UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015764
Receipt number R000018285
Scientific Title A phase I/II study of Lonsurf combined with Oxaliplatin in metastatic colorectal cancer patients refractory to standard chemotherapy.
Date of disclosure of the study information 2014/12/01
Last modified on 2019/03/11 00:12:12

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Basic information

Public title

A phase I/II study of Lonsurf combined with Oxaliplatin in metastatic colorectal cancer patients refractory to standard chemotherapy.

Acronym

LUPIN study

Scientific Title

A phase I/II study of Lonsurf combined with Oxaliplatin in metastatic colorectal cancer patients refractory to standard chemotherapy.

Scientific Title:Acronym

LUPIN study

Region

Japan


Condition

Condition

Metastatic Colorectal Cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

(Phase I part)
To determine the recommended dose (RD) and maximum tolerated dose (MTD) of Lonsurf combined with oxialiplatin (L-OHP) in metastatic colorectal cancer patients refractory or intolerant to standard chemotherapy with fluoropyrimidine, L-OHP, irinotecan (CPT-11), bevacizumab as anti-VEGF antibody and cetuximab/patitumumab as anti-EGFR antibody.
(Phase II part)
To evaluate the efficacy and safety of Lonsurf combined with L-OHP in patients with metastatic colorectal cancer refractory to standard chemotherapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I,II


Assessment

Primary outcomes

[Phase I part] To determine recommended dose (RD) and maximum tolerated dose (MTD)
[Phase II part] Disease Control Rate (DCR)

Key secondary outcomes



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

Lonsurf/L-OHP therapy
Lonsurf: 70mg/m2, d1-5, d15-19 (fixed dose)
L-OHP: 50-85mg/m2, d1,d15 (dose escalation)
every 4 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

80 years-old >

Gender

Male and Female

Key inclusion criteria

The inclusion criteria are mainly as follows (regardless of gender):
1. Has adenocarcinoma of the colon or rectum
2. Metastatic colorectal cancer (except for appendiceal cancer and anal cancer)
3. Has evaluable tumor lesions (RECIST ver. 1.1)
4. Aged 20 to 80 years at the time of informed consent
5. ECOG performance status of 0 or 1
6. Has failed at least 2 prior regimens of standard chemotherapies for metastatic colorectal cancer (refractory or intolerant to standard chemotherapy with FUs, L-OHP, CPT-11, bevacizumab as anti-VEGF antibody and cetuximab/patitumumab as anti-EGFR antibody)
7. Is able to take medications orally
8. Survival for at least 12 weeks is expected.
9. On the basis of tests carried out within 14 days before enrollment, which may be on the same day of the week as the enrollment date but 2 weeks earlier, the principal organ functions are maintained, as defined by the following criteria:
a) Neurtophils>or=1500/mm3
b) Platelets>or=100,000/mm3
c) Hemoglobin>or=9.0g/dl
d) GOT(AST)=or<upper limit of normal (ULN)*2.5 (=or<ULN*5 in case of liver metastasis)
e) GPT(ALT) =or<upper limit of normal (ULN)*2.5 (=or<ULN*5 in case of liver metastasis)
f) Total bilirubin =or<upper limit of normal (ULN)*1.5
g) Serum creatinine =or<upper limit of normal (ULN)*1.5
10. Has provided written informed consent

Key exclusion criteria

The exclusion criteria are mainly as follows (regardless of gender):
1. Has received Lonsurf
2. History of discontinuation for adverse reaction (eg. serious peripheral neuropathy) by L-OHP
3. History of drug hypersensitivity (except for L-OHP)
4. Has unresolved toxicity of greater than or equal to CTCAE Grade 2 attributed to any prior therapies
5. Has bleeding from the tumor which affect hemodynamics
6. Has sever peripheral neuropathy
7. Has synchronous multiple primary cancer within 5 years (except for carcinoma in situ )
8. Ascites, pulmonary and/or pericardial effusion requiring medical treatment
9. Has complication as follows
a) poorly controlled diabetes
b) uncontrolled hypertensions
c) cirrhosis, liver failure, renal insufficiency
d) intestinal paralysis, ileus
e) interstitial lung disease, pulmonary fibrosis, emphysema
f) active infection
g) cardiac disease
h) cerebrovascular disorder, brain metastasis
i) hemorrhagic ulcer
J) psychiatric disorder
10. Is a pregnant or lactating female
11. History of severe allergy
12. Amalgamation of mental disease or psychotic manifestation
13. The investigator considers not suitable for the study

Target sample size

41


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Mitsukuni Suenaga

Organization

Cancer Institute Hospital of the Japanese Foundation for Cancer Research.

Division name

Gastroenterology

Zip code


Address

3-8-31 Ariake, Koto-ku, Tokyo

TEL

+81-3-3520-0111

Email

m.suenaga@jfcr.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Mitsukuni Suenaga

Organization

Cancer Institute Hospital of the Japanese Foundation for Cancer Research

Division name

Gastroenterology

Zip code


Address

3-8-31 Ariake, Koto-ku, Tokyo

TEL

+81-3-3520-0111

Homepage URL


Email

m.suenaga@jfcr.or.jp


Sponsor or person

Institute

Cancer Institute Hospital of Japanese Foundation for Cancer Research

Institute

Department

Personal name



Funding Source

Organization

Japanese Foundation for Cancer Research

Organization

Division

Category of Funding Organization

Other

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

公益財団法人 がん研究会有明病院


Other administrative information

Date of disclosure of the study information

2014 Year 12 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1007/s10637-019-00749-9

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 09 Month 17 Day

Date of IRB


Anticipated trial start date

2014 Year 12 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 11 Month 26 Day

Last modified on

2019 Year 03 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018285


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name