UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008867
Receipt number R000010408
Scientific Title Placebo-controlled,double-blind,randomized study of comparing NK1 receptor antagonist/ palonosetoron/ dexamethasone on day 1+-dexamethasone on day2/3 in high emetogenic chemotherapy
Date of disclosure of the study information 2012/11/01
Last modified on 2017/09/11 07:10:56

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Basic information

Public title

Placebo-controlled,double-blind,randomized study of comparing NK1 receptor antagonist/ palonosetoron/ dexamethasone on day 1+-dexamethasone on day2/3 in high emetogenic chemotherapy

Acronym

DEX-1

Scientific Title

Placebo-controlled,double-blind,randomized study of comparing NK1 receptor antagonist/ palonosetoron/ dexamethasone on day 1+-dexamethasone on day2/3 in high emetogenic chemotherapy

Scientific Title:Acronym

DEX-1

Region

Japan


Condition

Condition

Malignancy

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Pneumology
Hematology and clinical oncology Gastrointestinal surgery Hepato-biliary-pancreatic surgery
Chest surgery Breast surgery Obstetrics and Gynecology
Oto-rhino-laryngology Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify that noninferiority of NK1 receptor antagonist/palonosetron/dexamethasone on day1 to NK1 receptor antagonist/palonosetron/dexamethasone on day1 to 3 in preventing acute chemotherapy-induced emesis for highly emetogenic chemotherapy regimens.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase III


Assessment

Primary outcomes

Percentage of patients with complete response (no vomiting and no rescue medication use) during the 120 hours observation period after the infusion of chemotherapy.

Key secondary outcomes

(1) Complete response rate during acute phase (0-24hr) and delayed phase (24-120hr).
(2) Severity of nausea on/using Likert scale from day1 to 5 study period.
(3) Adverse events related to steroid administrarion.
(4) Quality of life score using EORCT QLQ-C30 on the day before chemotherapy administration and overall five days study period.
(5) Adverse events defined as grade3 or higher/more on CTCAE ver 4.0


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

NK1 receptor antagonist+palonosetoron+dexamethasone day 1-3

Interventions/Control_2

NK1 receptor antagonist+palonosetoron+dexamethasone day 1

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) Patients receiving highly emetogenic chemotherapy (cisplatin>=50mg/m2 or combination of anthracycline and cyclophosphamide) only day1
(2) Patients receiving highly emetogenic chemotherapy for malignant disease
(3) Patients >=20 years old who can be obtained informed consent.
(4) G0 of nausea and vomiting by CTCAE ver4.0 within 24 houres before entry
(5) Eastern Cooperative Oncology Group(ECOG)performance status(PS) of 0 or 1
(6) Adequate organ function defined as;(each of following values are examined within 2 weeks prior to entry)
ALT 100<=IU/L
AST 100<=IU/L
T-Bil 2.0<=mg/dL
Cr 1.5<=mg/dL
(7) Patient with more than three months of life expectancy.
(8) All subjects must be provided written informed consent prior to entry (including QOL questionnaire).

Key exclusion criteria

(1) Hematopoietic malignancy
(2) Known brain metastasis
(3) Patients who cannot use cortico steroid
(4) Patients taking systemic corticosteroid (topical and inhaled steroid are allowed).
(5) Patients with a history of administration of highly emetogenic chemotherapy
(6) Patients scheduled to receive moderately to highly emetogenic chemotherapy six days before and six after the day of highly emetogenic agent administration. (Minimally to low emetogenic agents are allowed).
(7) Patients with history of or scheduled to receive radiation therapy to abdomen (below diagphram) or to pelvis from six days before chemotherapy to six days after chemotherapy.
(8) Patient taking antiemetics other than study drug.
(9) Patients who had a hypersensitivity reaction to NK1 receptor antagonist or palonosetoron or dexamethasone
(10) Patients who are intolerant to chemotherapy
(11) Pregnant, breastfeeding or expecting woman
(12) Patients with uncontrolled diabetes
(13) HBs are positive
(14) Patients with active infection
(15) Patients who are inappropriate to enter this study with any safety reasons, judged by the treating physician

Target sample size

400


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takako Nakajima

Organization

St.Marianna University School

Division name

Clinical oncology

Zip code


Address

2-16-1 Sugao Miyamae-ku Kawasaki-shi,Kanagawa,216-8511,Japan

TEL

044-977-8111

Email

n.boku@marianna-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yuka Ito

Organization

St.Marianna University School of Medicine Hospital

Division name

Department of Pharmacy

Zip code


Address

2-16-1 Sugao Miyamae-ku Kawasaki-shi,Kanagawa,216-8511,Japan

TEL

044-977-8111

Homepage URL


Email

koganzai@marianna-u.ac.jp


Sponsor or person

Institute

St.Marianna University School of Medicine Hospital

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

Graduate School of Medicine,Yokohama City University Department of Biostatistics and Epidemiology
Center for Advanced Medicine and Clinical Research, Nagoya University Graduate School of Medicine

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 11 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


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

Main results already published

Date of protocol fixation

2012 Year 09 Month 12 Day

Date of IRB


Anticipated trial start date

2012 Year 10 Month 01 Day

Last follow-up date

2016 Year 10 Month 31 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 09 Month 06 Day

Last modified on

2017 Year 09 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010408


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name