UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012535
Receipt number R000013449
Scientific Title Multicenter phase II study of CapeOX (XELOX) with stop-and-go strategy as adjuvant chemotherapy in high-risk Stage II or Stage III colon and rectal cancer
Date of disclosure of the study information 2013/12/09
Last modified on 2016/11/16 09:03:09

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Basic information

Public title

Multicenter phase II study of CapeOX (XELOX) with stop-and-go strategy as adjuvant chemotherapy in high-risk Stage II or Stage III colon and rectal cancer

Acronym

COACH Trial (CCOG 1302)

Scientific Title

Multicenter phase II study of CapeOX (XELOX) with stop-and-go strategy as adjuvant chemotherapy in high-risk Stage II or Stage III colon and rectal cancer

Scientific Title:Acronym

COACH Trial (CCOG 1302)

Region

Japan


Condition

Condition

High-risk Stage II or stage III colon and rectum cancer(above the peritoneal reflection)

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of CapeOX and CapeOX with Oxaliplatin Stop-and-Go Strategy in curatively resected High-risk Stage II / Stage III colon cancer(above the peritoneal reflection) as adjuvant chemotherapies

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

The frequency of peripheral sensory neuropathy 12 months after the treatment

Key secondary outcomes

"Disease-free survival rate
Relaps-free survival rate
Overall survival rate
Oxaliplatin induced neuropathy rate
Relative dose intensity
Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is 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

CapeOX(XELOX) (8 courses)
Oxaliplatin 130mg/m2 day1
Capacitabine 2000mg/m2 day1 - 15(bid)
every 3 weeks

Interventions/Control_2

(1)Initial therapy(2 courses)
: CapeOX therapy
(2)Maintenance therapy(4 courses)
: Capecitabin therapy(omit the oxaliplatin)
(3)Reintroduced therapy(2 courses)
: CapeOX therapy

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) Written informed consent
(2) D2 or D3 lymph nodes resection and Curability A surgery (no residual tumor visible to macroscopically and/or microscopically).
(3) Predominantly located in the cecum, colon, rectosigmoid region or rectum (above the peritoneal reflection) based on the findings from surgery and/or surgical specimen.
(4) Pathological Stage III or High risk Stage II
: High risk Stage II, defined as those with poor prognostic features, including
1) T4 tumors (UICC TNM 7th edition)
2) Bowel obstruction
3) Perforation
4) <12 lymph nodes examined
5) Poorly differentiated histology
6) Vascular or Lymphatic invasion
(5) Registration and chemotherapy starting within 8 weeks after resection.
(6) Age: 20-80 years
(7) Performance status (PS) 0-1
(8) A life expectancy greater than 3 months
(9) No prior chemotherapy, immunotherapy, or radiation therapy.
(10) Adequate organ function

Key exclusion criteria

(1)Appendix cancer or anal cancer
(2)Distal extent of tumor must be in the Rb
(3)Multiple malignacies to be treated
(4)Ileus, bowel obstruction or uncontrolled peptic ulcer.
(5)Uncontrolled severe complications(DM, hypertension, diarrhea, et al.)
(6)Massive pleural effusion or ascites that required drainage.
(7) Patient with symptomatic cardiovascular disease or asymptomatic disease but has been treated (>=Grade 2 according to NCI-CTCAE ver.4). History of myocardial infarction within a year.
(8) A history of allergy to 5-FU, platina, or Known dihydropyrimidine dehydrogenase (DPD) deficiency.
(9)Severe neuropathy
(10)With interstitial lung disease or pulmonary fibrosis
(11)Continuous systemic steroid therapy (oral or intravenous administration).
(12)A history and/or current evidence of significant neurological and/or mental illness.
(13)Pregnant
(14)Without intention to contraception
(15)Prior chemotherapy including Oxaliplatin or Capecitabin
(16)Not appropriate for the study at the physician's assessment.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Goro Nakayama

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code


Address

65 Tsurumai-cho, Showa-ku, Nagoya-city, Aichi, Japan

TEL

(81)52-744-2253

Email

goro@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Miyuki Aoki

Organization

Chubu Clinical Oncology Group (CCOG)

Division name

Data Center

Zip code


Address

65 Tsurumai-cho, Showa-ku, Nagoya-city, Aichi, Japan

TEL

(81)52-744-2253

Homepage URL

http://www.med.nagoya-u.ac.jp/surgery2/scientific/ccog/

Email

goro@med.nagoya-u.ac.jp


Sponsor or person

Institute

Chubu Clinical Oncology Group

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


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 12 Month 09 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

No longer recruiting

Date of protocol fixation

2013 Year 12 Month 09 Day

Date of IRB


Anticipated trial start date

2013 Year 12 Month 09 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 12 Month 09 Day

Last modified on

2016 Year 11 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013449


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name