UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008850
Receipt number R000010390
Scientific Title Randomized Phase II Study of BSC vs Cetuximab vs Irinotecan and Cetuximab in Patients with KRAS codon G13D mutant Metastatic Colorectal Cancer (G13 study)
Date of disclosure of the study information 2012/09/04
Last modified on 2018/09/20 08:25:35

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Basic information

Public title

Randomized Phase II Study of BSC vs Cetuximab vs Irinotecan and Cetuximab in Patients with KRAS codon G13D mutant Metastatic Colorectal Cancer (G13 study)

Acronym

G13 study

Scientific Title

Randomized Phase II Study of BSC vs Cetuximab vs Irinotecan and Cetuximab in Patients with KRAS codon G13D mutant Metastatic Colorectal Cancer (G13 study)

Scientific Title:Acronym

G13 study

Region

Japan


Condition

Condition

Metastatic colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery
Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and safety of BSC, Cetuximab monothrapy versus Cetuximab + Irinotecan in patients with EGFR-detectable and KRAS G13D mutant metastatic colorectal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Progression Free Survival

Key secondary outcomes

Overall Response Rate, Response Rate by metastatic site, 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


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Cetuximab

Interventions/Control_2

Cetuximab+Irinotecan

Interventions/Control_3

BSC

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) Histologically confirmed colorectal cancer.
(2) Metastatic colorectal cancer with EGFR.
(3) KRAS codon G13D mutation.
(4) Failed prior regimen containing irinotecan.
(5) Age over 20 years.
(6) ECOG Performance Status 0-2.
(7) Measurable lesion based on RECIST
ver1.1.
(8) Adequate organ function for study treatment.
(9) A life expectancy of more than 3 months.
(10) Written informed consent.

Key exclusion criteria

(1) Severe myelosupression.
(2) Severe infection.
(3) Uncontrolled diarrhea.
(4) Pleural effusion, ascites and pericardial fluid.
(5) Serious heart disease.
(6) Intestinal lung disease or pulmonary fibrosis.
(7) Bowel obstruction.
(8) Jaundice.
(9) Receiving Atazanavir Sulfate.
(10) History of severe allergy.
(11) Allergy for irinotecan.
(12) Pregnant or possibly pregnant, and nursing women.
(13) Severe comorbidity(renal failure, hepatic failure, hypertension, hypercalcemia)
(14) Symptomatic brain metastases.
(15) multiple malignancies.
(16) Other conditions not suitable for this study.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideyuki Mishima

Organization

Aichi Medical University

Division name

Cancer Center

Zip code


Address

1-1 Yazakokarimata, Nagakute, Aichi

TEL

0561-62-3311

Email

hmishima@aichi-med-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yumi Miyashita

Organization

Epidemiological and Clinical research Information Network (ECRIN)

Division name

Aichi branch

Zip code


Address

1-7-9 Hanenishi, Okazaki, Aichi, JAPAN

TEL

052-744-2442

Homepage URL


Email

miya@ecrin.or.jp


Sponsor or person

Institute

Epidemiological and Clinical research Information Network (ECRIN)

Institute

Department

Personal name



Funding Source

Organization

Epidemiological and Clinical research Information Network (ECRIN)

Organization

Division

Category of Funding Organization

Non profit foundation

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 09 Month 04 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5225170/pdf/280_2016_Article_3203.pdf

Number of participants that the trial has enrolled


Results

Randomized phase II study of cetuximab versus irinotecan and cetuximab in patients with chemo-refractory KRAS codon G13D metastatic colorectal cancer (G13D-study).
Nakamura M, Aoyama T, Ishibashi K, Tsuji A, Takinishi Y, Shindo Y, Sakamoto J, Oba K, Mishima H.
Cancer Chemother Pharmacol. 2017 Jan;79(1):29-36.
RESULTS:
Data from a total of 29 patients (10 in Cet group, 19 in CetI group) were analyzed. Crude median progression-free survival time was 2.9 months in the Cet group and 2.5 months in the CetI group. Crude disease control rates were 55.6% in the Cet group and 47.4% in the CetI group. After a median follow-up of 43 months, the crude median overall survival was 8.0 months in the Cet group and 7.6 months in the CetI group. Cetuximab-based treatment did not markedly increase any characteristic toxicity and was generally well tolerated. Propensity score analyses adjusted for performance status and number of metastases showed comparable results with the crude 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

Completed

Date of protocol fixation

2012 Year 05 Month 28 Day

Date of IRB


Anticipated trial start date

2012 Year 06 Month 01 Day

Last follow-up date

2016 Year 04 Month 30 Day

Date of closure to data entry

2016 Year 05 Month 02 Day

Date trial data considered complete

2016 Year 05 Month 06 Day

Date analysis concluded

2016 Year 11 Month 03 Day


Other

Other related information



Management information

Registered date

2012 Year 09 Month 04 Day

Last modified on

2018 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=R000010390


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name