UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005431
Receipt number R000006444
Scientific Title Multicenter Randomized Controlled Trial of Combination Antiemetic Therapy with Aprepitant/Fosaprepitant in Patients with Colorectal Cancer Receiving Oxaliplatin-based chemotherapy
Date of disclosure of the study information 2011/04/14
Last modified on 2019/05/15 16:11:40

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Basic information

Public title

Multicenter Randomized Controlled Trial of Combination Antiemetic Therapy with Aprepitant/Fosaprepitant in Patients with Colorectal Cancer Receiving Oxaliplatin-based chemotherapy

Acronym

Study of Aprepitant/Fosaprepitant for the Prevention of Chemotherapy-induced Nausea and Vomiting in Colorectal Cancer Patients (SENRI)

Scientific Title

Multicenter Randomized Controlled Trial of Combination Antiemetic Therapy with Aprepitant/Fosaprepitant in Patients with Colorectal Cancer Receiving Oxaliplatin-based chemotherapy

Scientific Title:Acronym

Study of Aprepitant/Fosaprepitant for the Prevention of Chemotherapy-induced Nausea and Vomiting in Colorectal Cancer Patients (SENRI)

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the superiority of aprepitant/fosaprepitant therapy with a 5HT3-receptor antagonist, dexamethasone and aprepitant/fosaprepitant compared to standard therapy with a 5HT3-receptor antagonist and dexamethasone for prevention of nausea and vomiting in first course chemotherapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Proportion of patients with "No emesis"

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

For aprepitant therapy
Aprepitant; 125 mg PO on day 1, 80 mg PO on days 2 to 3
5HT3-receptor antagonist; IV administration on day 1
Dexamethasone; 6.6 mg IV on day 1, 4 mg PO on days 2 to 3

For fosaprepitant therapy
Fosaprepitant; 150 mg IV on day 1
5HT3-receptor antagonist; IV administration on day 1
Dexamethasone; 6.6 mg IV on day 1, 4 mg PO on day 2 and 8mg PO on day 3

Interventions/Control_2

5HT3-receptor antagonist; IV administration on day 1
Dexamethasone; 9.9 mg IV on day 1, 8 mg PO on days 2 to 3

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) Patient is 20 years and over
2) Patients with colon/rectal cancer who first underwent FOLFOX, XELOX or SOX regimen including oxaliplatin at 85 mg/m2 or more, or those who had already started chemotherapy and had nausea of Grade 2 or higher in the last course or an earlier course
3) Stage: not specified
4) Combination of molecular targeted therapy: allowable

Key exclusion criteria

1) Patient has a serious hepatic insufficiency or renal failure
2) Patient has nausea or vomiting within 24 hours prior to chemotherapy
3) Patient has been treated with antiemetic agents within 48 hours prior to chemotherapy
4) Patient has any illness (e.g. central nervous system tumors, gastrointestinal obstruction, active peptic ulcer, brain metastasis) caused nausea or vomiting except for chemotherapy-induced nausea and vomiting
5) Patient is unable to be administered dexamethasone for 3 days due to associated illnesses such as out-of-control diabetes mellitus
6) Patient is pregnant or lactating woman, and woman who plans to become pregnant
7) Patient is receiving treatment with pimozide
8) Patient is judged inappropriate by the investigator as subject for this study

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Junichi
Middle name
Last name Nishimura

Organization

Osaka University (postgraduate course)

Division name

Department of Gastroenterological Surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka

TEL

06-6879-3251

Email

jnishimura@gesurg.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Junichi
Middle name
Last name Nishimura

Organization

Osaka University (postgraduate course)

Division name

Department of Gastroenterological Surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka

TEL

06-6879-3251

Homepage URL


Email

jnishimura@gesurg.med.osaka-u.ac.jp


Sponsor or person

Institute

Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group

Institute

Department

Personal name



Funding Source

Organization

The Supporting Center for Clinical Research and Education (SCCRE)

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University Hospital

Address

2-15 Yamadaoka Suita city Osaka

Tel

06-6879-5111

Email

rinri@hp-crc.med.osaka-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 14 Day


Related information

URL releasing protocol

NA

Publication of results

Published


Result

URL related to results and publications

https://www.sciencedirect.com/science/article/pii/S0959804915002919?via%3Dihub

Number of participants that the trial has enrolled

413

Results

Combination antiemetic therapy with aprepitant/fosaprepitant in patients with colorectal cancer receiving oxaliplatin-based chemotherapy (SENRI trial): a multicentre, randomised, controlled phase 3 trial. Eur J Cancer. 2015 Jul;51(10):1274-82.

Combination antiemetic therapy with aprepitant/fosaprepitant in patients with colorectal cancer receiving oxaliplatin-based chemotherapy in the SENRI trial: analysis of risk factors for vomiting and nausea. Int J Clin Oncol 2017;22(1):88-95.

Results date posted

2019 Year 05 Month 15 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2015 Year 04 Month 24 Day

Baseline Characteristics

Patients were randomly allocated to either the aprepitant group or the control group.

Participant flow

A total of 413 patients entered this clinical trial from 25 centers in Japan.

Adverse events

Adverse events were not signficant between the groups.

Outcome measures

Significantly more patients in the aprepitant group achieved no vomiting than those in the control group (95.7 % vs. 83.6 %; P<0.0001).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 03 Month 17 Day

Date of IRB

2011 Year 04 Month 14 Day

Anticipated trial start date

2011 Year 04 Month 14 Day

Last follow-up date

2013 Year 10 Month 31 Day

Date of closure to data entry

2014 Year 09 Month 01 Day

Date trial data considered complete

2014 Year 09 Month 01 Day

Date analysis concluded

2015 Year 12 Month 31 Day


Other

Other related information

Takemoto H, Nishimura J, Komori T, Kim HM, Ota H, Suzuki R, et al. Combination antiemetic therapy with aprepitant/fosaprepitant in patients with colorectal cancer receiving oxaliplatin-based chemotherapy in the SENRI trial: analysis of risk factors for vomiting and nausea. Int J Clin Oncol 2017;22(1):88-95.


Management information

Registered date

2011 Year 04 Month 13 Day

Last modified on

2019 Year 05 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006444


Research Plan
Registered date File name
2014/10/21 SENRITrial SOX追加プロイメンド追加.zip

Research case data specifications
Registered date File name

Research case data
Registered date File name
2019/05/15 20140901全症例 照合済み.xlsx