UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005918
Receipt number R000006999
Scientific Title Phase 2 study of fix dose rate gemcitabine plus S-1 with advanced biliary tract cancer refractory to standard dose rate gemcitabine
Date of disclosure of the study information 2011/07/05
Last modified on 2017/07/10 16:08:10

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Basic information

Public title

Phase 2 study of fix dose rate gemcitabine plus S-1 with advanced biliary tract cancer refractory to standard dose rate gemcitabine

Acronym

Phase 2 study of fix dose rate GEM plus S-1 with advanced BTC refractory to GEM

Scientific Title

Phase 2 study of fix dose rate gemcitabine plus S-1 with advanced biliary tract cancer refractory to standard dose rate gemcitabine

Scientific Title:Acronym

Phase 2 study of fix dose rate GEM plus S-1 with advanced BTC refractory to GEM

Region

Japan


Condition

Condition

Advanced biliary tract cancer refractory to standard rate gemcitabine

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objects of this study is to evaluate the efficacy and safety of fix dose rate gemcitabine plus S-1 with advanced biliary tract cancer refractory to standard rate gemcitabine.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Reponse rate

Key secondary outcomes

Overall survival
Progression-free survival
Adverse events
Serious 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

Gemcitabine(1000mg/m2, div, over 100 minutes, day1), S-1(40mg/m2 twice daily, oral, day1-7), every two weeks. Treatment is repeated until disease progression, patient's refusal, or serious adverse event.

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) Diagnosed as biliary tract cancer which includes intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, gallbladder cancer, and ampulla of vater cancer
2) Recurrent or unrespectable biliary tract cancer
3) Histologically proven papillary adenocarcinoma, tubular adenocarcinoma, or adenosquamous carcinoma for extrahepatic cholangiocarcinoma, gallbladder cancer, and ampulla of vater cancer patients. Histologically proven adenocarcinoma for intrahepatic cholangiocarcinoma
4) Measurable disease as defined by Revised RECIST guideline (version 1.1)
5) Without CNS metastasis
6) Without moderate or more ascites/pleural effusion
7) Refractoy to one prior gemcitabine or gemcitabine based chemotherapy, defined by RECIST version 1.1
8) No previous therapy against biliary tract cancer
9) No previous chemotherapy or radiotherapy against any other malignancies within 3 years
10) ECOG PS of 0, 1, 2
11) Sufficient oral intake
12) Aged 20 years old or over
13) At least 2 weeks have passed after the prior therapy
14) Adequate organ function
15) Written informed consent

Key exclusion criteria

1) Simultaneous or metachronous (within 3 years) double cancers, with the exception of intramucosal tumor curable with local therapy
2) Pregnant or lactating women or women of childbearing potential and men who want to get partner pregnant
3) Psychosis or severe mental disorder
4) Patients requiring systemic steroids medication
5) Plumonary fibrosis or interstitial pneumonia
6) Uncontrollable watery diarrhea
7) Active bacterial or fungous infection
8) Other severe complications such as heart failure, renal failure, liver failure, peptic ulcer, intestinal paralysis, uncontrollable diabetes millitus etc
9) Patients requiring the administration of flucytosine, phenytoin or warfarin potassium
10) Patients who can't receive neither iodic drug nor gadolinium because of drug allergy
11) Prior history of chemotherapy with pyrimidine fluoride for the other disease within the 5 years
12) Inadequate physical condition, as diagnosed by primary physician

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinichi Ohkawa

Organization

Kanagawa Cancer Center

Division name

Division of Hepatobiliary and Pancreatic Oncology

Zip code


Address

2-3-2, Nakao, Asahi Ward, Yokohama

TEL

045-520-2222

Email

s-ohk@kcch.jp


Public contact

Name of contact person

1st name
Middle name
Last name Satoshi Kobayashi

Organization

Kanagawa Cancer Center

Division name

Division of Hepatobiliary and Pancreas Oncology

Zip code


Address

2-3-2, Nakao, Asahi Ward, Yokohama

TEL

045-391-5761

Homepage URL


Email

kobayashis@kcch.jp


Sponsor or person

Institute

Yokohama Clinical Oncology Group

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

神奈川県立がんセンター(神奈川県)
横浜市立大学付属市民総合医療センター(神奈川県)
国立国際医療研究センター(東京都)
国立がん研究センター中央病院(東京都)


Other administrative information

Date of disclosure of the study information

2011 Year 07 Month 05 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://meetinglibrary.asco.org/content/157741-173

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

Main results already published

Date of protocol fixation

2011 Year 05 Month 07 Day

Date of IRB


Anticipated trial start date

2011 Year 07 Month 01 Day

Last follow-up date

2015 Year 06 Month 30 Day

Date of closure to data entry

2016 Year 06 Month 01 Day

Date trial data considered complete

2016 Year 06 Month 01 Day

Date analysis concluded

2016 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2011 Year 07 Month 05 Day

Last modified on

2017 Year 07 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006999


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name