UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005569
Receipt number R000005889
Scientific Title Phase II study of maintenance Bevacizumab with Pemetrexed after induction therapy of Cisplatin, Pemetrexed, and Bevacizumab in patients with advanced non-squamous non-small-cell lung cancer
Date of disclosure of the study information 2011/05/08
Last modified on 2019/07/29 11:58:25

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Basic information

Public title

Phase II study of maintenance Bevacizumab with Pemetrexed after induction therapy of Cisplatin, Pemetrexed, and Bevacizumab in patients with advanced non-squamous non-small-cell lung cancer

Acronym

MAP study

Scientific Title

Phase II study of maintenance Bevacizumab with Pemetrexed after induction therapy of Cisplatin, Pemetrexed, and Bevacizumab in patients with advanced non-squamous non-small-cell lung cancer

Scientific Title:Acronym

MAP study

Region

Japan


Condition

Condition

Advanced or recurrent non-squamous non-small cell lung cancer

Classification by specialty

Pneumology Hematology and clinical oncology Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Investigation of efficacy and safety of combination therapy of CDDP + Pemetrexed + Bevacizumab and Pemetrexed + Bevacizumab maintenance therapy for advanced non-small cell lung cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

progression free survival

Key secondary outcomes

response rate, overall survival, adverse event


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

Patients were given Cisplatin75mg/m2) + Pemetrexed(500mg/m2) + Bevacizumab(15mg/m2) on day 1, every 3 weeks, 3 to 4 cycles. Patients who get efficacy above SD, then continuously are treated with Pemetrexed(500mg/m2) + Bevacizumab(15mg/m2) on day 1, every 3 weeks, until PD.

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)Have non-squamous NSCLC and have not received any prior systemic chemotherapy except neoadjuvant /adjuvant therapy or EGF-TKI with Stage IIIB, not candidate for curative radiotherapy, Stage IV or recurrence disease after surgery
a) Mixed type is classified into dominant histology but mixed small cell histology is not permitted
b) Regarding the patient who have or have had pleural effusion;
*A patient who requires treatment such as drainage of the pleural space is NOT eligible
*A patient who remains without pleural effusion for more than two weeks after drainage is eligible
*A patient with history of treatment with anticancer drugs (excluding BRM such as picibanil) for pleurodesis is NOT eligible
2)Have measurable lesion meeting Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, but radiation-irradiated lesion is not this case.
3)Must be 20-74 years of age at the time of consent.
4)Have Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0~1
5)Have adequate organ function within one week before study entry
6)Have an estimated life expectancy of at least 90days
7)Have signed an informed consent document

Key exclusion criteria

1)Have central nervous system metastases or prior therapies for brain metastasis
2)Have received radiation therapy to lesions of lung
3)Currently have or have a history of a cardiac effusion which requires treatment
4)Have another active malignancy
5)Currently have or have a history of hemoptysis, or hemosputum as defined below;
a) continue hemosputum for more than one week
b) have had or require continuous oral administration of hemostat
c) have had or require injectable administration of hemostat
6)Have possibly complication related to bleeding episode
a) Have a bleeding diathesis
b) Have a evidence of involvement in major thoracic blood vassel
c) Have a evidence of cavitation in intra-thoracic lesion
d) Have a evidence of thrombosis
7)Have anti-thrombosis drugs within 10 days before enrollment or need them during the study
8)Currently have or have a history of the below disease;
a) Currently have brain vascular disease with symptom, or have a history of it within one year before enrollment
b) Have ever had a history of gastrointestinal perforation or diverticulitis or fistula
c) Have symptomatic heart failure, unstable angina or arrhythmia which requires treatment, or have a history of cardiac infarction within one year before enrollment
d) Have any evidence of interstitial lung disease, drug-induced interstitial disease, radiation pneumonitis or pulmonary fibrosis on chest X-ray or with clinically active symptom, or have medical history of it
e) Currently have superior vena cava syndrome
f) Currently have a cord compression
g) Have a serious, nonhealing wound or unhealed bone fracture.
h) Have an uncontrollable ulcer
i) Have uncontrollable hypertension
j) Have a serious concomitant active infection, which needs antibiotics, antimycotic drugs or virucide
9)have a known sensitivity to any component of platinum drugs or monoclonal antibody drugs
10)Not have time interval described after prior therapies at the time of study entry
...etc.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Morihito
Middle name
Last name Okada

Organization

Hiroshima University

Division name

Surgical Oncology

Zip code

734-8551

Address

Hiroshima

TEL

0822575869

Email

morihito@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Yasuhiro
Middle name
Last name Tsutani

Organization

Hiroshima niversity

Division name

Surgical Oncology

Zip code

734-8551

Address

Hiroshima

TEL

0822575869

Homepage URL


Email

yatsutani@msn.com


Sponsor or person

Institute

Hiroshima University

Institute

Department

Personal name



Funding Source

Organization

Hiroshima University

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

Ethical Committee for Clinical Research of Hiroshima University

Address

1-2-3 Kasumi, Minami-ku, Hiroshima

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

広島大学病院(広島県)


Other administrative information

Date of disclosure of the study information

2011 Year 05 Month 08 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-open-bin/icdr/ctr_view.cgi?recptno=R000005889

Publication of results

Published


Result

URL related to results and publications

https://bmccancer.biomedcentral.com/articles/10.1186/s12885-018-5146-3

Number of participants that the trial has enrolled

40

Results

See the manuscript.

Results date posted

2019 Year 07 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

See the manuscript.

Participant flow

See the manuscript.

Adverse events

See the manuscript.

Outcome measures

See the manuscript.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 01 Month 24 Day

Date of IRB

2011 Year 05 Month 06 Day

Anticipated trial start date

2011 Year 05 Month 06 Day

Last follow-up date

2014 Year 05 Month 06 Day

Date of closure to data entry

2014 Year 05 Month 06 Day

Date trial data considered complete

2014 Year 05 Month 06 Day

Date analysis concluded

2014 Year 06 Month 06 Day


Other

Other related information



Management information

Registered date

2011 Year 05 Month 08 Day

Last modified on

2019 Year 07 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005889


Research Plan
Registered date File name
2019/07/29 MAP protocol ver 1.1..pdf

Research case data specifications
Registered date File name
2019/07/29 MAP CRF v1.1.pdf

Research case data
Registered date File name
2019/07/29 MAP study.pdf