UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005551
Receipt number R000006583
Scientific Title Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on chemotherapy-induced nausea and vomiting (CINV) in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study
Date of disclosure of the study information 2011/06/01
Last modified on 2015/05/10 16:36:53

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Basic information

Public title

Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on chemotherapy-induced nausea and vomiting (CINV) in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study

Acronym

Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on CINV in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study

Scientific Title

Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on chemotherapy-induced nausea and vomiting (CINV) in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study

Scientific Title:Acronym

Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on CINV in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study

Region

Japan


Condition

Condition

Esophageal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of combination therapy with aprepitant, palonosetron and dexamethasone on CINV in esophageal cancer patients receiving 5-FU plus cisplatin.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

The proportion of patients with a complete response (defined as no vomiting and no rescue medication) during the delayed phase after administration of 5-FU plus cisplatin

Key secondary outcomes

1. The proportion of patients with a complete response during the acute phase and overall phases after administration of 5-FU plus cisplatin
2. The proportion of patients with a complete control (defined as no vomiting, no rescue medication, and no more than mild nausea) during the acute phase, the delayed phase and overall phases
3. The degree of nausea during the acute phase, the delayed phase and overall phases
4. Safety


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

1. 5-FU plus cisplatin
Cisplatin is administered at a dose of 80 mg/m2 by slow drip infusion for 2h on day 1, and 5-FU is administered at a dose of 800 mg/m2 per day by continuous infusion for 24 h on days 1-5
2. Antiemetic drugs
1) Aprepitant is given at a dose of 125mg orally before the cisplatin administration on day 1, and 80mg orally on days 2-3
2) Palonosetron is given at a dose of 0.75mg intravenously before the cisplatin administration on day 1
3) Dexamethasone is given at a dose of 9.9mg intravenously before the cisplatin administration on day 1, and 6.6mg on days 2-5

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

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Histologically confirmed esophageal carcinoma
2. Patients who receive chemotherapy consists of 5-FU plus cisplatin
3. ECOG performance status of 0-2
4. Adequate organ function
5. Sufficient oral intake
6. Written informed consent

Key exclusion criteria

1. Severe complications (intestinal paralysis, symptomatic cardiovascular disease, pulmonary fibrosis, uncontrollable diabetes mellitus, active peptic ulcer, psychiatric disorder, cerebrovascular disorder)
2. Brain metastasis
3. Seizure disorder needing anticonvulsants
4. Massive ascites or pleural effusion
5. Intestinal obstruction
6. Vomiting, or grade 2 or higher nausea according to CTCAE ver4.0
7. QTc>470msec (examined within 28 days before registration)
8. Hypersensitivity or severe drug allergy to aprepitant, palonosetron or other 5-HT3-receptor antagonists
9. Hypersensitivity or severe drug allergy to dexamethasone
10. Pregnant or breast-feeding woman
11. Men of wishing fertility
12. Administration of pimozide
13. Not appropriate for the study at the physician's assessment

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ayumu Hosokawa

Organization

University of Toyama

Division name

Department of Gastroenterology and Hematology, Faculty of Medicine

Zip code


Address

2630 Sugitani, Toyama, 930-0194, Japan

TEL

076-434-7301

Email

ayhosoka@med.u-toyama.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ayumu Hosokawa

Organization

University of Toyama

Division name

Department of Gastroenterology and Hematology, Faculty of Medicine

Zip code


Address

2630 Sugitani, Toyama, 930-0194, Japan

TEL

076-434-7301

Homepage URL


Email

ayhosoka@med.u-toyama.ac.jp


Sponsor or person

Institute

University of Toyama

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 06 Month 01 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 01 Month 04 Day

Date of IRB


Anticipated trial start date

2011 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 05 Month 03 Day

Last modified on

2015 Year 05 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006583


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name