UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004683
Receipt number R000005556
Scientific Title Multicenter phase II trial of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer
Date of disclosure of the study information 2010/12/08
Last modified on 2016/03/11 12:47:50

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Basic information

Public title

Multicenter phase II trial of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer

Acronym

FOCAL trial

Scientific Title

Multicenter phase II trial of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer

Scientific Title:Acronym

FOCAL trial

Region

Japan


Condition

Condition

EGFR positive and KRAS wild type colorectal cancer with liver metastases inappropriate for curative resection

Classification by specialty

Gastrointestinal surgery Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and safety of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

R0 resection rate (Curative resection rate)

Key secondary outcomes

Resection rate of liver metastases, Tumor response rate, Adverse events


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

Chemotherapy with modified FOLFOX6 plus cetuximab.
Treatment repeats every 14 days for up to 8 courses in the absence of disease progression or unacceptable toxicity.
Liver resection (if possible, 6 weeks after modified FOLFOX6 plus cetuximab)

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) Histologically proven colorectal cancer in EGFR positive and KRAS wild type

(2) Measurable synchronous liver metastases or measurable metachronous liver metastases.
- Synchronous liver metastasis:
No prior treatment except for original resection. After original resection, curative resection past more than 6 weeks, non-curative resection past more than 4 weeks.
- Metachronous liver metastasis:
No prior treatment for liver metastases, more than 6 months after original postoperative adjuvant therapy

(3) All metastases is unresectable with margin. Or residual liver less than 40% after resection.

(4) Age >=20

(5) The Eastern Cooperative Oncology Group(ECOG) Performance Status(PS) 0-2

(6) Life expectancy of more than 3 months

(7) With a written informed consent

(8) Vital organ functions (listed below) are preserved within 2 weeks prior to entry

i) Medullary function
WBC >= 3,000/mm^3
Neurtophils >= 1,500/mm^3
Platelets >= 100,000/mm^3

ii) Liver function
AST(GOT) <= ULN*5
ALT(GPT) <= ULN*5
Total bilirubin <= ULN*2

iii) Renal function
Creatinine <= ULN*2

Key exclusion criteria

(1) Uncontrolled extrahepatic lesion

(2) Symptomatic brain metastasis

(3) Cardiac disease (over Grade 2 by CTCAE v4.0), or myocardial infarction within 1 year

(4) Past or current history (within 5 years) of malignant disease, except for the early cancer healed clearly

(5) Interstitial lung disease, or pulmonary fibrosis

(6) Serious infectious disease

(7) Serious complication (kidney failure, liver failure , hypertension, etc)

(8) Peripheral neuropathy (over Grade 1 by CTCAE v4.0)

(9) No willing of birth-control. Or pregnant or lactating women

(10) Serious drug hypersensitivity or history of drug allergy of Fluorouracil, Levofolinate calcium and/or Oxaliplatin

(11) Participation in other clinical trial within 4 weeks

(12) History of serious drug hypersensitivity

(13) Previously received on anti-EGFR antibody

(14) Case whom investigator deny the enrollment

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Go Wakabayashi

Organization

Iwate Medical University

Division name

Dept. of Surgery

Zip code


Address

19-1, Uchimaru, Morioka, Iwate, 020-8505, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroyuki Nitta

Organization

Iwate Medical University

Division name

Dept. of Surgery

Zip code


Address

19-1, Uchimaru, Morioka, Iwate, 020-8505, Japan

TEL


Homepage URL


Email



Sponsor or person

Institute

Tohoku - Six Universities Research Group by Experts (T-SURGE)

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

弘前大学大学院医学研究科 消化器外科学講座(青森県)
秋田大学大学院医学系研究科 消化器外科講座(秋田県)
岩手医科大学 外科学講座(岩手県)
東北大学大学院医学系研究科 外科病態学講座 先進外科学分野(宮城県)
東北大学大学院医学系研究科 外科病態学講座 消化器外科学分野(宮城県)
山形大学医学部 消化器・一般外科 乳腺・甲状腺外科(山形県)
福島県立医科大学医学部 臓器再生外科学講座(福島県)
福島県立医科大学医学部 器官制御外科学講座(福島県)

他関連病院


Other administrative information

Date of disclosure of the study information

2010 Year 12 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 07 Month 28 Day

Date of IRB


Anticipated trial start date

2010 Year 12 Month 01 Day

Last follow-up date

2017 Year 12 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 12 Month 08 Day

Last modified on

2016 Year 03 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005556


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name