UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003421
Receipt number R000004101
Scientific Title Phase I study of combination chemotherapy with erlotinib and S-1 as the 2nd or 3rd-line treatment in platinum-refractory advanced non-small cell lung cancer (TORG0808)
Date of disclosure of the study information 2010/03/31
Last modified on 2020/11/12 10:41:15

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Basic information

Public title

Phase I study of combination chemotherapy with erlotinib and S-1 as the 2nd or 3rd-line treatment in platinum-refractory advanced non-small cell lung cancer (TORG0808)

Acronym

Phase I study of combination chemotherapy with erlotinib and S-1 in pretreated non-small cell lung cancer(TORG0808)

Scientific Title

Phase I study of combination chemotherapy with erlotinib and S-1 as the 2nd or 3rd-line treatment in platinum-refractory advanced non-small cell lung cancer (TORG0808)

Scientific Title:Acronym

Phase I study of combination chemotherapy with erlotinib and S-1 in pretreated non-small cell lung cancer(TORG0808)

Region

Japan


Condition

Condition

non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the dose-limiting toxicity (DLT) and the maximum tolerable dose (MTD) for the following phase II study of a two-drug combination of erlotinib and S-1.
To evaluate the antitumor activity and safety of this combination.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Maximum Tolerated Dose of Erlotinib/S-1 combination therapy

Key secondary outcomes

Anti tumor efficacy


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

Erlotinib administers 150mg/body orally once a day.
Patients receive oral doses of S-1
twice daily after meals from days 1 to 14 of each 21-day cycle at the following dose level.
Level 0:60mg/m2day
Level 1:70mg/m2day
Level 2:80mg/m2day
Initially three patients are enrolled to level 1. When DLT was observed at one of them, Additionally three patients are enrolled. If DLT is observed at one of the six, S-1 dose is escalated to level 2. In case DLT is observed at three of the three or two of the six or more, We determine level 1 as MTD.
RD is one level below MTD.

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)Histology/cytology-proven non-small cell lung cancer
2)Stage IIIB (wide radiation field, malignant pleural effusion or contralateral supraclavicular lymph node) or Stage IV
3)Previous 1- or 2-regimen chemotherapy consisting of platinum
4) No prior chemotherapy with EGFR-TKI or fluoropyrimidine
5)Presence of measurable disease
6)more than 4weeks after the last treatment
7)measurable disease per RECIST criteria
8)ECOG PS of 0-1
9)Age of 20 years or over
10)Adequate reserves for marrow, renal, hepatic, and pulmonary functions
11)Acquisition of written informed consent

Key exclusion criteria

1) no other evaluable lesion after the prior irradiation for the primary tumor
2) the superior vena caval syndrome
3) previous drug allergy
4,5) massive pericardial, pleural effusion, or ascites
6,9,14) serious underlying diseases
(interstitial pneumonia, serious cardiac diseases, serious infection)
7,8)diarrhea to last, ileus, or intestinal tract paralysis
10) previous radiotherapy for cest or ilium bone
11) symptomatic brain metastasis
12) concomitant malignancy
13) uncontrolled diabetes mellitus
15)mental disorder to become the clinical problem
16)hoped to be pregnant/ nursing
17)those judged to be not suitable by the attending physician

Target sample size

6


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tetsu Shinkai

Organization

National hospital organization shikoku cancer center

Division name

department of respiratory disease

Zip code


Address

160,Minamiumemoto-machi-ko,matsuyama,Ehime

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Naoyuki Nogami

Organization

National hospital organization shikoku cancer center

Division name

Administration office

Zip code


Address

160,Minamiumemoto-machi-ko,matsuyama,Ehime

TEL

089-999-1111

Homepage URL

http://www.torg.or.jp/

Email

Nnogami@shikoku-cc.go.jp


Sponsor or person

Institute

Thoracic Oncology Research Group

Institute

Department

Personal name



Funding Source

Organization

Thoracic Oncology Research Group

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

2010 Year 03 Month 31 Day


Related information

URL releasing protocol

-

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s10637-020-00985-4

Number of participants that the trial has enrolled

7

Results

A total of 7 patients with performance-status (PS) 0 or 1 were enrolled as subjects in phase I. Five of these subjects were EGFR-mutation positive. Four subjects were enrolled at S-1 dose level 1 and 3 were enrolled at S-1 dose level 2. No dose-limiting toxicities were observed in these subjects. The RD was decided as erlotinib 150 mg/body and S-1 80 mg/m2. In phase I, 5 subjects achieved partial response, and the ORR was 71.4%.

Results date posted

2020 Year 11 Month 12 Day

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 13 Day

Date of IRB


Anticipated trial start date

2008 Year 12 Month 01 Day

Last follow-up date

2010 Year 04 Month 01 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 03 Month 31 Day

Last modified on

2020 Year 11 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004101


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name