UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007765
Receipt number R000009149
Scientific Title A randomized phase II trial of docetaxelor pemetrexed with or without gefitinib in elderly advanced non-small cell lung cancer patients harboring activating EGFR mutation after failure of the therapy as first-line treatment.
Date of disclosure of the study information 2012/04/16
Last modified on 2013/09/20 12:13:53

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Basic information

Public title

A randomized phase II trial of docetaxelor pemetrexed with or without gefitinib in elderly advanced non-small cell lung cancer patients harboring activating EGFR mutation after failure of the therapy as first-line treatment.

Acronym

A randomized phase II study of continuou gefitinib plus docetaxel or pemetrexed in elderly gefitinib responders (JMTO LC 12-01)

Scientific Title

A randomized phase II trial of docetaxelor pemetrexed with or without gefitinib in elderly advanced non-small cell lung cancer patients harboring activating EGFR mutation after failure of the therapy as first-line treatment.

Scientific Title:Acronym

A randomized phase II study of continuou gefitinib plus docetaxel or pemetrexed in elderly gefitinib responders (JMTO LC 12-01)

Region

Japan


Condition

Condition

non-small cell lung cancer

Classification by specialty

Medicine in general Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy of docetaxel or pemetrexed with continuation of gefitinib in NSCLC patients harboring activating EGFR mutation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Progression-free survival

Key secondary outcomes

Response Rate
Disease Control Rate
Overall survival
Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Group A: docetaxel or pemetrexed

Interventions/Control_2

Group B: docetaxel or pemetrexed plus gefitinib

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

70 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Histologically or cytologically confirmed non-squamous non-small lung cancer
2.Harboring activating EGFR mutation including exon 19 deletion mutation and/or L858R point mutation
3.Previously treated gefitinib as first-line treatment and had good response (CR, PR or SD for more than 6 months accroding to Jackman cliteria)
4.Maintained gefitinib administered according to regular treatment schedule for more than 3 months
5.Platinum-based doublet chemotherapy is not recommended
6.Advanced or metastatic NSCLC (Stage IIIB/IV) and unsuitable for radiotherapy
7.Patients with evaluable disease
8.PS:0-2 (ECOG)
9.70 years or older
10.Sufficient organ function
WBC >=4000/mm3
Neutrophil >=2000/mm3
Plt >=100000/mm3
Hb >=9.0 g/dL
Both AST and ALT <=100IU/L
Total bilirubin: <=1.5 mg/dl
Serum creatinine: <=1.2 mg/dl
SpO2>=93%
11.A life expectancy of 3 months or more
12.Submission of written informed consent

Key exclusion criteria

1.Patients including clients and employee or stuff of the participating medical institution who are involved in planning and conducting this study
2.Patients who relapsed in one year from the last day of adjuvant chemotherapy
3.Active infection (fever of 38.0 degrees centigrade or higher)
4.Patients with past history including acute interstitial pneumonia, pulmonary drug toxicity and radiation pneumonitis treated with corticosteroids
5.Interstitial pneumonia/ Pulmonary fibrosis
6.Patietns with ileus
7.Uncontrollable diarrhea
8.Active double cancer
9.Serious allergy history
10.Patients with refractory gastric ulcer or a duodenal ulcer
11.Uncontrollable massive,pleural effusion or cardiac effusion
12.Systemic administartion of corticosteroids
13.History of docetaxe or pemetrexed therapy
14.serious medical complications (uncontrollable pulmonary disease, heart disease, kidney disease, liver disease)
and inappropriate patients for this study judged by the physicians physician

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name The Japan-Multinational Trial Organization(JMTO)

Organization

National Hospital Organization Kinki-chuo Chest Medical Center

Division name

Medical Oncology

Zip code


Address

1180 Nagasone-cho Kita-ku, Sakai City, Osaka

TEL

072-252-3021

Email

asami@kch.hosp.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuhiro Asami

Organization

National Hospital Organization Kinki-chuo Chest Medical Center

Division name

Medical Oncology

Zip code


Address

1180 Nagasone-cho Kita-ku, Sakai City, Osaka

TEL

072-252-3021

Homepage URL


Email

asami@kch.hosp.go.jp


Sponsor or person

Institute

The Japan-Multinational Trial Organization(JMTO)

Institute

Department

Personal name



Funding Source

Organization

AstraZeneca

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

United States


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

JMTO LC 12-01

Org. issuing International ID_1

The Japan-Multinational Trial Organization(JMTO)

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 04 Month 16 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

Open public recruiting

Date of protocol fixation

2012 Year 05 Month 19 Day

Date of IRB


Anticipated trial start date

2012 Year 05 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 04 Month 16 Day

Last modified on

2013 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009149


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name