Unique ID issued by UMIN | UMIN000005011 |
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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 |
Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for Unresectable or Recurrent Colorectal Cancer
Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for advanced Colorectal Cancer
Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for Unresectable or Recurrent Colorectal Cancer
Genetic Polymorphism oriented Phase II Study of Irinotecan and Doxifluridine for advanced Colorectal Cancer
Japan |
colorectal cancer
Gastroenterology | Gastrointestinal surgery |
Malignancy
YES
Primary endpoint: Response rate
Secondary endpoints: Overall survival, Progression-free survival, toxicity and safety
Efficacy
Response rate
Interventional
expanded access
Non-randomized
Open -no one is blinded
Historical
2
Treatment
Medicine | Gene |
Irinotecan was infused 150 mg/m2 for pts with *1/*1 genotype and 70 mg/m2 for *1/*28.
Irinotecan was infused 150 mg/m2 for pts with *1/*1 genotype and 70 mg/m2 for *1/*28.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
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.
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.
60
1st name | |
Middle name | |
Last name | Masaaki Oka |
YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE
Department of Digestive Surgery and Surgical Oncology
1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan
1st name | |
Middle name | |
Last name | Shoichi Hazama |
YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE
Department of Digestive Surgery and Surgical Oncology
1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan
hazama@yamaguchi-u.ac.jp
YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE
Department of Digestive Surgery and Surgical Oncology
YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE
Department of Digestive Surgery and Surgical Oncology
NO
2011 | Year | 02 | Month | 03 | Day |
Published
http://ar.iiarjournals.org/content/33/8/3423.long
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.
Completed
2005 | Year | 08 | Month | 11 | Day |
2005 | Year | 10 | Month | 01 | Day |
2013 | Year | 02 | Month | 01 | Day |
2013 | Year | 02 | Month | 01 | Day |
2013 | Year | 02 | Month | 01 | Day |
2013 | Year | 02 | Month | 01 | Day |
2011 | Year | 02 | Month | 03 | Day |
2013 | Year | 08 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005962
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