UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005184
Receipt number R000006155
Scientific Title Clinical efficacy and biomarker assessment of Capecitabine plus oxaliplatin (XELOX) in combination with Bevacizumab as second-line therapy in patients with advanced or recurrent colorectal cancer after failure to irinotecan. Multi-center phase II Study.
Date of disclosure of the study information 2011/03/03
Last modified on 2019/09/17 17:42:53

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Basic information

Public title

Clinical efficacy and biomarker assessment of Capecitabine plus oxaliplatin (XELOX) in combination with Bevacizumab as second-line therapy in patients with advanced or recurrent colorectal cancer after failure to irinotecan. Multi-center phase II Study.

Acronym

Clinical efficacy and biomarker assessment of Capecitabine plus oxaliplatin (XELOX) in combination with Bevacizumab as second-line therapy in patients with advanced or recurrent colorectal cancer after failure to irinotecan.

Scientific Title

Clinical efficacy and biomarker assessment of Capecitabine plus oxaliplatin (XELOX) in combination with Bevacizumab as second-line therapy in patients with advanced or recurrent colorectal cancer after failure to irinotecan. Multi-center phase II Study.

Scientific Title:Acronym

Clinical efficacy and biomarker assessment of Capecitabine plus oxaliplatin (XELOX) in combination with Bevacizumab as second-line therapy in patients with advanced or recurrent colorectal cancer after failure to irinotecan.

Region

Japan


Condition

Condition

Patients with advanced or recurrent colorectal cancer after failure to irinotecan.

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess efficacy and safety of the combination of XELOX+Bevacizumab as second-line therapy in patients with advanced or recurrent colorectal cancer after failure to irinotecan. Furthermore, this exploratory study is also designed to evaluate predictable several growth factor levels in the resected tumor tissues and plasma for this regimen.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

6-month Progression free survival rate

Key secondary outcomes

Response rate
Disease control rate
Progression free survival
Overall survival
Time to treatment failure
Safety
Exploring several predictable biomarkers


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

Capecitabine plus oxaliplatin (XELOX) in combination with Bevacizumab.

Capecitabine:2000mg/m2/day p.o.(day1-15)
Oxaliplatin:130mg/m2 i.v.(day1)
Bevacizumab:7.5mg/kg i.v.(day1)
to be repeated every 3 weeks

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) Histological confirmation of colorectal cancer.
(2) Unresectable primary tumor or with one or more unresectable metastatic tumor.
(3) 20 years old or more when received informed consent.
(4) Eastern Cooperative Oncology Group (ECOG) performance status (PS):0 - 2.
(5) With estimative lesion observed in imaging or intraoperation within 28 days before registration. (measurable lesions in RECIST criteria (ver.1.1)is despensable)
(6) Withdrawal from first-line chemotherapy due to toxicity or progressive disease
(7)Patients with metastatic colorectal cancer who had previously received first-line therapy with an irinotecan-based regimen.
(8) No previous treatment with Oxaliplatin contained regimen.
(9) Life expectancy estimated 2 months, and more.
(10) Vital organ functions (listed below) are preserved within 14 days prior to entry.
1. White blood cell count 3500/mm3>= (Neutrophils>=1500/mm3)
2. Platelets>=100,000/mm3
3. Total bilirubin>=upper limit of normal (ULN)*1.5
4. AST and ALT<=upper limit of normal (ULN)*2.5
(<=ULN*5 in case of liver metastasis)
5. Hemoglobin>=9.0g/dl
6. Serum creatinine<=upper limit of normal (ULN)
7. Urinary protein >= grade1 (+1) (11) Written informed consent.

Key exclusion criteria

(1) Hypersensitivity or History of the severe hypersensitivity for capecitabine, oxaliplatin or bevacizumab.
(2) Prior abdominal irradiation for colorectal cancer.
(3) CNS metastases or brain cancer confirmed by imaging (When it is suspected, imaging confirmation is required).
(4) Complication of cerebrovascular disease or its symptoms within 1 year.
(5) With sever complication (intestinal paralysis, intestinal obstruction, interstitial pneumonitis or pulmonary fibrosis, uncontrolled diabetes mellitus, hypertension, cardiac failure, renal failure, liver dysfunction, and so on).
(6) With complication of history of gastrointestinal perforation, intestinal tract paralysis, or ileus within 1 year.
(7) Massive pleural or ascites that required drainage.
(8) Uncontrolled peptic ulcer.
(9) Uncontrolled diarrhea.
(10) Uncontrolled infection.
(11) Diathesis of bleeding (history of hemoptysis, including cavitation and/or necrosis in lung metastasis confirmed by imaging), coagulopathy or abnormality of coagulation factor
(12) Administrated antithrombotic drug or drug affected to congealing fibrinogenolysis system within 14 days before enrollment (Except for low-dose of aspirin.)
(13) Active multiple primary cancer.
(14) Pregnant women, possibly pregnant women, wishing to become pregnant, and nursing mothers.
(15) With mental disorder or psychological symptoms which disturb registration to this study.
(16) Not appropriate for the study at the physician's assessment.

Target sample size

33


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hirotoshi Hasegawa

Organization

School of Medicine, Keio University

Division name

Department of Surgery

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan

TEL

03-3353-1211

Email

hasegawa@keio.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masashi Tsuruta

Organization

School of Medicine, Keio University

Division name

Department of Surgery

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan

TEL

03-3353-1211

Homepage URL


Email

masashitsuruta@z2.keio.jp


Sponsor or person

Institute

Department of Surgery, School of Medicine, Keio University

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



Other administrative information

Date of disclosure of the study information

2011 Year 03 Month 03 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

Terminated

Date of protocol fixation

2011 Year 01 Month 19 Day

Date of IRB

2010 Year 12 Month 27 Day

Anticipated trial start date

2011 Year 02 Month 01 Day

Last follow-up date

2017 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 03 Month 03 Day

Last modified on

2019 Year 09 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006155


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name