UMIN-CTR Clinical Trial

Public title

Randomized phase II/III study of adjuvant chemotherapy with Adriamycin+Ifosfamide vs Gemcitabine+Docetaxel for high-grade soft tissue sarcoma (JCOG1306, AI vs GD for STS RPII/III)

Acronym

Randomized phase II/III study of adjuvant chemotherapy with Adriamycin+Ifosfamide vs Gemcitabine+Docetaxel for high-grade soft tissue sarcoma(JCOG1306, AI vs GD for STS RPII/III)

Scientific Title

Randomized phase II/III study of adjuvant chemotherapy with Adriamycin+Ifosfamide vs Gemcitabine+Docetaxel for high-grade soft tissue sarcoma (JCOG1306, AI vs GD for STS RPII/III)

Scientific Title:Acronym

Randomized phase II/III study of adjuvant chemotherapy with Adriamycin+Ifosfamide vs Gemcitabine+Docetaxel for high-grade soft tissue sarcoma(JCOG1306, AI vs GD for STS RPII/III)

Region

Japan

Condition

soft tissue sarcoma

Classification by specialty

Orthopedics

Classification by malignancy

Malignancy

Genomic information

NO

Narrative objectives1

To evaluate the efficacy and feasibility of neoadjuvant chemotherapy and adjuvant chemotherapy using GD (gemcitabin and docetaxel) compared with AI (adriamycin and ifosfamide), on the patients with T2bN0M0, anyTN1M0 soft tissue sarcomas(including local recurrence) in the extremities and trunk.

Basic objectives2

Safety,Efficacy

Basic objectives -Others

Trial characteristics_1

Confirmatory

Trial characteristics_2

Developmental phase

Phase II,III

Primary outcomes

PhaseII: Proportion of completion of preoperative chemotherapy without progression disease. Phase III: Overall survival

Key secondary outcomes

PhaseII/III: Progression-free survival. Response rate of preoperative chemotherapy, Pathological response rate of preoperative chemotherapy, Proportion of preservation of diseased limb(extremities),Disease control rate (extremities and trunks), Adverse events, Serious adverse events, Respiratory-related adverse events and Postoperative complication.

Study type

Interventional

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Maneuver

Interventions/Control_1

A: Three courses of preoperative chemotherapy with adriamycin(30mg/m2/day, day 1-2) and ifosphamide(2g/m2/day, day 1-5) every three weeks followed by surgical resection and two courses of postperative chemotherapy after that

Interventions/Control_2

B: Three courses of preoperative chemotherapy with gemcitabin(900mg/m2/day, day 1,8) and docetaxel (70mg/m2/day, day 8) every three weeks followed by surgical resection and two courses of postperative chemotherapy after that

Interventions/Control_3

Interventions/Control_4

Interventions/Control_5

Interventions/Control_6

Interventions/Control_7

Interventions/Control_8

Interventions/Control_9

Interventions/Control_10

Age-lower limit

20

years-old

<=

Age-upper limit

70

years-old

>=

Gender

Male and Female

Key inclusion criteria

1) Grade 2 or 3 (FNCLCC histological grading system) non-round cell soft-tissue sarcoma (NRC-STS) with histology of undifferentiated pleomorphic sarcoma, fibrosarcoma, leiomyosarcoma, synovial sarcoma, liposarcoma, pleomorphic rhabdomyosarcoma, angiosarcoma, malignant peripheral nerve sheth tumor or undifferentiated sarcoma (WHO classification) using open biopsy specimen
2) Primary tumor or first local recurrent tumor
3) 10 or more unstained tumor tissue slides are available
4) UJCC/AJCC TNM (7th edition): T2bN0M0 or any TN1M0 (in case of primary tumor)
5) No distant metastases (in case of first local recurrent tumor)
6) Tumor in the extremities or trunk
7) Having measurable lesion on MRI axial section
8) Resectable with appropriate margins
9) Age >= 20 and =< 70
10) An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
11) No history of chemotherapy nor radiation therapy for any cancer including NRC-STS
12) Sufficient organ function
13) No abnormal ECG findings
14) Not diagnosed as interstitial pneumonia, pulmonary emphysema nor pulmonary fibrosis with chest CT finding
15) Written informed consent.

