UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004574
Receipt number R000005414
Scientific Title Multicenter phase II trial of panitumumab plus irinotecan and S-1 (PIRIS regimen) in patients treated by oxaliplatin-based chemotherapy with K-RAS wild-type advanced colorectal cancer.
Date of disclosure of the study information 2010/12/01
Last modified on 2011/02/09 15:29:10

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Basic information

Public title

Multicenter phase II trial of panitumumab plus irinotecan and S-1 (PIRIS regimen) in patients treated by oxaliplatin-based chemotherapy with K-RAS wild-type advanced colorectal cancer.

Acronym

Phase II trial of panitumumab plus irinotecan and S-1 (PIRIS regimen) in patients treated by L-OHP-based chemotherapy with advanced colorectal cancer.

Scientific Title

Multicenter phase II trial of panitumumab plus irinotecan and S-1 (PIRIS regimen) in patients treated by oxaliplatin-based chemotherapy with K-RAS wild-type advanced colorectal cancer.

Scientific Title:Acronym

Phase II trial of panitumumab plus irinotecan and S-1 (PIRIS regimen) in patients treated by L-OHP-based chemotherapy with advanced colorectal cancer.

Region

Japan


Condition

Condition

Colorectal Cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate response rate of panitumumab, irinotecan and S-1 in previously treated patients with K-RAS wild-type advanced colorectal cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Response ratte : RR

Key secondary outcomes

1)Progression free survival :PFS
2)Time to treatment failure :TTF
3)Overall survival :OS
4)Skin toxitiy
5)Adverse Event :AE


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

Take care of skin before the PIRIS regimen (moistureizer,sunscreen,steroid, antibiotic).
Day1/Day15
panitumumab 6mg/kg
irinotecan 125mg/m2
Day1~14
S-1 80-120mg/m2
q4w(until progressive disease)

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)Histopathologically confirmed colorectal cancer.
2)Evaluable tumor lesions.
3)Colorectal cancer that is not amenable to curative resection and have previously received chemotherapy containing oxaliplatin-based chemotherapy or relapsed within six months (or during its treatment) after adjuvant of FOLFOX.
4)K-RAS wild-type.
5)Oral administration of S-1 is possible.
6)ECOG Performance status(PS) of 0-2.
7)Age of 20 years or older.
8)A life expectancy of more than 12 weeks.
9)No severe organ failure: and suitable results of all laboratory test performed within 7 days before enrollment.
White blood cell count >= 3,000/mm3 and <= 12,000/mm3 or neutrophil count >= 1,500/mm3
platelet count >= 75,000/mm3
AST(GOT) and ALT(GPT) <= 3 times the institutional upper limit of normal or <= 5 times if the patient has liver metastasis
Total bilirubin <= 2.0mg/dL
serum creatinine <= 1.2 times the institutional upper limit of normal
10)Written informed consent will be obtained from each patient before enrollment.
11)Periods from prior treatment have elapsed more than two weeks.

Key exclusion criteria

1)A history of CPT-11 or cetuximab (C225) use.
2)A history of serious drug hypersensitivity or serious drug allergy.
3)Clinically important infection or suspected infection in febrile patients.
4)Diarrhea(watery) or diarrhea that interferes with daily activities for patients with a stoma.
5)Active double cancer.
6)Paralytic or occlusive ileus.
7)Uncontrolled body cavity fluid.
8)Symptomatic brain metastasis.
9)Clinically significant heart disease.
10)Severe pulmonary disease.
11)Gastrointestinal ulceration or bleeding.
12)Central nervous system disorders.
13)Uncontrolled diabetes.
14)Women who are pregnant, lactating, or wish to become pregnant or men who expect babies.
15)Judged to be unsuitable for this trial due to clinically significant mental / psychological disease etc.
16)Under treatment with atazanavir, flucytosine, phenytoin, warfarin potassium
17)Judged to be ineligible by principal investigator for any other reason.

Target sample size

48


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ken Shimada

Organization

Showa University Nothern Yokohama Hospital

Division name

department of internal medicine

Zip code


Address

Chigasaki-chuo 35-1 Tsuzuki-ku, Yokohama 224-503, Japan.

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Sotarou akatsuka

Organization

Yokohama Rosai Hospital

Division name

Division of Medical Oncology

Zip code


Address

3211 Kozukue-Ch&#333;, K&#333;hoku-Ku, Yokohama City, Kanagawa Prefecture, Japan

TEL

045-474-8111

Homepage URL


Email



Sponsor or person

Institute

Showa University Nothern Yokohama Hospital

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

神奈川県立がんセンター(消化器内科、神奈川県)、北里大学東病院(消化器内科、神奈川県)、済生会横浜市東部病院(消化器外科、消化器内科、神奈川県)、昭和大学藤が丘病院(外科、神奈川県)、昭和大学横浜市北部病院(内科、神奈川県)


Other administrative information

Date of disclosure of the study information

2010 Year 12 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


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 10 Month 18 Day

Date of IRB


Anticipated trial start date

2010 Year 12 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 11 Month 17 Day

Last modified on

2011 Year 02 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005414


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name