UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014314
Receipt number R000016615
Scientific Title A phase II study of maintenance bevacizumab plus docetaxel following induction chemotherapy with cisplatin, pemetrexed plus bevacizumab for advanced non-squamous non-small-cell lung cancer
Date of disclosure of the study information 2014/06/19
Last modified on 2020/08/25 10:41:39

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Basic information

Public title

A phase II study of maintenance bevacizumab plus docetaxel following induction chemotherapy with cisplatin, pemetrexed plus bevacizumab for advanced non-squamous non-small-cell lung cancer

Acronym

A phase II study of maintenance bevacizumab plus docetaxel for Non-Sq NSCLC(HSR1401)

Scientific Title

A phase II study of maintenance bevacizumab plus docetaxel following induction chemotherapy with cisplatin, pemetrexed plus bevacizumab for advanced non-squamous non-small-cell lung cancer

Scientific Title:Acronym

A phase II study of maintenance bevacizumab plus docetaxel for Non-Sq NSCLC(HSR1401)

Region

Japan


Condition

Condition

Advanced non-squamous non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to evaluate the efficacy and safety of bevacizumab plus docetaxel as maintenance therapy in patients who did not have progressive disease after receiving treatment with cisplatin, pemetrexed plus bevacizumab in advanced non-squamous non-small-cell lung cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Progression free survival

Key secondary outcomes

Response rate, disease control rate, overall survival, safety, QOL score(EQ-5D)


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

Patients were included in the run-in phase (four cycles of cisplatin, pemetrexed plus bevacizumab).After induction chemotherapy, patients who did not have progressive disease receive bevacizumab plus docetaxel

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

75 years-old >=

Gender

Male and Female

Key inclusion criteria

All participants must meet the following criterias
1: Pathologically proven Non-Sq NSCLC
2: Radiographically measurable lesion
3: Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
4: Stage 3B/4 NSCLC or recurrence disease without prior adjuvant chemotherapy
5: Age more than 20 years and less than 75 years
6: Adequate organ function
Neutrophil count: more than 1,500/uL
Platelet count: more than 100,000/uL
Hemoglobin: more than 9.0 g/dL
Aspartate transaminase (AST), alanine transaminase(ALT): 2.5 times the upper limit of normal of the institutional reference range
Total bilirubin: less than 1.5mg/dL.
PaO2: more than 60 torr
Creatinine: less than 1.2mg/dL
7: Life expectancy of more than 12 weeks
8: Written informed consent

Key exclusion criteria

Exclusion criteria are as follows
1: Squamous cell carcinoma
2: Active interstitial pneumonia identified by chest X-ray
3: Current or previous histoty of hemoptysis (2.5ml) due to NSCLC
4: Uncontrolled massive pleural effusion or cardiac effusion
5: Superior vena cava syndrome
6: Uncontrolled brain metastases
7: Uncontrolled diabetes mellitus, hypertension, hepatic disorder, angina pectoris or previous myocardial infarction within the last 3 months
8: Severe infection
9: Pregnancy or lactation
10: Active concomitant malignancy
11: History of severe allergic reactions to drugs
12: Evidence of bleeding diathesis or hemoptysis
13: Current or previous history of cerebrovascular disease
14: Current or previous history of GI perforation
15: With great vessel invasion
16: Exposure of the tumor to the central airway
17: Patients with therapeutic anticoagulopathy (including Aspirin over 325mg/day or Clopidogrel over 75mg/day)
18: Patients with arterial thrombosis or venous thrombosis
19: Severe and unstable medical comorbidities
20: Judgment to attending physician

Target sample size

45


Research contact person

Name of lead principal investigator

1st name Takafumi
Middle name
Last name Suda

Organization

Hamamatsu Univ. School of Medicine

Division name

Department of Internal medicine, second division

Zip code

4313192

Address

Handayama 1-20-1, Hamamatsu, Shizuoka pref. Japan

TEL

053-435-2263

Email

may15@hama-med.ac.jp


Public contact

Name of contact person

1st name Seiichiro
Middle name
Last name Suzuki

Organization

Hamamatsu Univ. School of Medicine

Division name

Department of Internal medicine, second division

Zip code

4313192

Address

Handayama 1-20-1, Hamamatsu, Shizuoka pref. Japan

TEL

053-435-2263

Homepage URL


Email

seszuki@hama-med.ac.jp


Sponsor or person

Institute

Hamamatsu Univ. School of Medicine

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

Hamamatsu Univ School of Medicine

Address

1-20-1 Handayama, Hamamatsu

Tel

053-435-2111

Email

rinri@hama-med.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

2014 Year 06 Month 19 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s12032-018-1172-x#citeas

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s12032-018-1172-x#citeas

Number of participants that the trial has enrolled

49

Results

The median progression-free
survival from enrollment was 7.8 month

Results date posted

2020 Year 08 Month 25 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Chemotherapy-naive
non-squamous NSCLC patients

Participant flow

Patients who achieved disease control after induction therapy then received maintenance
therapy with docetaxel (50 mg/m2) and bevacizumab (15 mg/kg) until disease progression or unacceptable toxicity.

Adverse events

The most common toxicities of grade
3 or higher were neutropenia (68.4%), leukopenia (50.0%), febrile neutropenia (31.8%), and hypertension.

Outcome measures

The primary endpoint was progression-free survival from enrollment.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 05 Month 14 Day

Date of IRB

2014 Year 05 Month 14 Day

Anticipated trial start date

2014 Year 06 Month 19 Day

Last follow-up date

2016 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 06 Month 19 Day

Last modified on

2020 Year 08 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016615


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name