UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017453
Receipt number R000012545
Scientific Title Clinical trial to evaluate the safety of Temsirolimus combined with Vincristine and Irinotecan in children with recurrent/refractory solid tumors
Date of disclosure of the study information 2015/05/07
Last modified on 2022/04/13 10:15:44

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Basic information

Public title

Clinical trial to evaluate the safety of Temsirolimus combined with Vincristine and Irinotecan in children with recurrent/refractory solid tumors

Acronym

Clinical trial to evaluate the safety of Temsirolimus combined with Vincristine and Irinotecan in children with recurrent/refractory solid tumors

Scientific Title

Clinical trial to evaluate the safety of Temsirolimus combined with Vincristine and Irinotecan in children with recurrent/refractory solid tumors

Scientific Title:Acronym

Clinical trial to evaluate the safety of Temsirolimus combined with Vincristine and Irinotecan in children with recurrent/refractory solid tumors

Region

Japan


Condition

Condition

childhood recurrent/refractory solid malignant tumors

Classification by specialty

Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Feasibility study for the safety of temusilorimus dose in Japanese children with malignancy.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Dose limiting toxicity of temusirolimus with the combination therapy of vincristin and irinotecan

Key secondary outcomes

Response rates and adverse eventsin
vincristin/irinotecan/temusirolimus combination study


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

Vincristin
Irinotecan
Temsilorimus

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

1 days-old <=

Age-upper limit

18 years-old >

Gender

Male and Female

Key inclusion criteria

recurrent/ reflactory childhood solid malignant tumors: neuroblastomaneuroblastoma, rhabdomyosarcoma, undifferentiated sarcoma, Ewing family tumor, retinoblastoma, nephroblastoma, hepatoblastoma, osteosarcoma, others (including brain tumors)

Key exclusion criteria

active double cancer
severe infection
abnormal ECG findings
intestinal pneumonia
etc.

Target sample size

6


Research contact person

Name of lead principal investigator

1st name Eiso
Middle name
Last name Hiyama

Organization

Hiroshima University

Division name

Natural Center for Basic Research and Development

Zip code

734-8551

Address

1-2-3, Kasumi, Minami-ku, Hiroshima, Japan

TEL

082-257-5951

Email

eiso@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Sho
Middle name
Last name Kurihara

Organization

Hiroshima University Hospital

Division name

Pediatric Surgery

Zip code

734-8551

Address

1-2-3, Kasumi, Minami-ku, Hiroshima

TEL

082-257-5416

Homepage URL

http://home.hiroshima-u.ac.jp/eiso/

Email

jplt@hiroshima-u.ac.jp


Sponsor or person

Institute

Natural Center for Basic Research and Development, Hiroshima University

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Health Labour Sciences Research Grant

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Japanese Study Group for Pediatric Liver Tumor

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hiroshima University hospital IRB

Address

1-2-3, Kasumi, Minami-ku, Hiroshima, 734-8551, Japan

Tel

082-257-5596

Email

hugcp@hiroshima-u.ac.jp


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

広島大学病院(広島県)


Other administrative information

Date of disclosure of the study information

2015 Year 05 Month 07 Day


Related information

URL releasing protocol

http://home.hiroshima-u.ac.jp/eiso/

Publication of results

Unpublished


Result

URL related to results and publications

http://home.hiroshima-u.ac.jp/eiso/

Number of participants that the trial has enrolled

3

Results

This study was ended becasue the objected cases were enrolled and no DLTs appeared.
The safety of dose of temsirolimus (35 mg/m2) with the combination of Vincristin and Irrinotecan was confirmed.

Results date posted

2022 Year 04 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

1)Patients with metastatic disease, 2) cases with recurrence at least 1 month and less than 18 years of age, regardless of stage, or refractory pediatric solid tumors.
However, patients who are not considered viable for more than 3 months or who are judged to be unable to tolerate chemotherapy will be excluded.
It is imperative that written informed consent has been obtained from the patient's legally acceptable representative, and from the patient's legally acceptable representative, as well as the legally acceptable representative, for minors aged 16 years or older.
In addition, to combine with irinotecan, participants will be previously tested for UGT1A1 polymorphisms and selected after confirming that they are not homovariants and compound heterozygotes for UGT1A1*28/*28 or *6/*6.

Participant flow

The physician confirms that the target patient meets all eligibility criteria and does not meet any of the exclusion criteria, fills out all of the required items in the registration eligibility verification form, and submits the registration to the registrar by FAX or direct handover.

Adverse events

Neutrophil count decreased in Grade4 >1.7 days (168 hours)
2.1 Platelet count < 20,000 platelets per mm3 on two blood tests within a course or requiring two platelet transfusions in 7 days
3. Cytopenia that does not meet initiation criteria more than 14 days after the expected starting date of the next course (day22)
Nonhematologic toxicities
1. Non-haematological toxicities that may interfere with course initiation beyond Day 15 (day36) counting from the expected starting date of the next course (day22) (but not DLTs for allergic reactions and anaphylaxis related to vincristine, irinotecan or temsirolimus, even if leading to study treatment discontinuation)
2. Except for non-hematologic toxicity of Grade3, 4
Three enrolled patients will receive two courses each of the above VIT therapies to assess the presence or absence of DLT in each course.

Outcome measures

Among the above three cases,
1) VIT therapy is judged to be feasible if DLT expression is 0.
2) If there is one or two DLT episodes, three additional patients will be enrolled and if there are two or fewer DLT episodes out of six, VIT therapy will be considered feasible.
3) The clinical trial will be discontinued when at least 3 patients develop DLT.
However, if there are other patients on treatment who have already been enrolled, treatment can be continued for up to 2 courses as long as safety is ensured.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 07 Month 03 Day

Date of IRB

2013 Year 07 Month 04 Day

Anticipated trial start date

2013 Year 07 Month 09 Day

Last follow-up date

2015 Year 03 Month 31 Day

Date of closure to data entry

2015 Year 03 Month 31 Day

Date trial data considered complete

2015 Year 04 Month 30 Day

Date analysis concluded

2015 Year 05 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 05 Month 07 Day

Last modified on

2022 Year 04 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012545


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name