UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007117
Receipt number R000008372
Scientific Title Gunma study - Oxaliplatin-based chemotherapy and Avastin following Irinotecan-based chemotherapy with Erbitux in metastatic colorectal cancer
Date of disclosure of the study information 2012/01/23
Last modified on 2020/09/01 14:50:44

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Basic information

Public title

Gunma study - Oxaliplatin-based chemotherapy and Avastin following Irinotecan-based chemotherapy with Erbitux in metastatic colorectal cancer

Acronym

GARNET TRIAL

Scientific Title

Gunma study - Oxaliplatin-based chemotherapy and Avastin following Irinotecan-based chemotherapy with Erbitux in metastatic colorectal cancer

Scientific Title:Acronym

GARNET TRIAL

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 efficacy and safety of FOLFIRI+Cetuximab(q2w) as first line and FOLFOX or XELOX +Bevacizumab as second line in metastatic colorectal cancer with EGFR-detectable and KRAS wild type

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Total Progression free survival (PFS1+PFS2):
PFS during first-line (PFS1) and PFS during second-line (PFS2)

Key secondary outcomes

Progression free survival during first-line (PFS1)
Progression free survival during second-line (PFS2)
Response rate during first-line (RR1)
Response rate during second-line (RR2)
Tumor shrinkage rate at 8 weeks in first-line
Overall survival (OS)
Survival beyond progression (SBP)
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

first line chemotherpy
FOLFIRI+Cetuximab
(Cetuximab 500mg/m2/bi-week
CPT-11 150mg/m2/bi-week
l-LV 200mg/m2/bi-week
5-FU/bolus 400mg/m2/bi-week
5-FU/infusional 2,400mg/m2/bi-week (day 1-3))
FOLFIRI+Cetuximab

second line chemotherapy (1)
mFOLFOX6+Bevacizumab
(Bevacizumab 5mg/kg/bi-week
L-OHP 85mg/m2/bi-week
l-LV 200mg/m2/bi-week
5-FU/bolus 400mg/m2/bi-week
5-FU/infusional 2,400mg/m2/bi-week (day 1-3))

second line chemotherapy (2)
XELOX+Bevacizumab
(Bevacizumab 7.5mg/kg/tri-week
L-OHP 130mg/m2/tri-week
Capecitabine 2000mg/m2/day/2 (day 1-15))

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

79 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients with histologically proven colorectal cancer
2) Metastatic colorectal cancer with EGFR expressed
3) Metastatic colorectal cancer with KRAS wild-type
4) No prior chemotherapy (Patients who recieved treatment including oxaliplatin or fluoropyrimidine type anti-cancer drugs before 24 weeks are eligibled)
5) 20 years-old<=
6) PS:0-1(EGOG performance status score)
7) Presence of measurable lesion (RECIST Ver.1.1)
8) Patients who are tolerant to oral administration
9) Patients have enough organ function for study treatment
i leucocytes>=3,000/mm3,neutrophils>=1,500/mm3
ii platelets>=100,000/mm3
iii hemoglobin>=9.0g/dl
iv AST(GOT),ALT(GPT),ALP<=twice as upper limit of normal (ULN)(5 timesif showing liver disease)
v total blirubin<=half time as upper limit of normal(ULN)
vi creatinine<=half time as upper limit of normal(ULN)
10) Life expectancy of more than 3 months
11) Written informed consent

Key exclusion criteria

1) Synchronous multiple malignancy or metachronous multiple malignancy within 5 years disease-free interval
2) Symptomatic brain metastases
3) Severe myelosuppression
4) Watery diarrhea
5) Severe infectious disease
6) Interstitial lung disease or pulmonary fibrosis
7) Comorbidity or history of severe heart failure
8) Sensory alteration or paresthesia interfering with function
9) Need to drain malignant coelomic fluid
10) Severe comorbidity
11) Paralytic or mechanical bowel obstruction
12) Jaundice
13) Patient taking Atazanavir sulphate
14) Men/women who are unwilling to avoid pregnancy. Women who are pregnant or breastfeeding. Women with a positive pregnancy test
15) History of severe allergy
16) History of allergy for Cetuximab, Bevacizumab, fluoropyrimidine, irinotecan, oxaliplatin and other platinating agent
17) Prior treatment of Cetuximab, Bevacizumab, fluoropyrimidine, irinotecan and oxaliplatin
Any other cases who are regarded as inadequate for study enrollment by investigators

Target sample size

53


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyuki Kuwano

Organization

Gunma University Graduate school of Medicine

Division name

Department of General surgical science

Zip code


Address

3-39-22 syouwamachi, Maebashi, Gunma, Japan, 371-8511

TEL

027-220-8224

Email

hkuwano@gunma-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiroyuki Kuwano

Organization

Gunma University Graduate school of Medicine

Division name

Department of General surgical science

Zip code


Address

3-39-22 syouwamachi, Maebashi, Gunma, Japan, 371-8511

TEL

027-220-8225

Homepage URL


Email

hkuwano@med.gunma-u.ac.jp


Sponsor or person

Institute

Gunma University Graduate school of Medicine Department of General surgical science clinical study group

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


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

2012 Year 01 Month 23 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 07 Month 21 Day

Date of IRB

2011 Year 07 Month 21 Day

Anticipated trial start date

2011 Year 10 Month 01 Day

Last follow-up date

2011 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 01 Month 23 Day

Last modified on

2020 Year 09 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008372


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name