UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005011
Receipt number R000005962
Scientific Title Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for Unresectable or Recurrent Colorectal Cancer
Date of disclosure of the study information 2011/02/03
Last modified on 2013/08/03 09:23:49

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Basic information

Public title

Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for Unresectable or Recurrent Colorectal Cancer

Acronym

Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for advanced Colorectal Cancer

Scientific Title

Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for Unresectable or Recurrent Colorectal Cancer

Scientific Title:Acronym

Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for advanced Colorectal Cancer

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Primary endpoint: Response rate
Secondary endpoints: Overall survival, Progression-free survival, toxicity and safety

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Response rate

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

expanded access

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Gene

Interventions/Control_1

Irinotecan was infused 150 mg/m2 for pts with *1/*1 genotype and 70 mg/m2 for *1/*28.

Interventions/Control_2

Irinotecan was infused 150 mg/m2 for pts with *1/*1 genotype and 70 mg/m2 for *1/*28.

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

Patients were eligible for this study if they met the following criteria: proven unresectable or recurrent colorectal cancer; age between 20 and 80 years; no radiotherapy or chemotherapy prior to the study; Eastern Cooperative Oncology Group performance status of 0 to 1;predicted life expectancy of at least 3 months; adequate baseline organ functions, defined as a leukocyte count of at least 4,000/uL, neutrophil count of at least 2,000/uL, platelet count of at least 100,000/uL, hemoglobin of at least 9.0 g/dL, AST and ALT of 3 times or less the upper limit of the institutional reference range; total bilirubin below 1.5 mg/dL, and serum creatinine below 1.5 mg/dL.

Key exclusion criteria

Patients were ineligible if they had any of the following conditions: serious infectious disease or other severe complications (e.g., pulmonary fibrosis/interstitial pneumonia, uncontrollable diabetes); watery diarrhea, paralytic ileus, or intestinal obstruction; massive pleural effusion or ascitic fluid; symptomatic brain metastases; active concurrent malignancies; pregnancy or lactation, or desire for pregnancy; a history of drug allergy; and prior treatment with irinotecan.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaaki Oka

Organization

YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE

Division name

Department of Digestive Surgery and Surgical Oncology

Zip code


Address

1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Shoichi Hazama

Organization

YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE

Division name

Department of Digestive Surgery and Surgical Oncology

Zip code


Address

1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan

TEL


Homepage URL


Email

hazama@yamaguchi-u.ac.jp


Sponsor or person

Institute

YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE
Department of Digestive Surgery and Surgical Oncology

Institute

Department

Personal name



Funding Source

Organization

YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE
Department of Digestive Surgery and Surgical Oncology

Organization

Division

Category of Funding Organization

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

2011 Year 02 Month 03 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://ar.iiarjournals.org/content/33/8/3423.long

Number of participants that the trial has enrolled


Results

Abstract. Aim: We performed a phase II study of irinotecan
with 5-deoxy-5-fluorouridine (5-DFUR) for metastatic
colorectal cancer based on UDP-glucuronosyltransferase
(UGT) 1A1 polymorphism. Patients and Methods: A total of
28 patients were enrolled. The dose of irinotecan was
150 mg/m2 for patients with the *1/*1 wild-type genotype,
and 70 mg/m2 for those with the *1/*28 mutated genotype.
The primary end-point was the response rate (RR); secondary
end-points were safety, time to treatment failure (TTF), and
overall survival (OS). Results: In 28 patients total, genotype
was wild-type in 22 and mutated in six. The RR was *1/*1
(22.7%; wild-type) vs. *1/*28 (16.7%; mutated); the median
TTF was 5 months vs. 4.5 months, and the median OS was 13
months vs. 17.5 months, respectively. None of these
differences were significant. Toxicities of grade 3 or higher
were neutropenia (9.0% vs. 0%, respectively) and diarrhea
(13.6% vs. 0%, respectively). Conclusion: This genotypeoriented
therapy was effective and safe, and thus appears
useful for patients who have complications or advanced age.

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

Completed

Date of protocol fixation

2005 Year 08 Month 11 Day

Date of IRB


Anticipated trial start date

2005 Year 10 Month 01 Day

Last follow-up date

2013 Year 02 Month 01 Day

Date of closure to data entry

2013 Year 02 Month 01 Day

Date trial data considered complete

2013 Year 02 Month 01 Day

Date analysis concluded

2013 Year 02 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 02 Month 03 Day

Last modified on

2013 Year 08 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005962


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name