UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006744
Receipt number R000007969
Scientific Title Phase I/II study of bexarotene capsule (BSC-1) in patients with Cutaneous T-cell Lymphoma (CTCL)
Date of disclosure of the study information 2011/12/01
Last modified on 2016/04/07 16:28:48

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Basic information

Public title

Phase I/II study of bexarotene capsule (BSC-1) in patients with Cutaneous T-cell Lymphoma (CTCL)

Acronym

Phase I/II study of bexarotene capsule (BSC-1) in patients with Cutaneous T-cell Lymphoma (CTCL)

Scientific Title

Phase I/II study of bexarotene capsule (BSC-1) in patients with Cutaneous T-cell Lymphoma (CTCL)

Scientific Title:Acronym

Phase I/II study of bexarotene capsule (BSC-1) in patients with Cutaneous T-cell Lymphoma (CTCL)

Region

Japan


Condition

Condition

Cutaneous T-Cell Lymphoma

Classification by specialty

Dermatology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Phase I:
To evaluate the tolerability and pharmacokinetics of 150 mg/m2/day or 300 mg/m2/day of bexarotene capsules in Japanese patients with cutaneous T-cell lymphoma (CTCL).

Phase II:
To evaluate the efficacy, safety and tolerability of 300 mg/m2/day bexarotene capsules in Japanese patients with CTCL.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Primary efficacy endopoint:
-Modified Severity-weighted Assessment Tool (mSWAT)
-Physician's Global Assessment (PGA)
-Composite Assessment of Index Lesion Disease Severity (CA)
-abnormal lymph nodes, cutaneous tumors, visceral disease

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients enrolled in phase 1 were treated in sequential cohorts of patients and orally administered bexarotene at a dose level of 150 mg/m2 or 300 mg/m2 once daily within 30 minutes of a meals for 4 weeks.In the phase 2 study, patients were orally administered a 300 mg/m2 dose of bexarotene once daily within 30 minutes of a meal for 24 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. A clinical diagnosis of cutaneous T-cell lymphoma, CTCL, confirmed by biopsy to be histologically consistent with CTCL diagnosis by a dermatopathologist. stage IIB-IV, stage IB-IIA with refractory to at least one systemic therapy for CTCL.
2. Age>=20 years.
3. Eastern Cooperative Oncology Group, ECOG, performance status Performance Status 0-2
4. Adequate abdominal function as below. A. Adequate renal function as evidenced by serum creatinine =<2.0 mg/dL, or calculated creatinine clearance >=40 mL/min as per the Cockroft and Gault formula. B. Adequate hepatic function that is characterized by aspartate aminotransferase (AST), alanine aminotransferase (ALT), or serum bilirubin more than 2.5 times the upper limit of normal. C. Adequate bone marrow function as evidenced by hemoglobin more than 8 g/dL, absolute neutrophil count more than 1,000/mm3, and platelets more than 50,000/mm3.
5. Fasting serum triglyceride within normal limits, <150 mg/dL, or in treatment with anti-dyslipidaemia. prior to study entry.
6. Females of childbearing potential must have a negative serum beta human chorionic gonadotropin within seven days prior to the initiation of treatment, and must have used highly effective methods of contraception for at least 4 weeks prior to the negative pregnancy test through entry to the study.
7. Male patients with female partners of childbearing potential must agree to practice the effective contraception during the entire period of bexarotene capsule treatment and for at least 1 month after treatment is discontinued.
8. Must be willing and able to give informed consent, complete and understand, either oral or written, study procedures and assessments.

Key exclusion criteria

1. Cutaneous T-cell lymphoma involving the central nervous system
2. Subjects with known adult T-cell leukemia/lymphoma
3. Systemic antibiotic therapy within 2 weeks of entry in the study
4. Topical CTCL therapy, regional chemotherapy, topical steroid and other, within 2 weeks of entry the study
5. PUVA or UVB therapy within 3 weeks
6. Radiation therapy within 4 weeks of entry to the study
7. Systemic anticancer therapy of any kind within 4 weeks of entry to the study
8. Systemic therapy with Vitamin A in doses of greater than 15,000 IU, 5,000 mcg, per day within 4 weeks of entry to the study
9. Received systemic steroids within 4 weeks of entry in the study
10. Participation in any other investigational drug study within 12 week of entry in this study
11.Received Etretinate therapy within one year of entry in the study
12. Patients with pregnancy, intent to become pregnant, breast-feeding or unwillingness to effective contraception.
13. Subjects have critical intercurrent illness or serious infection diseases
14. History of pancreatitis or significant risk factors for developing pancreatitis (e.g., prior pancreatitis, uncontrolled hyperlipidemia, excessive alcohol consumption, uncontrolled diabetes mellitus, biliary tract disease, and medications known to increase triglyceride levels or to be associated with pancreatic toxicity
15. Known or suspected hypersensitivity to bexarotene or any other retinoid preparations
16. Known serious allergic reaction or critical hypersensitivity to drugs
17. Unwillingness or inability to minimize exposure to sunlight and artificial ultraviolet light
18. Principal investigator judged inadequate

Target sample size

16


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideo Inoue

Organization

Research and Development Division

Division name

Reserch Laboratory

Zip code


Address

2-2-3, Komatsubara, Zama-shi, Kanagawa

TEL

0359090027

Email

t_yoshida@minophagen.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tsuyoshi Yoshida

Organization

Minophagen Pharmaceutical Co. Ltd

Division name

Regulatory Compliance Department

Zip code


Address

3-2-11, Nishi-Shinjuku, Shinjuku-ku, Tokyo

TEL

03-5909-0029

Homepage URL


Email

t_yoshida@minophagen.co.jp


Sponsor or person

Institute

Minophagen Pharmaceutical Co. Ltd.

Institute

Department

Personal name



Funding Source

Organization

Minophagen Pharmaceutical Co. Ltd.

Organization

Division

Category of Funding Organization

Profit organization

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

福島県立医科大学附属病院(福島県)、東京大学医学部附属病院(東京都)、東京医科大学病院(東京都)、東京医科大学八王子医療センター(東京都)、浜松医科大学(静岡県)、大阪大学病院(大阪府)、岡山大学病院(岡山県)、宮崎大学医学部附属病院(宮崎県)、鹿児島大学医学部・歯学部附属病院(鹿児島県)、今村病院分院(鹿児島県)


Other administrative information

Date of disclosure of the study information

2011 Year 12 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 10 Month 20 Day

Date of IRB


Anticipated trial start date

2012 Year 01 Month 01 Day

Last follow-up date

2013 Year 12 Month 27 Day

Date of closure to data entry

2014 Year 04 Month 23 Day

Date trial data considered complete

2014 Year 07 Month 11 Day

Date analysis concluded

2014 Year 11 Month 06 Day


Other

Other related information



Management information

Registered date

2011 Year 11 Month 18 Day

Last modified on

2016 Year 04 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007969


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name