UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011115
Receipt number R000012597
Scientific Title S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
Date of disclosure of the study information 2013/07/13
Last modified on 2019/01/07 17:00:40

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Basic information

Public title

S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer

Acronym

S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
(SAMRAI-2 TRIAL)

Scientific Title

S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer

Scientific Title:Acronym

S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
(SAMRAI-2 TRIAL)

Region

Japan


Condition

Condition

Locally advanced resectable rectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and efficacy of neoadjuvant chemoradiation therapy with TS-1 and CPT-11 in patients with locally advanced resectable rectal cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

pathological Complete Response rate

Key secondary outcomes

Relapse free survival (RFS)
Overall survival (OS)
Rate of local recurrence
Completion rate of neoadjuvant chemoradiation therapy
R0 resection rate
Down-staging rate
Safety
Relation between a nutrition index, and adverse event, perioperative complications and prognosis


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 Maneuver

Interventions/Control_1

S-1(80-120mg/body/day1-5,8-12,22-26,29-33)
CPT-11(60mg/m2/day1,8,22,29)
Radiotherapy(1.8Gy/ 5 times a week for 5 weeks,45Gy/total)

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 confirmed Rectum adenocarcinoma
2. Preoperative findings
(i) The clinical stage is T3-4 and N0-2
(ii) Main lesion of the tumor is located at the Ra or Rb
(iii) Lower tumor margin is below the peritoneal reflection
(iv) No extra mesorectal lymph node swelling (longest diameter is less than 10 mm)
(v) Not type 4(Diffuse Infiltrative Type)
3. No evidence of peritoneal metastasis, liver metastasis and distant metastasis
4. Age:20-80years old
5. Without prior anti-tumor therapy
6. Adequate organ function
7. Normal ECG
8. Performance status 0-1
9. Oral intake possible
10.Written IC

Key exclusion criteria

1.Previous history of severe drug-induced allergy
2.Multiple malignancies to be treated or synchronous colorectal cancer
3.Need to treatment with flucytosine or atazanavir sulfate
4. Patient with homozygous genotype of UGT1A1*28/*28 or UGT1A1*6/*6, with combined heterozygous genotypes of UGT1A1*28 and UGT1A1*6
5. Active infections
6. Serious complications
7.Previous history of Interstitial Pneumonitis
8.Pleural effusion or ascites requiring treatment.
9. Active digestive tract bleeding
10. Severe watery diarrhea
11. Pregnant or nursing
12.Systemic administration of corticosteroids
13. Patients of hepatitis B virus suface antigen positivity
14.Contraindication of S-1or CPT-11
15. Patients judged inappropriate for this study by the physicians

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiko Watanabe

Organization

Kitasato University School of Medicine

Division name

Department of Surgery

Zip code


Address

1-15-1 Kitasato Minami-ku Sagamihara-City Kanagawa

TEL

042-778-8111

Email

samrai@tcog.jp


Public contact

Name of contact person

1st name
Middle name
Last name SAMRAI affairs office

Organization

The Tokyo Cooperative Oncology Group

Division name

Clinical Study Promotion Agency

Zip code


Address

Toa BLDG.4F,2-1-18 Hamamatsu-cho Minato-ku Tokyo

TEL

03-5401-5020

Homepage URL


Email

samrai@tcog.jp


Sponsor or person

Institute

The Tokyo Cooperative Oncology Group

Institute

Department

Personal name



Funding Source

Organization

TAIHO PHARMACEUTICAL CO., LTD

Organization

Division

Category of Funding Organization

Profit organization

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

2013 Year 07 Month 13 Day


Related information

URL releasing protocol


Publication of results

Partially 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

Completed

Date of protocol fixation

2013 Year 07 Month 02 Day

Date of IRB


Anticipated trial start date

2013 Year 10 Month 01 Day

Last follow-up date

2018 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete

2018 Year 09 Month 30 Day

Date analysis concluded

2019 Year 02 Month 28 Day


Other

Other related information

additional study
[A prediction of treatment effect Of preoperative Chemoradiotherapy for locally advanced rectal cancer with using DNA microarray]
Anticipated trial start date
2014/12/5

Suspension
2016/11/17


Management information

Registered date

2013 Year 07 Month 04 Day

Last modified on

2019 Year 01 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012597


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name