UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003288
Receipt number R000003977
Scientific Title Phase I/II study of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.
Date of disclosure of the study information 2010/03/04
Last modified on 2014/09/04 11:58:06

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Basic information

Public title

Phase I/II study of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.

Acronym

KMOG0901 CeIRIS trial

Scientific Title

Phase I/II study of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.

Scientific Title:Acronym

KMOG0901 CeIRIS trial

Region

Japan


Condition

Condition

Colorectal cancer: KRAS wild type

Classification by specialty

Gastroenterology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and safety of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

1) Phase I study
To determine the maximum tolerated dose (MTD) and recommended dose (RD)

2) Phase II study
Response rate

Key secondary outcomes

1) Phase I study
To evaluate the toxicity and efficacy

2) Phase II study
Progression-free survival, Overall survival, Disease control rate, Time to treatment failure and Safety profile


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

Interventions/Control_1

Cetuximab: Weekly administration 400 mg/m2 for the 1st time (day1), 250mg/m2/week for the 2nd time or another (day8,15,..)
TS-1 is orally administered b.i.d. on days 1-14 and CPT-11 is intravenously administered on days 1 and 8 every 3 weeks
S-1:Level1 65mg/m2 day1-14
Level2 80mg/m2 day1-14
CPT-11:Level1,2 80mg/m2, day1,8

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

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically proven colorectal cancer
2) KRAS WT unresectable advanced/recurrent colorectal cancer
3) Confirmed UGT1A1 genotype: both *6 and *28 wild type, or either *6 or *28 heterozygote type
4) Presence of measurable lesion
5) Age >=20 and =<75
6) Eastern Cooperative Oncology Group (ECOG) performance status(PS) 0 or 1
7) Patients who had documented progressive disease after a minimum of 4 weeks of oxaliplatin and fluoropyrimidine containing chemotherapy.
8) No prior chemotherapy involving TS-1 or CPT-11 or Cetuximab.
9) Previous chemotherapy completed at least 2 weeks before inclusion.
10) Ability of oral intake
11) Submission of the available microsection (5-10um, more than 3 cut slides) to perform genetic test for KRAS and BRAF and microscopic test with hematoxylin-eosin stain.
12) With normal function of the important organs
13) Life expectancy of more than 3 months
14) With a written informed consent
15) Adequate organ function, evidenced by the following laboratory results within 1 week prior to registration.
1. WBC 3,000/mm3-12,000/mm3
2. Neurtophils >=1,500/mm3
3. Platelets >=100,000/mm3
4. Hemoglobin >=9.0g/dl
5. AST and ALT <=100IU/l
6. Total bilirubin <=1.5mg/dl
7. Creatinine <1.5mg/dl

Key exclusion criteria

1) Severe comorbidity (active infectious disease, severe cerebrovascular disorder, uncontrolable diabetes, heart failure, angina, myocardial infarction within three months, severe hepatic disorder, jaundice etc)
2) Comorbidity or history of interstitial lung disease or pulmonary fibrosis
3) Massive pleural effusion or ascites
4) Symptomatic brain metastasis
5) Wattery diarrhea
6) Paralytic or mechanical bowel obstruction
7) Patients who is receiving Fluorocytosine
8) Patients who is receiving Atazanavir Sulfate
9) Simultaneous or metachronous double cancers
10) History of severe allergy
11) Current chronic daily treatment with corticosteroids(oral intake or intravenously)
12) Severe infectious disease
13) Amalgamation of mental disease or psychotic manifestation
14) Pregnant or lactating women or women of childbearing potential.
15) Any other patient whom the physician in charge of the study judges to be unsuitable.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name T. Esaki

Organization

National Kyushu Cancer Center

Division name

Gastrointestinal and Medical Oncology Division

Zip code


Address

3-1-1 Notame, Minami-ku, Fukuoka-city, Fukuoka, 811-1395, JAPAN

TEL

092-541-3231

Email

tesaki@nk-cc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name A. Makiyama

Organization

JCHO Kyushu Hospital

Division name

Department of Hematology/Oncology

Zip code


Address

1-8-1 kishinoura, yahatanishi-ku, Kitakyushu, Fukuoka 806-8501, Japan

TEL

093-641-5111

Homepage URL


Email

makiyama.a@qkn-hosp.jp


Sponsor or person

Institute

Kyushu Medical Oncology Group

Institute

Department

Personal name



Funding Source

Organization

HO

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Department of Medical Oncology, First Department of Internal Medicine, Faculty of Medicine, Kyushu University

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

2010 Year 03 Month 04 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

Open public recruiting

Date of protocol fixation

2009 Year 12 Month 01 Day

Date of IRB


Anticipated trial start date

2010 Year 02 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 03 Month 04 Day

Last modified on

2014 Year 09 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003977


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name