UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004351
Receipt number R000005187
Scientific Title A study on combinational effect of Krestin to the peripheral neuropathy by the FOLFOX treatment as adjuvant chemotherapy for Stage III colon cancer.
Date of disclosure of the study information 2010/10/08
Last modified on 2012/10/19 10:01:38

* 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 study on combinational effect of Krestin to the peripheral neuropathy by the FOLFOX treatment as adjuvant chemotherapy for Stage III colon cancer.

Acronym

A study on combinational effect of Krestin to the peripheral neuropathy by the FOLFOX treatment as adjuvant chemotherapy for Stage III colon cancer.

Scientific Title

A study on combinational effect of Krestin to the peripheral neuropathy by the FOLFOX treatment as adjuvant chemotherapy for Stage III colon cancer.

Scientific Title:Acronym

A study on combinational effect of Krestin to the peripheral neuropathy by the FOLFOX treatment as adjuvant chemotherapy for Stage III colon cancer.

Region

Japan


Condition

Condition

Colon cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

In this randomized controlled study, patients with curatively resected Stage III colon cancer are assigned to postoperative adjuvant therapy with FOLFOX or FOLFOX plus Krestin to evaluate the efficacy of immunochemotherapy combined with Krestin. Endpoints are peripheral neuropathy or myelosuppresion such as neutropenia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Frequency of peripheral neuropathy

Key secondary outcomes

Frequency of neutropenia, other adverse events, medication adherence, QOL


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

FOLFOX
(1) FOLFOX4
Patients are registered and assigned within 6weeks after surgery. Levofolinate and Oxaliplatin (L-OHP) are given intravenously for 2 hours. Then, Fluorouracil (5-FU) is given as a continuous intravenous infusion for 22 hours after infusion (or injection) of 5-FU. And then, levofolinate is given intravenously for 2 hours, 5-FU is given as a continuous intravenous infusion for 22 hours after infusion (or injection) of 5-FU. 1 course takes 2 weeks. Treatment is repeated 12 courses (for 24 weeks).
(2) mFOLFOX6
Patients are registered and assigned within 6weeks after surgery. Levofolinate and L-OHP are given intravenously for 2 hours. Then, 5-FU is given as a continuous intravenous infusion for 46 hours after infusion (or injection) of 5-FU. 1 course takes 2 weeks. Treatment is repeated 12 courses (for 24 weeks).

Interventions/Control_2

FOLFOX/Krestin
Krestin is given orally at a fixed dose of 3g/day in three divided doses (morning, daytime, evening) for 24 weeks from the time of a FOLFOX treatment start.

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 proven, Stage IIIa, IIIb, primary Colon adenocarcinoma (including RS) (Japanese Classification of Colorectal cancer 7th Ehition).
2. R0.
3. No preoperative cancer treatment, such as radiotherapy, chemotherapy and immunotherapy.
4. Age between 20 and 80 years.
5. ECOG performance status of 0-1.
6. Organ functions (clinical test value): within 2 weeks before enrollment.
White blood cell count: over 4000/mm3 and <12000/mm3
Neutrophil count (ANC): over 2000/mm3
Blood platelet count: over 100,000 /mm3
Hemoglobin: over 9.0g/dl
Serum total bilirubin: <1.5mg/dl
Serum AST and ALT: <100 IU/L
Serum creatinine: below 1.5mg/dL
Normal ECG
7. Patients who can take orally.
8. Written informed consent.

Key exclusion criteria

1. Patients who need continuing use of warfarin potassium and phenytoin.
2. A medical history of allergy (over grade 3) to any drug.
3. Patients with severe complication (such as ileus, interstitial lung disease, lung fibrosis, diabetes that is difficult to control, heart failure, renal failure, liver failure).
4. Women who are pregnant or hope to become pregnant.
5. No birth-control.
6. HIV positive.
7. Patients judged inappropriate for the study by their physicians.

Patients with intraepithelial carcinoma, adenoma cancer, synchronous or metachronous cancers are not exclusion criterion.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiko Shibata

Organization

Fukushima Medical University

Division name

Tumor Host Bioscience

Zip code


Address

1, Hikarigaoka, Fukushima city, 960-1295 Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Fukushima Medical University

Division name

Tumor Host Bioscience

Zip code


Address

1, Hikarigaoka, Fukushima city, 960-1295 Japan

TEL


Homepage URL


Email



Sponsor or person

Institute

Tumor Host Bioscience, Fukushima Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

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 10 Month 08 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

2010 Year 08 Month 26 Day

Date of IRB


Anticipated trial start date

2010 Year 10 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 10 Month 07 Day

Last modified on

2012 Year 10 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005187


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name