UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011806
Receipt number R000013805
Scientific Title Randomized phase II study of Gemcitabine and S-1 combination therapy versus S-1 in patients with Gemcitabine-refractory unresectable advanced Pancreatic Cancer
Date of disclosure of the study information 2013/09/19
Last modified on 2019/03/29 10:30:20

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Basic information

Public title

Randomized phase II study of Gemcitabine and S-1 combination therapy versus S-1 in patients with Gemcitabine-refractory unresectable advanced Pancreatic Cancer

Acronym

Randomized phase II study of GS vs. S-1 in patients with Gem-refractory unresectable advanced Pancreatic Cancer

Scientific Title

Randomized phase II study of Gemcitabine and S-1 combination therapy versus S-1 in patients with Gemcitabine-refractory unresectable advanced Pancreatic Cancer

Scientific Title:Acronym

Randomized phase II study of GS vs. S-1 in patients with Gem-refractory unresectable advanced Pancreatic Cancer

Region

Japan


Condition

Condition

unresectable advanced Pancreatic Cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to evaluate safety and efficacy of GS and S-1 as a second-line treatment for Gem-refractory unresectable advanced pancreatic cancer patients

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Progression-free survival

Key secondary outcomes

Overall survival, Disease Control Rate, Response Rate, Relative Dose Intensity, Adverse Events, Time to Treatment failure


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

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Control arm:S-1 q6w
Patients receive S-1 alone (80-120mg/day, day1-28) every 6 weeks. It is repeated until obvious evidence of Disease Progression, patient refusal, or unacceptable toxicity.

Interventions/Control_2

Testing arm:Gem+S-1 q4w
Patients receive S-1(80-120mg/day, day1-21) plus Gemcitabine(800mg/m2, day1,15) every 4 weeks. It is repeated until obvious evidence of Disease Progression, patient refusal, or unacceptable toxicity.

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)Unresectable pancreatic cancer(without Recurrent cancer)
2)Age 20-
3)PS(ECOG) 0-1
4)Refractory Gem monotherapy or Gem combination therapy
5)Over 2 weeks after previous Gem chemotherapy
6)Sufficient oral intake
7)Metastatic pancreatic adenocarcinoma with measurable lesion according to RECSTver 1.1
8)Biliary drainage was applied adequately in patients with obstructive jaundice
9)Adequate organ functions
10)Written informed consent

Key exclusion criteria

1)Patients who have previously administered 5-FU including S-1
2)Severe complications
3)Simultaneous or metachronous (within 5 years) double cancers, with the exception of intramucosal tumor curable with local therapy
4)Severe Gem hypersensitivity
5)Patients who have not undergone radiotherapy
6)Active infections
7)Patients with HBs antigen-positive or with HCV antibody-positive
8)Patients who have previous history of radiotherapy to the chest
9)Uncontrollable watery diarrhea
10)Presence of metastasis in central nervous system
11)Severe mental disorders
12)Pregnant or lactating women, or women with known or suspected pregnancy and men who want let to pregnancy
13)Required to continue to take flucytosine, phenytoin, and warfarin
14)Patients seems inadequate for this study by investigators

Target sample size

116


Research contact person

Name of lead principal investigator

1st name Tetsuo
Middle name
Last name Takehara

Organization

Osaka University Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka 565-0871 Japan

TEL

06-6879-3621

Email

takehara@gh.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Minoru
Middle name
Last name Shigekawa

Organization

Osaka University Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code

5650871

Address

2-2 Yamadaoka, Suita, Osaka 565-0871 Japan

TEL

06-6879-3621

Homepage URL


Email

m-shigekawa@gh.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka Pancreas Forum

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

Osaka University

Address

2-2 Yamadaoka, Suita, Osaka 565-0871 Japan

Tel

06-6879-3621

Email

m-shigekawa@gh.med.osaka-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



Other administrative information

Date of disclosure of the study information

2013 Year 09 Month 19 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

49

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

Main results already published

Date of protocol fixation

2013 Year 09 Month 19 Day

Date of IRB

2013 Year 09 Month 19 Day

Anticipated trial start date

2013 Year 09 Month 20 Day

Last follow-up date

2018 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 09 Month 19 Day

Last modified on

2019 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=R000013805


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name