UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003237
Receipt number R000003848
Scientific Title A phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical stage II/III squamous cell carcinoma of the anal canal (JCOG0903, SMART-AC)
Date of disclosure of the study information 2010/02/23
Last modified on 2015/03/27 17:14:22

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Basic information

Public title

A phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical stage II/III squamous cell carcinoma of the anal canal (JCOG0903, SMART-AC)

Acronym

A phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical stage II/III squamous cell carcinoma of the anal canal (JCOG0903, SMART-AC)

Scientific Title

A phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical stage II/III squamous cell carcinoma of the anal canal (JCOG0903, SMART-AC)

Scientific Title:Acronym

A phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical stage II/III squamous cell carcinoma of the anal canal (JCOG0903, SMART-AC)

Region

Japan


Condition

Condition

anal canal caner

Classification by specialty

Gastroenterology Gastrointestinal surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Phase I part: to evaluate maximum tolerated dose and dose-limiting toxicities to determine recommended dose of S-1 in combination with a fixed dose of mitomycin C (MMC) plus radiation therapy in patients with stage II/III squamous cell carcinoma of the anal canal.

Phase II part: to evaluate the efficacy and safery of combination chemoraditotherapy with S-1 plus MMC in patients with stage II/III squamous cell carcinoma of the anal canal.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Phase I: Incidence of dose limiting toxicity
Phase II: Proportion of 3 year event-free survival

Key secondary outcomes

Phase I: Incidence of adverse events
Phase II: Complete response rate, progression-free survival, event-free survival, over all survival, colostomy-free survival, incidence of adverse events, and febril neutropenia


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Combination chemoradiotherapy consists of S-1(day1-14, 29-42, 40-80mg/m2/day), MMC(day1,29, 10mg/m2), and radiotherapy(59.4Gy/33Fr)

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Lesion located in anal canal
2) Histologically proven squamous cell carcinoma or basaloid carcinoma
3) Clinical stage II or III (TNM-UICC 6th, 2002)
4) Phase I part: aged 20 to 75 years old, phase II part: aged 20 to 80 years old
5) ECOG Performance status 0 or 1
6) Both measurable lesions and unmeasurable lesions
7) No previous therapy against anal canal cancer
8) Neither previous chemotherapy, chemoradiotherapy, nor radiotherapy against any cancer
9) Sufficient oral intake
10) Adequate organ functions
11) Written informed consent

Key exclusion criteria

1) Simultaneous or metachronous (within 5 years) double cancers , with the exception of intramucosal tumor curable with local therapy
2) Patients requiring the administration of phenytoin or warfarin potassium
3) Pregnant or lactating women or women of childbearing potential
4) Psychosis
5) Patients requiring systemic steroids medication
6) Serum HBs antigen positive
7) Anti-HIV antibody positive
8) Uncontrollable diabetes mellitus or administration of insulin.
9) Uncontrollable hypertention
10) Unstable angina, heart failure, or with a history of myocardial infarction within 6 months.
11) Interstitial pneumonia, fibroid lung, or severe emphysema
12) Active bacterial or fungous infection
13) fever over 38 degrees centigrade

Target sample size

71


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tetsuya Hamaguchi

Organization

National Cancer Center Hospital

Division name

Gastrointestinal Medical Oncology

Zip code


Address

5-1-1Tsukiji, Chuo-ku, Tokyo, 105-0043, Japan.

TEL

03-3542-2511

Email

thamaguc@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoshinori Ito

Organization

JCOG0903 Coordinating Office

Division name

National Cnacer Center Hosipital, division of radiation oncology

Zip code


Address

5-1-1Tsukiji, Chuo-ku, Tokyo, 105-0043, Japan.

TEL

03-3542-2511

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group(JCOG)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

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

札幌厚生病院(北海道)
岩手医科大学(岩手県)
宮城県立がんセンター(宮城県)
山形県立中央病院(山形県)
栃木県立がんセンター(栃木県)
群馬県立がんセンター(群馬県)
防衛医科大学校(埼玉県)
埼玉県立がんセンター(埼玉県)
埼玉医科大学国際医療センター(埼玉県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
順天堂浦安病院(千葉県)
国立がん研究センター中央病院(東京都)
杏林大学医学部(東京都)
東京医科大学病院(東京都)
がん・感染症センター都立駒込病院(東京都)
慶應義塾大学病院(東京都)
東京医科歯科大学(東京都)
北里大学東病院(神奈川県)
神奈川県立病院機構神奈川県立がんセンター(神奈川県)
北里大学医学部(神奈川県)
昭和大学横浜市北部病院(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
新潟県立がんセンター新潟病院(新潟県)
富山県立中央病院(富山県)
石川県立中央病院(石川県)
長野市民病院(長野県)
岐阜大学医学部(岐阜県)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター中央病院(愛知県)
藤田保健衛生大学(愛知県)
国立病院機構京都医療センター(京都府)
大阪大学医学部(大阪府)
大阪府立病院機構大阪府立成人病センター(大阪府)
国立病院機構大阪医療センター(大阪府)
大阪市立総合医療センター(大阪府)
大阪医科大学(大阪府)
市立堺病院(大阪府)
市立吹田市民病院(大阪府)
関西労災病院(兵庫県)
兵庫医科大学(兵庫県)
広島市立広島市民病院(広島県)
県立広島病院(広島県)
広島市立安佐市民病院(広島県)
国立病院機構四国がんセンター(愛媛県)
高知医療センター(高知県)
久留米大学医学部(福岡県)
熊本大学医学部(熊本県)
大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2010 Year 02 Month 23 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

2010 Year 01 Month 05 Day

Date of IRB


Anticipated trial start date

2010 Year 02 Month 23 Day

Last follow-up date

2022 Year 02 Month 23 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 02 Month 23 Day

Last modified on

2015 Year 03 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003848


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name