UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013277
Receipt number R000014829
Scientific Title Phase II study of oxaliplatin reintroduction treated with biweekly S-1 plus oxaliplatin (SOX) in patients with metastatic colorectal cancer.(ORION2)
Date of disclosure of the study information 2014/03/01
Last modified on 2019/03/04 15:32:48

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Basic information

Public title

Phase II study of oxaliplatin reintroduction treated with biweekly S-1 plus oxaliplatin (SOX) in patients with metastatic colorectal cancer.(ORION2)

Acronym

ORION2

Scientific Title

Phase II study of oxaliplatin reintroduction treated with biweekly S-1 plus oxaliplatin (SOX) in patients with metastatic colorectal cancer.(ORION2)

Scientific Title:Acronym

ORION2

Region

Japan


Condition

Condition

Colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of oxaliplatin reintroduction treated with biweekly SOX in metastatic colorectal cancer patients previously received both oxaliplatin and irinotecan.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Progression free survival

Key secondary outcomes

Overall survival
Time to treatment failure
Response rate
Dose intensity
Relative dose intensity
Adverse event


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

Oxaliplatin 85 mg/m2, day1
S-1 80-120 mg/day, day 1-7 or alternate-day
every 2 weeks

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) Histopathologically confirmed colorectal cancer
2) Previously received chemotherapy containing oxaliplatin and irinotecan
3) Not received oxaliplatin immediately before this trial
4) At least stable disease(SD) during previous oxaliplatin-based tratment
5) 6 months or over from the last introduction of oxaliplatin
6) Peripheral neuropathy<=grade1
7) Be able to take oral drugs
8) Mesurable lesion according to the RECIST
9) Age >= 20 years old
10) PS 0-2
11) A life expectancy of more than 12 weeks
12) No severe impairment of major organs (bone marrow,heart,lungs,liver,kidneys, etc)
laboratory data within 14 days
WBC >=2,000/mm3 and <= 12,000/mm3
Neutrophil >=1,000/mm3
Hemoglobin >=8.0 g/dL
Platelet >=100,000/mm3
AST, ALT <=ULNx3.0
T-Bil <=ULNx1.5
Cr <=ULN
Creatinine clearance >=40 mL/min
13) Written informed consent

Key exclusion criteria

1) Serious sensory abnormality or dysfunction
2) PD within 2 months during previous oxaliplatin-based therapy
3) Serious drug allergy
4) Presence of other active malignancies or a history of malignancies within the past 5 years
5) Blood transfusion or hemopoietic factors (G-CSF) within 7 days
6) Uncontrolled pleural effusion, ascites, or pericardial effusion
7) Clinically significant infection
8) Brain metastasis
9) Clinically significant heart disease (myocardial infarction within 12 months, etc)
10) Serious complication(intestinal obstruction, interstitial pneumonia, uncontrolled diabetes, peptic ulcer hypertension, renal failure, hepatic failure)
11) Fresh GI bleeding
12) Watery diarrhea
13) Central nervous system disorders
14) Dementia or clinically significant mental/neurological disorders
15) Patients who need flucytosine, phenytoin or warfarin potassium
16) Women who are pregnant, lactating, or wish to become pregnant
17) Investigator's judgement

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideyuki Mishima

Organization

Aichi Medical University

Division name

Cancer Center

Zip code


Address

1-1, Yazakokarimata Nagakute, Aichi

TEL

0561-62-3311

Email

hmishima@aichi-med-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yumi Miyashita

Organization

Epidemiological and Clinical research Information Network (ECRIN)

Division name

Aichi branch

Zip code


Address

YK bldg. 6F, 1-7-9, Hanenishi, Okazaki, Aichi

TEL

0564-64-7300

Homepage URL


Email

miya@ecrin.or.jp


Sponsor or person

Institute

Epidemiological and Clinical research Information Network (ECRIN)

Institute

Department

Personal name



Funding Source

Organization

Epidemiological and Clinical research Information Network (ECRIN)

Organization

Division

Category of Funding Organization

Non profit foundation

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

2014 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Biweekly S-1 plus oxaliplatin (SOX) reintroduction in previously treated metastatic colorectal cancer patients (ORION 2 study): a phase II study to evaluate the efficacy and safety.
Hiroaki Tanioka. et al; Int J Clin Oncol. 2019 Feb 18. [Epub ahead of print]
RESULTS:
A total of 41 patients from 12 institutes were enrolled. The median PFS and OS survival were 3.3 months (95% confidence interval [CI] 2.7-4.2) and 10.1 months (8.3-14.6), and response rate and disease control rate were 10.0% and 65.0%, respectively. Grade 3 AEs included thrombocytopenia (5.0%), anorexia (5.0%), pneumonia (5.0%) and fatigue (5.0%). There were no cases of grade 4 AEs or treatment-related death.


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

2014 Year 02 Month 25 Day

Date of IRB


Anticipated trial start date

2014 Year 03 Month 01 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

2014 Year 02 Month 26 Day

Last modified on

2019 Year 03 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014829


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name