UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007563
Receipt number R000008933
Scientific Title phase I/II trial of Gemcitabine/CDDP/S-1 combination chemotherapy for locally advanced or metastatic biliary tract cancer
Date of disclosure of the study information 2012/03/23
Last modified on 2017/04/21 12:24:29

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Basic information

Public title

phase I/II trial of Gemcitabine/CDDP/S-1 combination chemotherapy for locally advanced or metastatic biliary tract cancer

Acronym

phase I/II trial of Gemcitabine/CDDP/S-1 combination chemotherapy for locally advanced or metastatic biliary tract cancer

Scientific Title

phase I/II trial of Gemcitabine/CDDP/S-1 combination chemotherapy for locally advanced or metastatic biliary tract cancer

Scientific Title:Acronym

phase I/II trial of Gemcitabine/CDDP/S-1 combination chemotherapy for locally advanced or metastatic biliary tract cancer

Region

Japan


Condition

Condition

Locally advanced or metastatic biliary tract cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Phase I
Primary objective is to estimate the maximum tolerated dose(MTD)and recommended dose(RD)of Gemcitabine/CDDP/S-1 combination chemotherapy for locally advanced or metastatic biliary tract cancer
PhaseII
Primary objective is to evaluate the efficacy and safety of Gemcitabine/CDDP/S-1 for locally advanced or metastatic biliary tract cancer when administered at recommended dose estimated in Phase I

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I,II


Assessment

Primary outcomes

PhaseI
estimate the maximum tolerated dose(MTD)and recommended dose(RD)of Gemcitabine/CDDP/S-1

PhaseII
Progression free survival

Key secondary outcomes

PhaseI
Adverse events, pharmacokinetics

PhaseII
Overall survival, Response Rate, Adverse events


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

Gemcitabine/CDDP/S-1 combination chemotherapy is conducted. CDDP (25mg/m2) and Gemcitabine (1000mg/m2) are administered intravenously at day 1 and 8. S-1 is orally administered twice daily at dose levels from 60mg/m2 to 80mg/m2 for 14 days followed by 7 days rest according to body surface area

pharmacokinetics
Blood sample is obtained from day 1 to day 2 in order to evaluate the pharmacokinetics of Gemcitabine/CDDP/S-1 combination chemotherapy

PhaseII
CDDP(25mg/m2)and Gemcitabine (1000mg/m2)are administered intravenously at day 1 and 8. S-1 is orally administered twice daily at recommended dose estimated in phaseI for 14 days followed by 7 days rest according to body surface area.It is assumed that three weeks is one course and combination chemotherapy repeat until disease progression or discontinuation because of adverse

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1 biliary tract cancer confirmed
adenocarcinoma or squamous cell cancer (intrahepatic bile duct cancer, extrahepatic bile duct cancer, gallbladder cancer, papilla cancer)
2 in operable advanced biliary tract
cancer (include locally advanced or recurence)
The presence or absence of measurable lesion does not matter.
The patient with the measurable lesion conducting an examination for image within 28 days before registration.
3 with no prior therapy except for resection
Patient who underwent adjuvant chemotherapy could be registered, if recurrence is confirmed more than 24 weeks from last administration day.
4 age 20 to 80 at registration
5 PS 0-1
6 sufficient function of important organs
WBC: >=3,500/mm3 and <=12,000/mm3
Neu:>=2,000/mm3
Platelet: >=100,000/mm3
Hem: >=10.0g/dl
GOT(AST): <= 100IU/l(or 150U/L if biliary drainage were present)
GPT(ALT): <= 100IU/l(or 150U/L if biliary drainage were present)
sT.bil: <=2.0mg/dl(or 3.0mg/dl if biliary drainage were present)
serum Cr: =< 1.2mg/dL
Ccr:>=60 ml/min/body
7 oral intake
8 clinically no abnormal findings to become the problem with an electrocardiogram within 28 days before registration
9 written informed consent

Key exclusion criteria

1 biliary tract cancer confirmed
adenocarcinoma or squamous cell cancer (intrahepatic bile duct cancer, extrahepatic bile duct cancer, gallbladder cancer, papilla cancer)
2 in operable advanced biliary tract
cancer (include locally advanced or recurence)
The presence or absence of measurable lesion does not matter.
The patient with the measurable lesion conducting an examination for image within 28 days before registration.
3 with no prior therapy except for resection
Patient who underwent adjuvant chemotherapy could be registered, if recurrence is confirmed more than 24 weeks from last administration day.
4 age 20 to 80 at registration
5 PS 0-1
6 sufficient function of important organs
WBC: >=3,500/mm3 and <=12,000/mm3
Neu:>=2,000/mm3
Platelet: >=100,000/mm3
Hem:>=10.0g/dl
GOT(AST): <= 100IU/l(or 150U/L if biliary drainage were present)
GPT(ALT): <= 100IU/l(or 150U/L if biliary drainage were present)
sT.bil: <=2.0mg/dl(or 3.0mg/dl if biliary drainage were present)
serum Cr: =< 1.2mg/dL
Ccr:>=60 ml/min/body
7 oral intake
8 clinically no abnormal findings to become the problem with an electrocardiogram within 28 days before registration
9 written informed consent
10 with interstitial pneumonia and lungs fiber syndrome

Target sample size

36


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshifumi Hibi

Organization

keio University, school of medicine

Division name

Div. of Gastroenterology, Dept. of Internal Medicine

Zip code


Address

35, Shinanomachi, Shinjuku-ku, Tokyo, Japan

TEL

03-3353-1211

Email

yashmmt1971@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Yasuo Hamamoto

Organization

Keio University, school of medicine

Division name

Div. of Gastroenterology, Dept. of Internal Medicine

Zip code


Address

35, Shinanomachi, Shinjuku-ku, Tokyo, Japan

TEL

03-3353-1211

Homepage URL


Email

yhamamoto@z2.keio.jp


Sponsor or person

Institute

Keio University, School of Medicine, Div. of Gastroenterology, Dept.of Internal Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor

Kanagawa Cancer Center

Name of secondary funder(s)

None


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

慶應義塾大学 医学部 消化器内科


Other administrative information

Date of disclosure of the study information

2012 Year 03 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

Terminated

Date of protocol fixation

2011 Year 12 Month 24 Day

Date of IRB


Anticipated trial start date

2012 Year 03 Month 01 Day

Last follow-up date

2015 Year 12 Month 01 Day

Date of closure to data entry

2016 Year 12 Month 01 Day

Date trial data considered complete

2016 Year 12 Month 01 Day

Date analysis concluded

2016 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 03 Month 23 Day

Last modified on

2017 Year 04 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008933


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name