UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005228
Receipt number R000006187
Scientific Title Phase II study of bevacizumab and irinotecan as second-line therapy in patients with metastatic colorectal cancer previously treated with fluoropyrimidine, oxaliplatin, and bevacizumab
Date of disclosure of the study information 2011/03/09
Last modified on 2016/03/09 11:19:56

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Basic information

Public title

Phase II study of bevacizumab and irinotecan as second-line therapy in patients with metastatic colorectal cancer previously treated with fluoropyrimidine, oxaliplatin, and bevacizumab

Acronym

Bevacizumab and irinotecan as second-line therapy in patients with metastatic colorectal cancer

Scientific Title

Phase II study of bevacizumab and irinotecan as second-line therapy in patients with metastatic colorectal cancer previously treated with fluoropyrimidine, oxaliplatin, and bevacizumab

Scientific Title:Acronym

Bevacizumab and irinotecan as second-line therapy in patients with metastatic colorectal cancer

Region

Japan


Condition

Condition

metastatic colorectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effectiveness and safety of bevacizumab and irinotecan as second-line therapy in patients with metastatic colorectal cancer previously treated with fluoropyromidine, oxaliplatin, and bevacizumab

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Progression Free Survival

Key secondary outcomes

Response Rate
Overall survival
Frequency of adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1) Bevacizumab 10mg/kg is administered by 10-30min. intravenous infusion, followed by irinotecan 150mg/m2 by 90 min infusion
(2)Patients should be received this chemotherapy biweekly until disease progression

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) Written informed consent
2) Age: 20 years old or older
3) Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
4) Histological confirmation of colorectal cancer
5) Life expectancy greater than or equal to 3 months
6)unresectable primary tumor or with one or more unresectable metastatic tumor
7)Measurable or evaluable disease (measurable lesions in RECIST ver1.1 criteria is unnecessary)
8)Progression during or after first line chemotherapy for metastatic disease, including Oxaliplatin based chemotherapy with bevacizumab(over 4 courses)
9)Any surgical treatments including skin-open biopsy, trauma surgery and other more intensive surgery >=4 weeks. Radiation therapy >= 4weeks
10)Vital organ functions (listed below) are preserved within 2 weeks prior to entry
i) white blood >= 3000/mm3
ii) Neutrophils >= 1500/mm3
iii) Platelets >= 80000/mm3
iv) Hemoglobin >= 8.0 g/dl
v) Total bilirubin <= upper limit of normal (ULN) X 1.5
vi) AST and ALT <= ULMX2.5 (5XULM allowed in case of liver metastases)
vii) Serum creatinine <= ULM X 1.5mg/dl
viii) Protein urea <= 1+

Key exclusion criteria

1)Radiological evidence of CNS metastases or brain cancer
2)Complication of cerebrovascular disease or symptoms within 1 year
3) complication of GI perforation, or past history of perforation within 1 year
4) Uncontroled Gastrointestinal Ulcer
5) Uncontrolled Diarrhea
6) Receiving Atazanavir Sulfate
7)Paralytic or mechanical bowel obstruction
8) Evidence of bleeding diathesis or coagulopathy.
9) Need to administrate or having anti-platelets therapy (including Methotrexate aspirin and NSAIDS)
10) Clinically significant (i.e. active, CTCAEv4.0 >=Grade2) cardiovascular disease, or past or current history (within the last 1 year) of myocardial infarction
11) Uncontrolled Hypertension
12) Need to drain malignant coelomic fluid.
13) Evidence of interstinal lung disease, or pulmonary fibrosi
14) Uncontrolled infection
15) Pregnant women, possibly pregnant women, wishing to become pregnant, and nursing mothers
16) History of the serious hypersensitivity for Fluorouracil or bevacizumab
17) Treatment history of irinotecan
18) Other conditions not suitable for this study

Target sample size

33


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuhiko Hayashi

Organization

Tokyo Women's Medical University

Division name

Department of chemotherapy and palliative care

Zip code


Address

8-1, Kawadacho, Shinjukuku, Tokyo, Japan

TEL

03-3353-8111

Email

kuramochi@chemo.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hidekazu Kuramochi

Organization

Tokyo Women's Medical University

Division name

Department of chemotherapy and palliative care

Zip code


Address

8-1, Kawadacho, Shinjukuku, Tokyo

TEL

03-3353-8111

Homepage URL


Email

kuramochi@chemo.jp


Sponsor or person

Institute

Tokyo Women's Medical 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 09 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

Completed

Date of protocol fixation

2011 Year 03 Month 06 Day

Date of IRB


Anticipated trial start date

2011 Year 03 Month 01 Day

Last follow-up date

2013 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete

2015 Year 11 Month 01 Day

Date analysis concluded

2016 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 03 Month 09 Day

Last modified on

2016 Year 03 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006187


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name