UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011863
Receipt number R000013867
Scientific Title Phase I/II study of Paclitaxel+Trastuzumab therapy in 2nd line treatment for advanced or recurrent gastric cancer with HER2 positive.
Date of disclosure of the study information 2013/09/25
Last modified on 2017/09/27 10:59:22

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Basic information

Public title

Phase I/II study of Paclitaxel+Trastuzumab therapy in 2nd line treatment for advanced or recurrent gastric cancer with HER2 positive.

Acronym

PTX+Tmab(2nd)

Scientific Title

Phase I/II study of Paclitaxel+Trastuzumab therapy in 2nd line treatment for advanced or recurrent gastric cancer with HER2 positive.

Scientific Title:Acronym

PTX+Tmab(2nd)

Region

Japan


Condition

Condition

HER2-positive gastric cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the efficacy and safety of paclitaxel+trastuzumab combination chemotherapy on HER2-posistive advanced or recurrent gastric cancer refractory to fluoropyrimidine and platinum.
Phase I:To know the feasibility and recommended dose of Paclitaxel+Trastuzumab.
Phase II:The effectiveness and feasibility by recommended dose.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Phase I:Maximum tolerated dose and recommended dose
Phase II:Response Rate(RR)

Key secondary outcomes

Phase I:Response Rate (RR), Incidence and degree of adverse events
Phase II:Progression free survival (PFS), Overall survival (OS), Incidence of adverse events


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

Trastuzumab:8mg/kg(i.v.) for the initial dosing and 6mg/kg for subsequent administration. Trastuzumab administered at day 1.
Paclitaxel:80-100mg/m2 administered at day 1 and day 8.
One course lasts 3 weeks (21 days)

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Histological confirmed adenocarcinoma; papillary, tubular, poorly, signet ring cell, mucinous, or hepatoid
2)Unresectable advanced or recurrent gastric cancer
3)with measurable lesions
4)Able or unable to eat or drink
5)Age over 20 years old and under 80
6)PS(ECOG) between 0 and 1
7)HER2 positive
8)No previous chemotherapy of Paclitaxel
9)Without any brain metastasis
10)With a good condition of important organs within 14 days of registration
a)Neutrophil>=2,000/mm3
b)Platelet>=100,000/mm3
c)Total bilirubin<=1.5mg/dL
d)Hemoglobin>=8.0g/dL
e)AST<=100IU/L, or AST<=200IU/L with liver metastases
f)ALT<=100IU/L, or ALT<=200IU/L with liver metastases
g)Serum creatinine<=1.2mg/dL
11)Written informed consent to participate in this study

Key exclusion criteria

1)With active double cancers whose disease free period is within 5 years. Carcinoma in situ can be excluded.
2)With a history of severe allergy against medicine.
3)With severe diarrhea (more than 4 times/day) or watery stool
4)With body temperature over 38 degrees Celsius and/or infectious disease which needs therapy.
5)With severe myelo-dysfunction, renal dysfunction and/or liver dysfunction.
6)With other severe diseases
a)Interstitial pneumonitis, pulmonary fibrosis or severe emphysema
b)Renal dysfunction
c)Liver dysfunction
d)Intestinal paralysis, ileus
e)Jaundice
f)Uncontrolled DM
7)Serious illness or medical conditions as defined below,
a)Patients with a previous history of congestive heart failure
b)Unstable angina requiring medication
c)Patients with a previous history of transmural infarct
d)Uncontrolled hypertension
e)Severe heart valve diseases
f)Hi-risk uncontrolled arrhythmias
g)Patients with left ventricular ejection fraction in the baseline is less
than 50% on MUGA (Multi Gated Acquisition Scan) or echocardiography.
8)with HBs(+)
9)Patients whom administered Flucitosine or Athazanavil sulfate
10)Patients whom administered Fenitoin and/or Warfarin
11)General administration of steroids
12)Woman who are pregnant or expect to be pregnant or nursing female
13)Patients whom doctor in chief decides not to register to this study due to psychological disease or symptoms
14)Patients whom doctor in chief decides not to register to this study due to other reasons

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masashiro Goto

Organization

Osaka Medical College Hospital

Division name

Cancer Chemotherapy Center

Zip code


Address

2-7 Daigaku-machi, Takatsuki City, Osaka, JAPAN

TEL

072-683-1221

Email

in2030@poh.osaka-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masahiro Goto

Organization

Osaka Medical College Hospital

Division name

Cancer Chemotherapy Cancter

Zip code


Address

2-7 Daigaku-machi, Takatsuki City, Osaka, JAPAN

TEL

072-683-1221

Homepage URL


Email

in2030@poh.osaka-med.ac.jp


Sponsor or person

Institute

Osaka Medical College Hospital

Institute

Department

Personal name



Funding Source

Organization

Osaka Medical College Hospital

Organization

Division

Category of Funding Organization

Self funding

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

大阪医科大学付属病院(大阪府)


Other administrative information

Date of disclosure of the study information

2013 Year 09 Month 25 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

2011 Year 06 Month 22 Day

Date of IRB


Anticipated trial start date

2011 Year 06 Month 22 Day

Last follow-up date

2011 Year 06 Month 22 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 25 Day

Last modified on

2017 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013867


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name