolizers.

Results date posted

2021 Year 08 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2019 Year 02 Month 07 Day

Baseline Characteristics

Age (Median): 50years old
Weight (Median): 52.9kg
History of smoking +: 5.5%
Anti-estrogen used
TAM 20mg 66.7%
TOR40mg 22.3mg
TOR 120mg 11.0%
CYP inhibitor use
 2D6 inhibitor: 1.1%
 3A4 inhibitor: 4.4%
 Both: 5.1%
 None: 89.5%

Participant flow

Among the 14 patients enrolled, 12 patients completed the PK study.

Adverse events

Hot flush
Grade 1: 29.7%
Grade 2: 9.9%
Grade 3: 0.4%

Outcome measures

Polymorphism of CYP2D6, CYP2C19 and ABCC2
Pharmacokinetics of TAM and TOR

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 10 Month 14 Day

Date of IRB

2009 Year 11 Month 18 Day

Anticipated trial start date

2010 Year 10 Month 07 Day

Last follow-up date

2015 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 10 Month 15 Day

Last modified on

2021 Year 08 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003207


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name