UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005109
Receipt number R000006077
Scientific Title Pharmacokinetic Study of Adjuvant Gemcitabine Therapy for Biliary Tract Cancer after Hepatectomy (KHBO1101)
Date of disclosure of the study information 2011/04/01
Last modified on 2019/12/25 17:34:59

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Basic information

Public title

Pharmacokinetic Study of Adjuvant Gemcitabine Therapy for Biliary Tract Cancer after Hepatectomy (KHBO1101)

Acronym

Pharmacokinetic Study of Gemcitabine after Hepatectomy

Scientific Title

Pharmacokinetic Study of Adjuvant Gemcitabine Therapy for Biliary Tract Cancer after Hepatectomy (KHBO1101)

Scientific Title:Acronym

Pharmacokinetic Study of Gemcitabine after Hepatectomy

Region

Japan


Condition

Condition

Biliary Tract Cancer

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To examine the pharmacokinetics of gemcitabine as adjuvant chemotherapy for biliary tract carcinoma after hepatectomy

Basic objectives2

Pharmacokinetics

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I


Assessment

Primary outcomes

Pharmacokinetics of gemcitabine and gemcitabine metabolites

Key secondary outcomes

Relationship between the pharmacokinetics of gemcitabine and gemcitabine metabolites and adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Pharmacokinetic measurement in administration of gemcitabine after Hepatectomy

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 or cytologically confirmed biliary tract cancer
2)Underwent resection with hepatectomy
3)Over 20 years old
4)Eastern Cooperative Oncology
Group performance status of 0-1
5)No history of earlier chemotherapy or radiotherapy
6)Adequate organ function
7)All patients provided written informed consent

Key exclusion criteria

1)History of severe drug allergy
2)Severe comorbid disease(pulmonary fibrosis or interstitial pneumonia, etc.)
3)Active infection
4)Known to be positive for hepatitis B and C virus
5)Pregnant of breastfeeding

Target sample size

12


Research contact person

Name of lead principal investigator

1st name Hironobu
Middle name
Last name Minami

Organization

Kobe university hospital

Division name

Medical Oncology/Hematolog

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe

TEL

0783825111

Email

hminami@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Yutaka
Middle name
Last name Fujiwara

Organization

Kobe university hospital

Division name

Medical Oncology/Hematolog

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe

TEL

0783825111

Homepage URL


Email

fu_ji_@yahoo.co.jp


Sponsor or person

Institute

Kansai Hepatobiliary Oncology Group

Institute

Department

Personal name



Funding Source

Organization

Kobe university hospital

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

Kobe university

Address

7-5-1 Kusunoki-cho, Chuo-ku, Kobe

Tel

078-382-5111

Email

chiken@med.kobe-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



Other administrative information

Date of disclosure of the study information

2011 Year 04 Month 01 Day


Related information

URL releasing protocol

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0113259

Publication of results

Unpublished


Result

URL related to results and publications

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0113259

Number of participants that the trial has enrolled

13

Results

We observed the following toxicities: neutropenia (n = 11, 91.7%), leukopenia (n = 10, 83.3%), thrombocytopenia (n = 6, 50.0%), and infection (n = 5, 41.7%). Grade 3 or 4 neutropenia was observed in 25% (n = 3) of patients. There were differences in clearance of gemcitabine and dFdU between our subjects and the subjects who had not undergone hepatectomy.

Results date posted

2019 Year 12 Month 25 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Biliary tract cancer (BTC) patients who have undergone surgical resection with major hepatectomy cannot tolerate the standard gemcitabine regimen (1,000 mg/m2 on days 1, 8, and 15 every 4 weeks) due to severe toxicities such as myelosuppression.

Participant flow

Thirteen patients were enrolled from August 2011 to January 2013, with 12 ultimately completing the pharmacokinetic study.

Adverse events

We observed the following toxicities: neutropenia (n = 11, 91.7%), leukopenia (n = 10, 83.3%), thrombocytopenia (n = 6, 50.0%), and infection (n = 5, 41.7%). Grade 3 or 4 neutropenia was observed in 25% (n = 3) of patients.

Outcome measures

A pharmacokinetic evaluation of gemcitabine and its main metabolite, 2',2'-difluorodeoxyuridine (dFdU), was conducted at the initial administration of gemcitabine, which was given by intravenous infusion over 30 min at a dose of 800-1,000 mg/m2.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2011 Year 03 Month 01 Day

Date of IRB

2011 Year 03 Month 01 Day

Anticipated trial start date

2011 Year 04 Month 01 Day

Last follow-up date

2013 Year 06 Month 01 Day

Date of closure to data entry

2013 Year 06 Month 01 Day

Date trial data considered complete

2013 Year 06 Month 30 Day

Date analysis concluded

2013 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2011 Year 02 Month 19 Day

Last modified on

2019 Year 12 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006077


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name