UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004219
Receipt number R000005070
Scientific Title Phase II trial of FOLFIRI plus Bevacizumab in second-line therapy after progression on bevacizumab with oxaliplatine-based chemotherapy in patients with metastatic colorectal cancer whose KRAS status are investigated.
Date of disclosure of the study information 2010/09/16
Last modified on 2012/03/15 19:58:11

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Basic information

Public title

Phase II trial of FOLFIRI plus Bevacizumab in second-line therapy after progression on bevacizumab with oxaliplatine-based chemotherapy in patients with metastatic colorectal cancer whose KRAS status are investigated.

Acronym

KOBE BBP(bevacizumab beyond progression) study

Scientific Title

Phase II trial of FOLFIRI plus Bevacizumab in second-line therapy after progression on bevacizumab with oxaliplatine-based chemotherapy in patients with metastatic colorectal cancer whose KRAS status are investigated.

Scientific Title:Acronym

KOBE BBP(bevacizumab beyond progression) study

Region

Japan


Condition

Condition

Recurrent or metastatic colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery
Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and the safety of FOLFIRI plus Bevacizumab in second-line therapy after progression on bevacizumab with oxaliplatine-based chemotherapy in patients with metastatic colorectal cancer whose KRAS status are investigated.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate

Key secondary outcomes

safety, resection rate of metastatic lesion, time to treatment-failure, progression free survival, overall survival, overall survival from first- line

overall response rate,
safety, resection rate of metastatic lesion, time to treatment-failure, progression free survival, overall survival, overall survival from first- line in KRAS wild-type and mutant population, respectively


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

Treatment is administered every 2 weeks until evidence of progression, unacceptable toxicity or patient refusal.
During the treatment, image assessment is repeated every 2 months at least.

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 unresectable metastatic colorectal cancer
2.at least one measurable leasion (CT and/or MRI, with maximum axis 20mm or more in case of 10mm slice or less, with maximum axis 10mm or more in case of 5mm slice or less)
3.refractory for oxaliplatin-based 1st line chemotherapy. Within 28 days after confirmation of disease progression in 1st line treatment.
4.KRAS status is investigated
5.age: 20-75 years old
6.ECOG PS: 0-2
7.adequate major organ functions
8.expected 3 months or over survival
9.written informed consents

Key exclusion criteria

1.clinical or radiological evidence of CNS metastases
2.current or previous (at least once within the last 1 year/ twice or more) history of arterial thromboembolism such as cerebrovascular disease
3.major surgical procedure, open biopsy or significant traumatic injury except for CV-port procedure within 28 days prior to enrollment/ fine-needle aspiration cytology within 7 days prior to enrollment
4.serious non-healing fracture
5.current or previous (within the last 1 year) history of GI perforation
6.evidence of bleeding diathesis, coagulopathy or abnormal coagulation factor (PT-INR>=1.5 within 14 days prior to enrollment)
7.current or recent (within 10 days prior to enrollment) ongoing treatment with anticoagulants for therapeutic purposes
8.ongoing treatment with aspirin (>= 325 mg/day), nonsteroid anti-inflammatory drug or adrenocortical steroid
9.clinically significant (i.e. active) cardiovascular disease (NCI-CTCAE grade 2 or worse), or past or current history (at least once within the last 1 year/ twice or more) of myocardial infarction
10.renal failure need to treat
11.serious complication (uncontrolled ulcer, hypertension, diabetes mellitus, infection, diarrhea,etc)
12.uncontrolled pleural effusion and/or ascites
13.past or current history (within the last 5 years) of malignant disease, except for the early cancer healed clearly
14.interstitial lung disease, or pulmonary fibrosis
15.history of organ transplantation
16.pregnancy, lactation and positive serum pregnancy test/no birth-control
17.serious drug hypersensitivity or history of drug allergy of 5-FU, l-LV and/or irinotecan
18.history of adverse reaction to fluorouracil in which DPD deficiency is suspected
19.any other cases who are regarded as inadequate for trial enrollment by the investigator

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiro Tsuda

Organization

Hyogo Cancer Center

Division name

Dept. of Gastrointestinal and Hepatobiliary Oncology

Zip code


Address

Kitaozi-chou 13-70, Akashi, 673-8558

TEL

078-929-1151

Email



Public contact

Name of contact person

1st name
Middle name
Last name Masanori Toyoda

Organization

Sano Hospital

Division name

Gastrointestinal Center

Zip code


Address

Shimizugaoka 2-5-1, Tarumi-ku, Kobe, 655-0031

TEL

078-785-1000

Homepage URL


Email

masanoritoyo@hotmail.co.jp


Sponsor or person

Institute

Hyogo Cancer Center, Dept. of Gastrointestinal and Hepatobiliary Oncology

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



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 09 Month 16 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

Terminated

Date of protocol fixation

2009 Year 10 Month 26 Day

Date of IRB


Anticipated trial start date

2010 Year 02 Month 01 Day

Last follow-up date

2013 Year 01 Month 01 Day

Date of closure to data entry


Date trial data considered complete

2012 Year 03 Month 01 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 09 Month 15 Day

Last modified on

2012 Year 03 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005070


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name