Key exclusion criteria

1) Synchronous or metachronous (within 5 years) malignancies except for carcinoma in situ or intramucosal tumors curatively treated with local therapy
2) Active infection requiring systemic therapy
3) Body temperature >= 38 degrees Celsius
4) Women in pregnant, possibly pregnant or breast feeding
5) Psychiatric disease
6) Patients requiring systemic steroid medication
7) Unstable angina within 3 weeks, or with a history of myocardial infarction
8) Poorly controlled hypertension
9) Poorly controlled diabetes mellitus or routine administration of insulin
10) Positive HBs antigen

Target sample size

140

Name of lead principal investigator

1st name
Middle name
Last name	Yukihide Iwamoto, MD, PhD roll: Study Chair

Organization

Kyushu University Hospital

Division name

Department of Orthopaedic Surgery

Zip code

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, JAPAN

TEL

092-642-5488(81-92-642-5488)

Email

yiwamoto@ortho.med.kyushu-u.ac.jp

Name of contact person

1st name
Middle name
Last name	Kazuhiro Tanaka, MD, PhD

Organization

JCOG1306 Coordinating Office

Division name

Department of Orthopaedic Surgery, Oita University Hospital

Zip code

Address

1-1, Idaigaoka, Hasamamachi, Yuhu city, Oita, 879-5593, JAPAN

TEL

097-586-5872(81-97-586-5872)

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan

Co-sponsor

Name of secondary funder(s)

Organization

Address

Tel

Email

Secondary IDs

NO

Study ID_1

Org. issuing International ID_1

Study ID_2

Org. issuing International ID_2

IND to MHLW

Institutions

国立病院機構北海道がんセンター（北海道）
札幌医科大学（北海道）
東北大学病院（宮城県）
千葉県がんセンター（千葉県）
国立がん研究センター中央病院（東京都）
日本大学医学部附属板橋病院（東京都）
杏林大学医学部（東京都）
慶應義塾大学病院（東京都）
東京医科歯科大学（東京都）
がん研究会有明病院（東京都）
順天堂大学医学部附属順天堂医院（東京都）
帝京大学医学部（東京都）
横浜市立大学附属病院（神奈川県）
神奈川県立病院機構神奈川県立がんセンター（神奈川県）
新潟県立がんセンター新潟病院（新潟県）
岐阜大学医学部（岐阜県）
静岡県立静岡がんセンター（静岡県）
愛知県がんセンター中央病院（愛知県）
名古屋大学医学部（愛知県）
三重大学医学部（三重県）
京都大学医学部附属病院（京都府）
大阪大学医学部（大阪府）
大阪府立病院機構大阪府立成人病センター（大阪府）
神戸大学医学部（兵庫県）
岡山大学病院（岡山県）
広島大学病院（広島県）
国立病院機構九州がんセンター（福岡県）
久留米大学医学部（福岡県）
九州大学病院（福岡県）
大分大学医学部附属病院（大分県）

Date of disclosure of the study information

2014

Year

02

Month

17

Day

URL releasing protocol

Publication of results

Unpublished

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

Recruitment status

No longer recruiting

Date of protocol fixation

2013

Year

12

Month

13

Day

Date of IRB

2014

Year

01

Month

30

Day

Anticipated trial start date

2014

Year

02

Month

17

Day

Last follow-up date

2025

Year

02

Month

17

Day

Date of closure to data entry

Date trial data considered complete

Date analysis concluded

Other related information

Registered date

2014

Year

02

Month

17

Day

Last modified on

2021

Year

01

Month

05

Day

Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015110