UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015405
Receipt number R000017596
Scientific Title A randomized, phase III trial of sequential capecitabine/5FU plus bevacizumab (Cape/5FU-Bmab) to capecitabine/5FU plus oxaliplatin plus bevacizumab (CapeOX/mFOLFOX6-Bmab) versus combination CapeOX/mFOLFOX6-Bmab in advanced colorectal cancer.
Date of disclosure of the study information 2014/10/14
Last modified on 2019/02/22 13:07:56

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Basic information

Public title

A randomized, phase III trial of sequential capecitabine/5FU plus bevacizumab (Cape/5FU-Bmab) to capecitabine/5FU plus oxaliplatin plus bevacizumab (CapeOX/mFOLFOX6-Bmab) versus combination CapeOX/mFOLFOX6-Bmab in advanced colorectal cancer.

Acronym

C Cubed Study (JSWOG C-4)

Scientific Title

A randomized, phase III trial of sequential capecitabine/5FU plus bevacizumab (Cape/5FU-Bmab) to capecitabine/5FU plus oxaliplatin plus bevacizumab (CapeOX/mFOLFOX6-Bmab) versus combination CapeOX/mFOLFOX6-Bmab in advanced colorectal cancer.

Scientific Title:Acronym

C Cubed Study (JSWOG C-4)

Region

Japan


Condition

Condition

advanced and/or recurrent colorectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the superiority of capecitabine (or LV5FU2) + bevacizumab followed by XELOX (or FOLFOX) + bevacizumab compared to XELOX (or FOLFOX) + bevacizumab as first-line treatment in metastatic colorectal carcinoma.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Time to Failure of Strategy

Key secondary outcomes

Progression free-survival,Overall survival, Quality of Life,Overall response rate (ORR),Time to treatment-failure, Duration of disease control, Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


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

XELOX(or FOLFOX)+Bevacizumab is given until disease progression.

Interventions/Control_2

Capecitabine (or LV5FU2)+Bevacizumab is given until disease progression. After progression, XELOX(or FOLFOX)+Bevacizumab is given until disease progression.

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) Advanced or recurrent colorectal cancer who are not candidate for curative resection
(1)Patients with advanced colorectal cancer who had received no intervention expect surgical procedure(R0 surgery is not included).
(2)Patients with recurrent colorectal cancer who have not been administered any therapy to the recurrent site. (six months after Adjuvant is not included).
3) Age of 20 years or older
4) ECOG performance status of 0-2
5) Presence of evaluable lesions as confi rmed by CT or MRI; no previous chemo therapy or radiotherapy
6) Life expectancy longer than 90 days
7) Oral administration is possible
8) Adequate organ function according to following laboratory values obtained within 14 days before enrolment (Data recorded nearest to the entry should be referred. And excluding patients who received blood transfusions or hematopoietic growth factors within 14 days before the laboratory test)
Neu >=1,500/mm3
Pt >=10.0*10^4 /mm3
Hb >=8.0 g/dL
T-bil <=2.0mg/dl
AST and ALT <=100IU/l (Liver metastasis =< 200IU/l)
sCr <=Institution standard value*1.5
Ccr >=30mL/min(Cockcroft-Gault)
Proteinuria <=1+
PT- INR <3.0
9) Written informed consent after receiving explanation of planned treatments in the study

Key exclusion criteria

1) History of active double cancer within 5 years
2) History of serious drug hypersensitivity or serious drug allergy.
3) Sever renal failure, hematologic toxicities, diarrhea, infections, massive pleural effusion, peritoneal fluid
4) Sever or uncontrolled complications (diabetes mellitus, High blood pressure, diarrhea, abnormality of the electrolyte).
5) Complication of cerebrovascular disease or the symptoms within 1 year
6) Bleeding tendency, coagulopathy (PT-INR>=3.0 within 1week prior to entry)
7) Thrombosis, thromboembolism, or receiving anticoagulant drugs (except aspirin under 325 mg/day)
8) Unhealed wound, or major surgical procedure within 28 days prior to enrollment in the study
9) Invasive assessment within 7 days prior to enrollment in the study excluding regular blood sampling, drip infusion, endoscopic examination, and central port
10) Aortic aneurysm and aortic dissection
11) Uncontrollable peptic ulcer
12) Concurrent or history of gastrointestinal perforation (within 1 year before enrollment)
13) Untreated traumatic bone fracture
14) Uncontrolled hypertension
15) Peripheral neuropathy >=Grade1
16) Patients who are pregnant, lactating, with child-bearing potential or have no intention to use contraceptive measures.
17) History of adverse events related to DPD deficiency
18) Mental disorders or central nervous system disease which could hinder treatments of the study
19) Patients who is judged by the investigator to be inappropriate for study participation for any reason.

*Data recorded nearest to the entry should be referred.

Target sample size

304


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshiyuki Yamaguchi

Organization

Kawasaki Medical School

Division name

Department of Clinical Oncology

Zip code


Address

577 matsushima Kurashiki city Okayama Japan

TEL

086-462-1111

Email

shogo@med.kawasaki-m.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Morihiro Fujita

Organization

NPO Japan Southwest Oncology Research Support Organization

Division name

Study Secretariat

Zip code


Address

14-19-602 Nobori-cho Naka-ku Hiroshima Japan

TEL

082-222-1350

Homepage URL


Email

office@jswog.org


Sponsor or person

Institute

NPO Japan Southwest Oncology Research Support Organization

Institute

Department

Personal name



Funding Source

Organization

CHUGAI PHARMACEUTICAL CO.,LTD

Organization

Division

Category of Funding Organization

Profit organization

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 10 Month 14 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

2014 Year 08 Month 28 Day

Date of IRB


Anticipated trial start date

2014 Year 12 Month 01 Day

Last follow-up date

2018 Year 03 Month 31 Day

Date of closure to data entry

2018 Year 11 Month 06 Day

Date trial data considered complete

2019 Year 02 Month 22 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 10 Month 10 Day

Last modified on

2019 Year 02 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017596


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name