UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007986
Receipt number R000008845
Scientific Title A Phase II study of Pemetrexed plus split Cisplatin followed by maintenance Pemetrexed in previously untreated patients with stage III/IV or recurrent post-operative non-small-cell with non-squamous lung cancer. OSAKA-LCSG1103
Date of disclosure of the study information 2012/05/18
Last modified on 2019/11/26 15:26:59

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Basic information

Public title

A Phase II study of Pemetrexed plus split Cisplatin followed by maintenance Pemetrexed in previously untreated patients with stage III/IV or recurrent post-operative non-small-cell with non-squamous lung cancer.
OSAKA-LCSG1103

Acronym

A Phase II study of Pemetrexed plus split Cisplatin followed by maintenance Pemetrexed in previously untreated patients with stage III/IV or recurrent post-operative non-small-cell with non-squamous lung cancer.
OSAKA-LCSG1103

Scientific Title

A Phase II study of Pemetrexed plus split Cisplatin followed by maintenance Pemetrexed in previously untreated patients with stage III/IV or recurrent post-operative non-small-cell with non-squamous lung cancer.
OSAKA-LCSG1103

Scientific Title:Acronym

A Phase II study of Pemetrexed plus split Cisplatin followed by maintenance Pemetrexed in previously untreated patients with stage III/IV or recurrent post-operative non-small-cell with non-squamous lung cancer.
OSAKA-LCSG1103

Region

Japan


Condition

Condition

over 20 years old patients in previously untreated patients stage III/IV or recurrent post-opetative non-small-cell and non-squamous lung cancer.

Classification by specialty

Pneumology Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate the efficacy and safety of Pemetrexed plus split Cisplatin followed by maintenance Pemetrexed treatment in previously untreated patients stage III/IV or recurrent post-opetative non-small-cell and non-squamous lung cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

One year survival

Key secondary outcomes

Progression Free Survival,
Evaluation of safety,
Response rate,
overall survival


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

Four cycles of Pemetrexed + Cisplatin followed by maintenance Pemetrexed in 21-day cycles until progression disease

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)Histologically or cytologically confirmed non-sqamous and non-small-cell lung cancer with Chemo naive patients (Radiothrapy to any place other than primary and evaluable lesion is competent)
2)Patients who have measurable lesion (In 10mm Slice CT more than 20mm, in 5mm Slice CT more than 10mm) or evaluable lesion by RECIST
3)Stage III/IV without any indications for radiotherapy, or recurrent disease after surgery that passes more than one year from the last dosage day of adjuvant chemotherapy
5)Patients aged 20 years or older
6)ECOG 0-1
7)Adequate organ function, evaluated within 14 days before enrollment (registration day is day1, and on the same day two weeks ago, is impossible) as
WBC >= 4,000/mm3
Neu >= 2,000/mm3
Plt >= 100,000/mm3
Hb >= 9.5 g/dL over
AST/ALT, 3 of upper limit of normal or less.
T.Bil under 1.5 g/dL
Ccr >= 60mL/min, sCr:x1.2 of upper limit of normal or less.
SpO2 over 93% as room air
8)Patients are excepted to live over 3 months after administration day
9)Written informed consent from the patients


Key exclusion criteria

1)Patients have diagnosed squamous cell carcinoma
2)Interstitial pneumonia or pulmonary fibrosis detectable on Chest X-ray
3) Patiens has pleural effusion, pericardial effusion and ascites to need treatment for
4) Patients unable to administer folic acid and vitamin B12, or not
5) Severe renal function disorder
6) Pregnancy, breast feeding and suspected pregnancy
7) SVC syndrome
8) Active double cancer
9) Uncontrollable diabetes mellitus and hypertenson
10) Diagnosed as liver cirrhosis by image findings or clinical laboratory
11) History of severe heart disease (uncontrollable arrythmia, uncontrollable angina pectoris, congestive heart failue, etc within 6 months)
12) Pregnancy, breast feeding and suspected pregnancy
13) Grave drug allergic reaction
14) Acute inflammatory disease
15) An agreement is not obtained for support therapy such as transfusion etc
16) Having the bleeding tendency which is clear in clinic
17) Patients whose participation in the trial is judged to be inappropriate by the attendeing doctor

Target sample size

55


Research contact person

Name of lead principal investigator

1st name Takashi
Middle name
Last name Kijima

Organization

Osaka university Hosipital

Division name

department of respiratory medicine

Zip code

5650871

Address

2-15,Yamadaoka,Suita-city,Osaka

TEL

06-6879-3833

Email

tkijima@imed3.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Kijima

Organization

Osaka university Hosipital

Division name

department of respiratory medicine

Zip code

5650871

Address

2-2 Yamada-oka, Suita, Osaka 565-0871, Japan

TEL

06-6879-5111

Homepage URL


Email

tkijima@imed3.med.osaka-u.ac.jp


Sponsor or person

Institute

Department of respiratory medicine,Osala university Hospital.

Institute

Department

Personal name



Funding Source

Organization

Department of respiratory medicine,Osala university Hospital.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor

OULCSG

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University Clinical Research Review Committee

Address

2-2,Yamadaoka,Suita-cty, Osaka

Tel

06-6879-5111

Email

rinri@hp-crc.med.osaka-u.ac.jp


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

大阪大学附属病院(大阪)


Other administrative information

Date of disclosure of the study information

2012 Year 05 Month 18 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s00280-018-3598-4

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s00280-018-3598-4

Number of participants that the trial has enrolled

53

Results

Thirty-eight (71.7%) patients completed induction therapy, while 35 (66.0%) received maintenance therapy. The 1-year survival rate was 67.7%. The median PFS and OS were 5.3 and 18.6 months, respectively. The response rate and disease control rate (DCR) during the induction phase were 37.7 and 86.8%, respectively. Eight patients (15.1%) discontinued the therapy due to adverse events (AEs) during the induction phase, but both hematological and non-hematological AEs were infrequent.

Results date posted

2019 Year 11 Month 26 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2018 Year 05 Month 04 Day

Baseline Characteristics

See Cancer Chemother Pharmacol, 2018;82(1);111-7.

Participant flow

See Cancer Chemother Pharmacol, 2018;82(1);111-7.

Adverse events

See Cancer Chemother Pharmacol, 2018;82(1);111-7.

Outcome measures

See Cancer Chemother Pharmacol, 2018;82(1);111-7.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 01 Month 29 Day

Date of IRB

2012 Year 01 Month 31 Day

Anticipated trial start date

2012 Year 02 Month 01 Day

Last follow-up date

2016 Year 03 Month 05 Day

Date of closure to data entry

2017 Year 05 Month 27 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 05 Month 18 Day

Last modified on

2019 Year 11 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008845


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name