UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008937
Receipt number R000010474
Scientific Title An exploratory study on efficacy and QOL of Pemetrexed plus Carboplatin followed by Pemetrexed in stage IIIB/IV or recurrent patients with non-squamous NSCLC without EGFR activating mutation.
Date of disclosure of the study information 2012/09/18
Last modified on 2020/03/29 21:13:24

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Basic information

Public title

An exploratory study on efficacy and QOL of Pemetrexed plus Carboplatin followed by Pemetrexed in stage IIIB/IV or recurrent patients with non-squamous NSCLC without EGFR activating mutation.

Acronym

A study on efficacy and QOL of PEM plus CBDCA followed by PEM in patients with non-Sq NSCLC without EGFR activating mutation.

Scientific Title

An exploratory study on efficacy and QOL of Pemetrexed plus Carboplatin followed by Pemetrexed in stage IIIB/IV or recurrent patients with non-squamous NSCLC without EGFR activating mutation.

Scientific Title:Acronym

A study on efficacy and QOL of PEM plus CBDCA followed by PEM in patients with non-Sq NSCLC without EGFR activating mutation.

Region

Japan


Condition

Condition

Non-squamous non-small cell lung cancer without EGFR activating mutation

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evalutate the correlation between delta QOL and PFS (or maintenance extraction rates) in stage IIIB/IV or recurrent patients with non-squamous NSCLC without EGFR activating mutation who receive Pemetrexed plus Carboplatin followed by Pemetrexed maintenance therapy.
delta QOL: the difference of QOL between prior to induction chemotherapy and prior maintenance chemotherapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

PFS: Progression free Survival

Key secondary outcomes

QOL:Quality of life
RR:Response rate
DCR:Disease control rate
OS:Overall survival
AE:Adverse events
Maintenance extraction rates
Progression free survival in cases given maintenance therapy


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

Four cycles of Pemetrexed plus Carboplatin followed by Pemetrexed maintenance until disease progression.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1)Histologically or cytologically confirmed non-squamous non-small cell lung cancer without EGFR activating mutation
2)Recurrent or stage IIIB/IV non-squamous NSCLC patients unsuitable for radical irradiation
3)No prior chemotherapy, or recurrent patients finished adjuvantchemotherapy more than 6 months ago.
4)Measurable tumor sites
5)Karnofsky PS>=60
6)20 years old or older, younger than 80 years old at informed consent
7)Asymptomatic micro brain metastases can be enrolled.
Patients who received palliative radiotherapy to brain metastasis and/or bone metastasis 2 weeks or longer before chemotherapy.
A case who was given radiation therapy to primary lesion is not allowed.
8)No prior chemotherapy and radiotherapy for other cancer
9)Patients who are expected to survive for more than 3 months
10)Adequate organ function.
WBC count:>=4,000/mm3
neutrophil count:>=2,000/mm3
Platelet count:>=100,000/mm3
Hemoglobin:>=9.0g/dl
AST,ALT=<100IU/l
Total bilirubin:=<2.0mg/dl
creatinine:=<1.5mg/dl
Ccr>=45ml/min
PaO2>=60torr or SpO2>=90%
11)Written informed consent from the patients.

Key exclusion criteria

1)Interstitial pneumonia or pulmonary fibrosis detectable on CT scan.
2)Patients with active co-morbidities including severe conditions as follows.
2-1)Serious heart disease including uncontrollable angina pectoris, myocardial infarction within 3 months, and congestive heart failure.
2-2)Uncontrollable diabetes mellitus, hypertension.
2-3)Severe infection
2-4)Paresis of intestine, illeus
2-5)Patients whose participation in the trial is judged to be inappropriate by the attending doctor.
3)Patients with massive pleural and cardiac effusion and ascites that need to be immediately treated.
4)Brain metastases with neurological symptoms.
5)SVC syndrome.
6)Active double cancer.
7)Pregnancy, breast feeding and suspected pregnancy.
8)History of grave drug allergic reaction.
9)Psychiatric disorder.
10)Patients whose participation in the trial is judged to be inappropriate by the attendeing doctor.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Kazuhisa
Middle name
Last name Takahashi

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Respiratory Medicine

Zip code

113-8421

Address

2-1-1 Hongo Bunkyo-ku Tokyo-to 113-8421, Japan

TEL

03-5802-1063

Email

kztakaha@juntendo.ac.jp


Public contact

Name of contact person

1st name Ryo
Middle name
Last name Koyama

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Respiratory Medicine

Zip code

113-8421

Address

2-1-1 Hongo Bunkyo-ku Tokyo-to 113-8421, Japan

TEL

03-5802-1063

Homepage URL


Email

rkoyama@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Saitama Medical University International Medical Center
Toranomon Hospital
Kanagawa Cardiovascular and Respiratory Center

Name of secondary funder(s)

none


IRB Contact (For public release)

Organization

Not for public release

Address

Not for public release

Tel

non

Email

non


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

順天堂大学医学部(東京都)
埼玉医科大学国際医療センター(埼玉県)
虎の門病院(東京都)
神奈川循環器呼吸器病センター(神奈川県)


Other administrative information

Date of disclosure of the study information

2012 Year 09 Month 18 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 03 Month 27 Day

Date of IRB

2012 Year 03 Month 23 Day

Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2017 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective Study


Management information

Registered date

2012 Year 09 Month 18 Day

Last modified on

2020 Year 03 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010474


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name