UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003783
Receipt number R000004238
Scientific Title A multicenter randomized phase II/III trial of preoperative versus postoperative chemotherapy with XELOX plus bevacizumab in patients with resectable colorectal liver metastasis.
Date of disclosure of the study information 2010/07/01
Last modified on 2019/04/21 12:53:55

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A multicenter randomized phase II/III trial of preoperative versus postoperative chemotherapy with XELOX plus bevacizumab in patients with resectable colorectal liver metastasis.

Acronym

Randomized phase II/III trial of preoperative versus postoperative chemotherapy in patients with resectable colorectal liver metastasis. (HiSCO-01)

Scientific Title

A multicenter randomized phase II/III trial of preoperative versus postoperative chemotherapy with XELOX plus bevacizumab in patients with resectable colorectal liver metastasis.

Scientific Title:Acronym

Randomized phase II/III trial of preoperative versus postoperative chemotherapy in patients with resectable colorectal liver metastasis. (HiSCO-01)

Region

Japan


Condition

Condition

Resectable liver metastasis from colorectal cancer

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Gastrointestinal surgery
Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Compare the progression-free survival of patients with resectable colorectal liver metastases treated with surgery and preoperative or postoperative XELOX and bevacizumab.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase II,III


Assessment

Primary outcomes

Treatment compliance (phase II)
Progression-free survival (phase III)

Key secondary outcomes

Overall survival, Time to treatment failure, Response rate, Mode of recurrence, Resection rate, Incidence of adverse events, Morbidity, Pathological liver injury


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 Maneuver

Interventions/Control_1

A: Within 56 days after surgery, patients receive infusional oxaliplatin and oral capecitabine. Patients receive infusional bevacizumab as from second course. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.

Interventions/Control_2

B: Patients receive infusional oxaliplatin, bevacizumab and oral capecitabine. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity. Patients do not receive bevacizumab at last course. Within 56 days after chemotherapy, patients receive surgery.

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) Histologically confirmed adenocarcinoma
2) Four or less liver metastasis or maximum size of 5cm or less
3) Liver metastasis curable within 60% liver resection
4) No extrahepatic disease
5) Primary colorectal lesion curable or after curative resection
6) No prior radiofrequency ablation or cryotherapy for liver metastasis
7) No prior chemotherapy or radiotherapy
8) Child-Pugh class A
9) No evident bleeding or obstruction due to colorectal cancer
10) Patient age is 20 or more and 80 or less.
11) PS: 0, 1
12) Organ function is kept
13) Written informed consent

Key exclusion criteria

1) Multiple cancer patients
2) Pregnant or lactating woman
3) Steroid administration
4) Patients must use flucytosine, phenytoin or warfarin potassium
5) Uncontrollable hypertension or diabetes mellitus
6) Diarrhea or peripheral neuropathy greater than grade 1
7) Portal vein embolization
8) Clinically significant pulmonary disease, coagulopathy or thrombosis.
9) Clinically significant gastrointestinal bleeding, obstruction or ulcer.
10) Clinically significant abdominal, pleural or pericardial effusion.
11) Presence of psychological or central nervous system disorder.
12) Major abdominal or thoracic surgery within 4 weeks.
13) Presence of non-healing bone fracture
14) Hepatitis B virus infection

Target sample size

260


Research contact person

Name of lead principal investigator

1st name Hideki
Middle name
Last name Ohdan

Organization

Hiroshima University Hospital

Division name

Gasroenterological Surgery

Zip code

734-8551

Address

1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, JAPAN

TEL

082-257-5222

Email

jimukyoku@hisco-jpn.com


Public contact

Name of contact person

1st name Tsuyoshi
Middle name
Last name Kobayashi

Organization

Hiroshima University Hospital

Division name

Gasroenterological Surgery

Zip code

734-8551

Address

1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, JAPAN

TEL

082-257-5222

Homepage URL

http://www.hisco-jpn.com/index.html

Email

tsukoba@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima Surgical study group of Clinical Oncology

Institute

Department

Personal name



Funding Source

Organization

Hiroshima Surgical study group of Clinical Oncology

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

the institutional review board of Hiroshima University

Address

1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, JAPAN

Tel

082-257-5907

Email

gaku-hiroshimajimu@office.hiroshima-u.ac.jp


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

井野口病院(広島県)、太田川病院(広島県)、尾道総合病院(広島県)、呉医療センター(広島県)、呉市医師会病院(広島県)、県立広島病院(広島県)、庄原赤十字病院(広島県)、中国労災病院(広島県)、中電病院(広島県)、土谷総合病院(広島県)、東広島医療センター(広島県)、広島市民病院(広島県)、広島大学病院(広島県)、広島鉄道病院(広島県)、広島西医療センター(広島県)、三次中央病院(広島県)、吉田総合病院(広島県)


Other administrative information

Date of disclosure of the study information

2010 Year 07 Month 01 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

81

Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

in preparation

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 05 Month 20 Day

Date of IRB

2010 Year 05 Month 28 Day

Anticipated trial start date

2010 Year 07 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry

2019 Year 03 Month 31 Day

Date trial data considered complete

2019 Year 03 Month 31 Day

Date analysis concluded

2019 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2010 Year 06 Month 19 Day

Last modified on

2019 Year 04 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004238


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name