UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007458
Receipt number R000008534
Scientific Title Phase I study of combination chemotherapy with irinotecan hydrochroride(CPT-11) and nedaplatin(NDP) for locally advanced stage Ib2-IVa cervical cancer after Concurrent chemoradiotherapy (CCRT)
Date of disclosure of the study information 2012/03/06
Last modified on 2013/10/07 19:19:30

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Basic information

Public title

Phase I study of combination chemotherapy with irinotecan hydrochroride(CPT-11) and nedaplatin(NDP) for locally advanced stage Ib2-IVa cervical cancer after Concurrent chemoradiotherapy (CCRT)

Acronym

Phase I study of combination chemotherapy with CPT-11 and NDP for cervical cancer after CCRT

Scientific Title

Phase I study of combination chemotherapy with irinotecan hydrochroride(CPT-11) and nedaplatin(NDP) for locally advanced stage Ib2-IVa cervical cancer after Concurrent chemoradiotherapy (CCRT)

Scientific Title:Acronym

Phase I study of combination chemotherapy with CPT-11 and NDP for cervical cancer after CCRT

Region

Japan


Condition

Condition

Stage Ib2-IVa cervical cancer

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To determine the maximum tolerated dose(MTD) and the recommended dose(RD)

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Recommended Dose(RD)

Key secondary outcomes

1)Incidence of morbidity
2)Completeness


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

Irinotecan dose escalation day 1,8+Nedaplatin dose escalation day 1,q 4 weeks 4 cycles. Treatment cycles are repeated every 28 days until disease progression, unless the dose level is considered as the DLT in the first cycle.
Level 1: Irinotecan 40 mg/m2 day 1,8+Nedaplatin 50mg/m2
Level 2: Irinotecan 40 mg/m2 day 1,8+Nedaplatin 60mg/m2
Level 3: Irinotecan 50 mg/m2 day 1,8+Nedaplatin 60mg/m2
Level 4: Irinotecan 60 mg/m2 day 1,8+Nedaplatin 60mg/m2
If none of the 3 patients who had been originally allocated to a dosage level experienced
DLT, the dose of pemetrexed was increased to the next level. If one of the 3 patients experienced DLT at that level, 3 additional patients were enrolled for the further evaluation of toxicity. If two of 3 patients experienced DLT at that level, that dose was defined as the MTD.

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

70 years-old >=

Gender

Female

Key inclusion criteria

1) Pathologicaly confirmed cervical cancer (squamous cell carcinoma)
2) FIGO Stage lb2-lVa
3) Completely have Concurrent chemoradiotherapy(CCRT)
4) No prior therapy other than Concurrent chemoradiotherapy(CCRT)
5) 20 years-old<=age<=70 years-old
6) ECOG performance status of 0 to 1
7) Adequate bone marrow, cardiac, pulmonry functions.
8) Patients homozygous for UGT1A1*1, or heterozygous for UGT1A1*28 or UGT1A1*6
9) Written informed consent
10)Able to have a chemothrapy within 4-8 weeks after Concurrent chemoradiotherapy(CCRT)

Key exclusion criteria

1) Patients with serious complications
2) Patients with active infections
3) Patients with active concomitant malignancy
4) Patients underwent exploratory laparotomy
5) Patients with interstitial pneumonia or pulmonary fibrosis
6) Patients with massive pleural, cardiac effusion, and/or ascites
7) Patients with coneraindication to CPT-11or NDP
8) Patients with diarrhea (watery stool)
9) Patients with any history of serious drug reactions or hypersensitivity
10) Patients with HBs antigen
11) Patients treated with radiation therapy of the paraaortic lymph nodes in cervical carcinoma
12) Patients with progression of cervical carcinoma disease during concurrent chemoradiotherapy(CCRT)
13)Patients are inappropriate to enter this study with any safety reasons, judged by the treating physician

Target sample size

48


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hisaya Fujiwara, M.D.,Ph.D.

Organization

Chugoku Rousai Hospital

Division name

Department of Obstetrics and Gynecology

Zip code


Address

1-5-5 Hirotagaya, Kure, Hiroshima 737-0193 Japan

TEL

0823-72-7171

Email

hisafuji@chugokuh.rofuku.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hisaya Fujiwara, M.D.,Ph.D.

Organization

Chugoku Rousai Hospital

Division name

Department of Obstetrics and Gynecology

Zip code


Address

1-5-5 Hirotagaya, Kure, Hiroshima 737-0193 Japan

TEL

0823-72-7171

Homepage URL

http://www.jgog.gr.jp/

Email

hisafuji@chugokuh.rofuku.go.jp


Sponsor or person

Institute

Japanese Gynecologic Oncology Group

Institute

Department

Personal name



Funding Source

Organization

Japanese Gynecologic Oncology Group

Organization

Division

Category of Funding Organization

Non profit foundation

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

広島大学病院(広島県)、琉球大学医学部附属病院(沖縄県)、東海大学医学部付属病院(神奈川県)、静岡県立がんセンター(静岡県)、がん研有明病院(東京都)


Other administrative information

Date of disclosure of the study information

2012 Year 03 Month 06 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

Terminated

Date of protocol fixation

2012 Year 01 Month 05 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2013 Year 10 Month 07 Day

Date of closure to data entry

2013 Year 10 Month 07 Day

Date trial data considered complete

2013 Year 12 Month 31 Day

Date analysis concluded

2014 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2012 Year 03 Month 06 Day

Last modified on

2013 Year 10 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008534


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name