UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008473
Receipt number R000009965
Scientific Title Phase II study of cetuximab with mFOLFOX6 therapy in patients with KRAS wild-type advanced colorectal cancer which has unresectable liver metastases
Date of disclosure of the study information 2012/07/23
Last modified on 2020/01/28 15:57:05

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Basic information

Public title

Phase II study of cetuximab with mFOLFOX6 therapy in patients with KRAS wild-type advanced colorectal cancer which has unresectable liver metastases

Acronym

Cmab mFOLFOX6 study

Scientific Title

Phase II study of cetuximab with mFOLFOX6 therapy in patients with KRAS wild-type advanced colorectal cancer which has unresectable liver metastases

Scientific Title:Acronym

Cmab mFOLFOX6 study

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate antitumor effect, safety and efficacy of cetuximab with mFOLFOX6 therapy inpatients with KRAS wild-type advanced colorectal cancer which has unrecectable liver metastasis

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Response rate

Key secondary outcomes

Safety
Resection rate of liver metastatis resion
R0 liver resection rate
Relapse-free survival
Overall survival
Treatment completion rate


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

The initial dosage of Cetuximab assumes it 400mg/ m2.
Cetuximab gives the second one week after initial administration, but the dose from the second assumes it 250mg/ m2.
mFOLFOX6 repeats the administration once in two weeks to up to six courses as 1 course.
Cetuximab is given in day 1 and day 8 all over the course of mFOLFOX6.
Perform hepatectomy four weeks later from the next day on a chemotherapy end day in case of resectable at the end of chemotherapy of 6 curses.

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)Colorectal cancer histological proven
2)Unresectable liver metastasis more than 5 synchronism liver metastases or more than 5cm tumor size
3)Primary tumor is performed radical excision of; or the case that is available for radical excision in curative hepatectomy by this study and synchronism or heterochrony
4)KRAS wild type of Codon 12 and codon 13
5)A measurable lesion or an evaluable lesion is confirmed with an objectivity document according to RECIST standard
6)No prior chemotherapy for colorectal cancer
7)No prior oxaliplatin and cetuximab or panitumumab
8)More than 20 years old
9)Expect to survive more than 3 months
10)ECOG performance status: 0-1
11)Organs (bone marrow, lung, liver and kidney) failure is not advanced
i)Hemoglobin : more than 8.0g/dl
ii)Neutrophil count : more than 1,500 / mm3
iii)Platelet : more than 100,000 / mm3
iv)Serum total bilirubin : less than 1.5 mg / dl
v)AST,ALT : less than 200 U/l
vi)Serum creatinine : less tahn 1.5 mg / dl
12)ECG no abnormalities in 28 days before
13)Informed consent

Key exclusion criteria

1)Severe drug allergy
2)Metastatic focus out of the liver
3)Active double cancer
4)Active infection
5)Intestinal paralysis, intestinal obstruction
6)Severe complications (interstitial pneumonia or pulmonary fibrosis, heart failure, kidney failure, liver failure, it is difficult to control hypertention, diabetes etc.)
7)Pleural effusion, ascites
8)Diarrhea (watery stool)
9)Brain metastases
10)Pregnant and lacting women
11)A bleeding tendency, coagulation disorder or the case with the abnormal clotting factor
12)Mental disorder
13)Patients who receive steroid continuously are excluded
14)Patients who have past histories of cerebral infarction, cardiac infarction and / or pulmonary infarction are excluded
15)History of the organ transplantation to need an immunosuppressive drug
16)The patient that a study responsibility physician judged to be inappropriat

Target sample size

23


Research contact person

Name of lead principal investigator

1st name Ayumu
Middle name
Last name Goto MD. PhD.

Organization

Yokohama City University Hospital

Division name

Clinical Oncology division

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan

TEL

045-787-2800

Email

ayumu16g@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Ayumu
Middle name
Last name Goto MD. PhD.

Organization

Yokohama City University Hospital

Division name

Clinical Oncology division

Zip code

232-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan

TEL

045-787-2800

Homepage URL


Email

ayumu16g@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University Hospital Clinical Oncology division

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University Ethics Committee

Address

3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan

Tel

0453707627

Email

rinri@yokohama-cu.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

横浜市立大学附属病院(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
横浜市立市民病院(神奈川県)
伊東市民病院(静岡県)
横浜掖済会病院(神奈川県)
横浜市済生会南部病院(神奈川県)
済生会若草病院(神奈川県)
横浜船員保険保険病院(神奈川県)
藤沢市民病院(神奈川県)
横須賀共済病院(神奈川県)
横須賀市立市民病院(神奈川県)
独立行政法人国立病院機構横浜医療センター(神奈川県)
横浜市立みなと赤十字病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2012 Year 07 Month 23 Day


Related information

URL releasing protocol

NONE

Publication of results

Unpublished


Result

URL related to results and publications

NONE

Number of participants that the trial has enrolled

7

Results

early termination of clinical trial because of less saple size

Results date posted

2020 Year 01 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

single arm phase II trial of mFOLFOX6 plus cetuximab for colorectal cancer patients with liver metastasis

Participant flow

Single arm phase II (no randomaization)

Adverse events

No severe adverse events

Outcome measures

This single arm hase II trial has Simon Two-Stage design (Optimal design)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2011 Year 10 Month 13 Day

Date of IRB

2011 Year 11 Month 10 Day

Anticipated trial start date

2012 Year 07 Month 23 Day

Last follow-up date

2018 Year 01 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 07 Month 19 Day

Last modified on

2020 Year 01 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009965


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name