UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008542
Receipt number R000010030
Scientific Title study of medical treatment reactivity by the chemokine receptor (CXCR4)as 1st line treatment in patients with metastatic colorectal cancer
Date of disclosure of the study information 2012/07/28
Last modified on 2017/07/31 14:02:06

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Basic information

Public title

study of medical treatment reactivity by the chemokine receptor (CXCR4)as 1st line treatment in patients with metastatic colorectal cancer

Acronym

CREPAS

Scientific Title

study of medical treatment reactivity by the chemokine receptor (CXCR4)as 1st line treatment in patients with metastatic colorectal cancer

Scientific Title:Acronym

CREPAS

Region

Japan


Condition

Condition

Colorectal Cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A study whether a combination therapy of FOLFOX and Panitumumab will extend PFS more than the combination therapy of FOLFOX and Bevacizumab in KRAS wild-type metastatic colorectal cancer patients measured with more than 20% in CXCR4+CEC. In addition, those measured less than 20% in CXCR4+CEC will also be included in the study

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

Safety profile,
Overall survival,
Time-to-treatment-failure ,
Overall Response Rate


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


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

CXCR4-CEC>=20
mFOLFOX6,Bevacizumab
L-OHP:85mg/m2
5-FU(bolus):400mg/m2
l-LV:200mg/m2
5-FU(infusion):2,400mg/m2
Bevacizumab:5mg/m2

Interventions/Control_2

CXCR4-CEC>=20
mFOLFOX6,Panitumumab
L-OHP:85mg/m2
5-FU(bolus):400mg/m2
l-LV:200mg/m2
5-FU(infusion):2,400mg/m2
Panitumumab :6mg/m2

Interventions/Control_3

CXCR4-CEC<20
mFOLFOX6,Bevacizumab
L-OHP:85mg/m2
5-FU(bolus):400mg/m2
l-LV:200mg/m2
5-FU(infusion):2,400mg/m2
Bevacizumab:5mg/m2

Interventions/Control_4

CXCR4-CEC<20
mFOLFOX6,Panitumumab
L-OHP:85mg/m2
5-FU(bolus):400mg/m2
l-LV:200mg/m2
5-FU(infusion):2,400mg/m2
Panitumumab :6mg/m2

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)Histologically proved Colon cancer or rectalcancer
2) KRAS wild-type
3) measurable lesion
4) Age:20 to 80years
5) ECOG performance status of 0, 1 or 2
6) Expected survival >=3 months
7)Signed informed consent of the patient for registration
8) Adequate organ functions as listed below (at <=14 days prior to enrollment)
WBC:4,000/mm3 to 12,000/mm3
Neutrophl: 2,000/mm3 to 6,000/mm3
Plt: >=100,000/mm3
Hb: >=9.0g/dL
Total bilirubin <= upper limit of normal (ULN)*1.5
AST ,ALT and ALP <= upper limit of normal (ULN)*2.5
Serum creatinine <=upper limit of normal (ULN)*1.5

Key exclusion criteria

1)Prior severe drug allergy
2) Be Administered or less than 7 days finished administration Compound Drug of tegafur,gimeracil and oteracil potassium
3) The anti-EGFR antibody (Panitumumab or Cetuximab) has been prescribed for the patient until now.
4) A patient with myelosuppression
5) Patients with large quantity of pleural effusion or ascites
6) Active infection
7) A patient with intestinal tract paralysis and ileus
8) A patient with jaundice
9) A patient with a critical renal damage or a liver damage
10) Under Flucytosine medication
11) severe pulmonary dysfunction
12)K-RAS mutation
13) Concerning pregnancy
14) Complication of cerebrovascular disease or symptoms within 1 years
15) Surgery, biopsy specimen with section or sutures within the past 4 weeks. Fine needle aspiration biopsy within 1 week
16) Administering antithrombotic drug within 10 days
17) Need to administrate or having anti-platelets therapy (including Methotrexate aspirin and NSAIDS
18) Diathesis of bleeding (history of hemoptysis, including cavitation and/or necrosis in lung metastasis confirmed by imaging), coagulopathy or abnormality of coagulation factor as INR>=1.5
19) active peptic ulcer
20) History of gastrointestinal perforation within 1 year
21) Traumatic fracture of unrecovery
22) Nephropathy that requires medication or transfusion or urine protein over +2 within 2 weeks examination
23) Uncontrollable hypertension
24) Uncontrollable diabetes mellitus
25) Patient with symptomatic cardiovascular disease or asymptomatic disease but have been treated (>=Grade 2 according to NCI-CTCAE ver.4). History of myocardial
26) History of hypersensitivity against fluorouracil or platinum agents.
27) History of organ transplantation
28)any other cases who are regarded as unsuitable for enrollment in the study by the investigator

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Satoshi Matsusaka

Organization

The Cancer Institute Hospital of JFCR

Division name

Department of Gastroenterology

Zip code


Address

3-8-31, Ariake, Koto, Tokyo 135-8550

TEL

03-3520-0111

Email

satoshi.matsusaka@jfcr.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Satoshi Matsusaka

Organization

The Cancer Institute Hospital of JFCR

Division name

Department of Gastroenterology

Zip code


Address

3-8-31, Ariake, Koto, Tokyo 135-8550

TEL

03-3520-0111

Homepage URL


Email

satoshi.matsusaka@jfcr.or.jp


Sponsor or person

Institute

The Cancer Institute Hospital of JFCR

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



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



Other administrative information

Date of disclosure of the study information

2012 Year 07 Month 28 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

Enrolling by invitation

Date of protocol fixation

2012 Year 04 Month 04 Day

Date of IRB


Anticipated trial start date

2012 Year 07 Month 28 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 07 Month 26 Day

Last modified on

2017 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010030


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name