UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009602
Receipt number R000011260
Scientific Title A randomized Phase II Study of Bevacizumab in Combination with Docetaxel or S-1 as second line therapy in wild-type EGFR Patients with Non-Squamous Non-Small-Cell Lung Cancer. After failure to first line therapy, platinum doublet plus bevacizumab.
Date of disclosure of the study information 2012/12/21
Last modified on 2021/07/06 14:00:15

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Basic information

Public title

A randomized Phase II Study of Bevacizumab in Combination with Docetaxel or S-1 as second line therapy in wild-type EGFR Patients with Non-Squamous Non-Small-Cell Lung Cancer. After failure to first line therapy, platinum doublet plus bevacizumab.

Acronym

A phase II study of A randomized phase II study of docetaxel plus bevacizumab vs S-1 plus bevacizumab as second line therapy for patients with NSCLC

Scientific Title

A randomized Phase II Study of Bevacizumab in Combination with Docetaxel or S-1 as second line therapy in wild-type EGFR Patients with Non-Squamous Non-Small-Cell Lung Cancer. After failure to first line therapy, platinum doublet plus bevacizumab.

Scientific Title:Acronym

A phase II study of A randomized phase II study of docetaxel plus bevacizumab vs S-1 plus bevacizumab as second line therapy for patients with NSCLC

Region

Japan


Condition

Condition

Non-Squamous Non-Small-Cell Lung Cancer

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Efficacy and safety of Bevacizumab in Combination with Docetaxel or S-1 as second line therapy in wild-type EGFR Patients with Non-Squamous Non-Small-Cell Lung Cancer .After failure to first line therapy, platinum doublet plus bevacizumab.(A randomized Phase II Study)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Progression free survival

Key secondary outcomes

Response rate
Disease control rate
Overall survival
Adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Historical

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Docetaxel(60mg/m2)day1 +Bevacizumab (15mg/kg) day 1
The treatment is repeated every three weeks until disease progression.

Interventions/Control_2

S-1 80mg-120mg/m2day1-day14
Bevacizumab 15mg/kg day1
The treatment is repeated every three weeks until disease progression.

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) written informed consent
(2) It is judged by investigators to be treatable in this protocol
(3) age>=20years
(4) EGFR wild type mutation
* as for the variation that EGFR-TKI does not have the sensitivity, registration is possible(T790M ,exon20 insertion etc)
(5) histologically or cytologically proven non-squamous non-small cell lung cancer. after failure to first line therapy, platinum doublet plus bevacizumab
* maintenance therapy to follow platinum doublet is regard as a series of first line therapy
* EGFR-TKI(2nd-line erlotinib etc) is not regaed as the previous treatment
* include a recurrence post-operation.
in case of adjuvant chemotherapy, passing until first line therapy more than 6 months
* palliative radiation therapy (gamma-knife, irradiation to a bone metastatic ) to any place other than the original lesion genesis can register if there is it more than 2 weeks after the radiation therapy(registration is possible from day 15 as day0 on last treatment day)
(6) with measurable lesion(RECIST version 1.1)
(7) radical radiation therapy cannot adapt (case of clinical stage of a disease IIIB, IV or recurrence post-operation)
* using OK432 for hydrothorax control is possible
(8) ECOG PS 0-1
(9) adequate organ function
WBC >=4,000/mm3,<=12,000/mm3,
Platelet >=100,000/mm3 ,Hb >=9.0 g/dl ,ALT,AST <=2.0 x the Upper Limits of Normal (ULN)
(liver metastasis<=3.0 x ULN),T-bilirubin<=1.5 mg/dl , Serum creatinine 1.5 mg/dl ,CCr-60 ml/min,
ECG(within normal limit) ,SpO2>=94% , Urine protein<= 1+ or 2 g in urine collection for 24h
(10) life expectancy more than 3 months

Key exclusion criteria

(1) squamous metastasis
(2) activating EGFR sensitive mutation or unknown(sensitive EGFR mutation:G719X, exon19deletion,L858R,L861Q)
(3) having serious complications.
ex): a serious heart disease , cerebrovascular disorder, diabetes that it is hard to control or hypertention , a severe infection, pulmonary fibrosis, interstitial pneumonia, respiratory failure, bleeding, a large quantity of hydrothorax or abdominal dropsy retention, peptic ulcer of the activity, serious nerve disease
(4) symptomatic brain metastasis
(5) have an anamnesis and the complications , expectoration of fresh blood more than 2.5 ml due to non-small-cell lung cancer
(6) having an anamnesis of the following bloody phlegm or complications
* there is the dosage career when bloody phlegm occurring continuously (more than one week) or the anamnesis or the internal use styptic is continuous(the cases that an internal use styptic was necessary for again after having been relieved using an internal use styptic or the bloody phlegm which needs with a history of bloody phlegm, the dosage of the injection styptic to need the dosage or the dosage)
(7) current or previous (within the last 1 year) history of GI perforation
(8) the operation has been scheduled for the examination period
(9) have multiple primary cancer
(10) history of serious drug hypersensitivity
(11) pregnancy or lactation
(12) active psychological disease
(13) receives the steroid continuously(p.o. or i.v.)
(14) any other medical condition that makes the patient unsuitable for inclusion in the study according to the opinion of the investigator.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koichi Takayama

Organization

Kyushu University, Graduate School of Medical Sciences

Division name

Research Institute for Diseases of the Chest

Zip code


Address

3-1-1 Maidashi, higashi-ku, Fukuoka, Japan , 812-8582

TEL

092-642-5378

Email



Public contact

Name of contact person

1st name
Middle name
Last name Taishi Harada

Organization

Kyushu University Hospital

Division name

respiratory division

Zip code


Address

3-1-1 Maidashi, higashi-ku, Fukuoka, Japan , 812-8582

TEL

092-642-5378

Homepage URL


Email

Harada-t@kokyu.med.kyushu-u.ac.jp


Sponsor or person

Institute

Lung Oncology Group in Kyushu, Japan (LOGIK)

Institute

Department

Personal name



Funding Source

Organization

Clinical Research Support Center Kyushu

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

JAPAN


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

九州大学(福岡県)
国立病院機構九州医療センター(福岡県)
福岡赤十字病院(福岡県)
福岡大学(福岡県)
福岡大学筑紫病院(福岡県)
久留米大学(福岡県)
聖マリア病院(福岡県)
佐賀大学(佐賀県)
今給黎総合病院(鹿児島県)


Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 21 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

Completed

Date of protocol fixation

2012 Year 11 Month 12 Day

Date of IRB

2013 Year 02 Month 08 Day

Anticipated trial start date

2012 Year 11 Month 30 Day

Last follow-up date

2016 Year 10 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 12 Month 21 Day

Last modified on

2021 Year 07 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011260


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name