Unique ID issued by UMIN | UMIN000015764 |
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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 |
A phase I/II study of Lonsurf combined with Oxaliplatin in metastatic colorectal cancer patients refractory to standard chemotherapy.
LUPIN study
A phase I/II study of Lonsurf combined with Oxaliplatin in metastatic colorectal cancer patients refractory to standard chemotherapy.
LUPIN study
Japan |
Metastatic Colorectal Cancer
Gastroenterology | Hematology and clinical oncology | Gastrointestinal surgery |
Malignancy
NO
(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.
Safety,Efficacy
Exploratory
Explanatory
Phase I,II
[Phase I part] To determine recommended dose (RD) and maximum tolerated dose (MTD)
[Phase II part] Disease Control Rate (DCR)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
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
20 | years-old | <= |
80 | years-old | > |
Male and Female
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
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
41
1st name | |
Middle name | |
Last name | Mitsukuni Suenaga |
Cancer Institute Hospital of the Japanese Foundation for Cancer Research.
Gastroenterology
3-8-31 Ariake, Koto-ku, Tokyo
+81-3-3520-0111
m.suenaga@jfcr.or.jp
1st name | |
Middle name | |
Last name | Mitsukuni Suenaga |
Cancer Institute Hospital of the Japanese Foundation for Cancer Research
Gastroenterology
3-8-31 Ariake, Koto-ku, Tokyo
+81-3-3520-0111
m.suenaga@jfcr.or.jp
Cancer Institute Hospital of Japanese Foundation for Cancer Research
Japanese Foundation for Cancer Research
Other
NO
公益財団法人 がん研究会有明病院
2014 | Year | 12 | Month | 01 | Day |
Published
https://doi.org/10.1007/s10637-019-00749-9
Completed
2014 | Year | 09 | Month | 17 | Day |
2014 | Year | 12 | Month | 01 | Day |
2014 | Year | 11 | Month | 26 | Day |
2019 | Year | 03 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018285
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