UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008066
Receipt number R000009488
Scientific Title Efficacy of Rikkunshito on the Development and Progression of Cachexia in Gemcitabine-treated Pancreatic Cancer Patients – Randomized Phase II Study
Date of disclosure of the study information 2012/05/31
Last modified on 2016/12/02 14:35:15

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Basic information

Public title

Efficacy of Rikkunshito on the Development and Progression of Cachexia in Gemcitabine-treated Pancreatic Cancer Patients – Randomized Phase II Study

Acronym

Efficacy of Rikkunshito on the Development and Progression of Cachexia in Gemcitabine-treated Pancreatic Cancer Patients – Randomized Phase II Study

Scientific Title

Efficacy of Rikkunshito on the Development and Progression of Cachexia in Gemcitabine-treated Pancreatic Cancer Patients – Randomized Phase II Study

Scientific Title:Acronym

Efficacy of Rikkunshito on the Development and Progression of Cachexia in Gemcitabine-treated Pancreatic Cancer Patients – Randomized Phase II Study

Region

Japan


Condition

Condition

Patients with unresectable pancreatic cancer who are going to be treated with gemcitabine

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficay and safety of Rikkunshito on the development and progression in cancer cachexia

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Change in body weight after 8 weeks from the start of treatment

Key secondary outcomes

Change in lean body mass, fat mass, FAACT ACS score, handgrip, rapid turnover proteins, plasma ghrelin level in fasting state and tumor reduction rate, after 8weeks from the start of treatment. Progression free survival
Overall survival


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1,000 mg/m2 of Gemcitabine on day1, 8, 15, 29, 36, 43

Interventions/Control_2

1,000 mg/m2 of Gemcitabie on day1, 8, 15, 29, 36, 43, and 7.5 g/day of Rikkunshito for 8 weeks.

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) Pathologically diagnosed pancreatic cancer
2) Patients who signed a written informed consent
3) The pancreatic cancer notification was given
4) Unresectable pancreatic cancer
5) Unintentional body weight loss of <=in 6 months
6) Age 20 or older
7) Eastern Cooperative Oncology Group (ECOG) Performance Status Grade of 0-2
8) Patients have a measurable lesion of the pancratic cancer
9) No history of chemotherapy or radiation therapy
10) Patients are scheduled to be treated with gemcitabine alone
11) No other Kampo medicines are administrated
12) Expected to survive >= 3months
13) Sufficient oral intake
14) Laboratory test results within these ranges:
1. White blood cell count>=2000/microliter and <=8000/microliter
2. Platelet count >=70000/microliter
3. Total bilirubin <=2.0mg/dL
4. AST <=100 IU/L
5. ALT <=100 IU/L
6. K >=3.0 mEq/L
7. Creatinine clearance >=60 mL/min

Key exclusion criteria

1)Patients with cerebral metastases
2)Patients with peritoneal or pleural dissemination
3)Patients with ascites or pleural effusion
4)Patients with double cancer
5)Patients with interstitial pneumonia, lung fibrosis and severe pulmonary emphysema
6)Patinets with seizure disorder requiring anticonvulsants
7)Patients with disturbed consciousness
8)Patinets with gastrointestinal obstruction
9)Patients participating in other clinical trials
10)Patients with uncontrollable hypertension
11)Patients with diabetes mellitus treated with insulin, or uncontrollable diabetes mellitus
12)Patients with taking corticosteroid, androgen, progesterone or any other orexigenic medicine
13)Pregnant woman, Nursing woman, or woman not to agree with contraception
14)Pateints with infection requiring systemic treatment
15)Patiens having body temperature of >=38degrees at the enrollment
16)Patients with psychiatric disorder or any psychiatric symptoms, or considered in ineligible to the study.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuhito Uezono, MD, PhD

Organization

National Cancer Center Research Insititute

Division name

Division of Cancer Pathophysiology

Zip code


Address

Tsukiji 5-1-1, Chuo-ku, Tokyo 104-0045 JAPAN

TEL

03-3542-251

Email

yuezono@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shunsuke Ohnishi, MD, PhD

Organization

Hokkaido University

Division name

Department of Gastroenterology, Graduate School of Medicine

Zip code


Address

N15, W7, Kita-ku, Sapporo 060-8638 JAPAN

TEL

81+11-716-2111

Homepage URL


Email

sonishi@pop.med.hokudai.ac.jp


Sponsor or person

Institute

National Cancer Center Research Insititute

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

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

北海道大学病院(北海道)
釧路労災病院(北海道)
苫小牧市立病院(北海道)
市立札幌病院(北海道)
市立函館病院(北海道)
北見赤十字病院(北海道)
北海道消化器科病院(北海道)
札幌北楡病院(北海道)
苫小牧日翔病院(北海道)
網走厚生病院(北海道)
函館中央病院(北海道)
札幌社会保険総合病院(北海道)
市立稚内病院(北海道)
愛育病院(北海道)
大阪医科大学 (大阪)
金沢医科大学 (石川)


Other administrative information

Date of disclosure of the study information

2012 Year 05 Month 31 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 02 Month 29 Day

Date of IRB


Anticipated trial start date

2012 Year 08 Month 16 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 05 Month 31 Day

Last modified on

2016 Year 12 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009488


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name