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Name:
UMIN ID:

Recruitment status Enrolling by invitation
Unique ID issued by UMIN UMIN000016550
Receipt No. R000019209
Scientific Title Untreated IIIB/IV period with the EGFR mutation in the gene, phase II study of Gefitinib and the pemetrexed / bevacizumab combination maintenance therapy after Gefitinib and the cisplatin / pemetrexed / bevacizumab combination induction therapy for non-squamous epithelium non-small cell lung cancer of the latter recurrence
Date of disclosure of the study information 2015/02/16
Last modified on 2016/08/17

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Basic information
Public title Untreated IIIB/IV period with the EGFR mutation in the gene, phase II study of Gefitinib and the pemetrexed / bevacizumab combination maintenance therapy after Gefitinib and the cisplatin / pemetrexed / bevacizumab combination induction therapy for non-squamous epithelium non-small cell lung cancer of the latter recurrence
Acronym Untreated IIIB/IV period with the EGFR mutation in the gene, phase II study
Scientific Title Untreated IIIB/IV period with the EGFR mutation in the gene, phase II study of Gefitinib and the pemetrexed / bevacizumab combination maintenance therapy after Gefitinib and the cisplatin / pemetrexed / bevacizumab combination induction therapy for non-squamous epithelium non-small cell lung cancer of the latter recurrence
Scientific Title:Acronym Untreated IIIB/IV period with the EGFR mutation in the gene, phase II study
Region
Japan

Condition
Condition non-squamous non-small cell lung cancer
Classification by specialty
Pneumology
Classification by malignancy Malignancy
Genomic information NO

Objectives
Narrative objectives1 We examine Gefitinib and Gefitinib after the cisplatin / pemetrexed / bevacizumab combination induction therapy and efficacy and safety of the pemetrexed / bevacizumab combination maintenance therapy for non-squamous epithelium non-small cell lung cancer of the postoperative recurrence untreated IIIB/IV period with the EGFR mutation in the gene.
Basic objectives2 Safety,Efficacy
Basic objectives -Others
Trial characteristics_1 Exploratory
Trial characteristics_2
Developmental phase Phase II

Assessment
Primary outcomes 1-year progression free survival rate
Key secondary outcomes RR response rate
DCP disease Control proportion
OS overall survival
PFS progression free survival
AEs Adverse Events

Base
Study type Interventional

Study design
Basic design Single arm
Randomization Non-randomized
Randomization unit
Blinding Open -no one is blinded
Control Active
Stratification
Dynamic allocation
Institution consideration
Blocking
Concealment

Intervention
No. of arms 1
Purpose of intervention Treatment
Type of intervention
Medicine
Interventions/Control_1 Randomization phase II study of the maintenance therapy with chemotherapy non-enforcement IIIB/IV period, pemetrexed following induction therapy with pemetrexed / cisplatin for patients with postoperative recurrent non-squamous epithelium non-small cell lung cancer or carboplatin
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

Not applicable
Gender Male and Female
Key inclusion criteria 1 Histologically or cytologically confirmed non-squamuous, non-small cell lung cancer and stage IV or recurrent non-small cell lung cancer
2 A stage IIIB the clinic that radical irradiation is impossible of or stage IV and postoperative recurrence symptom example.
3 With the EGFR active form mutation in the gene more than G719X, 19del, L858R, one one of L861Q.
4 The case that recurred after the above after last administration for half a year of chemotherapy non-enforcement or the postoperative adjuvant chemotherapy.
We exclude the case given Gefitinib or pemetrexed as postoperative adjuvant chemotherapy.
Also, we do not include the picibanil which we used in pleurodesis and the minocycline in chemotherapy.
5 The age of the agreement acquisition day is a case younger than 75 years 20 years old or older.
6 ECOG Performance Status 0-1
7 With one or more measurable lesions based on RECIST version 1.1
8 Adequate organ function
9 The case that the survival that is more three months or more than the treatment starting date can expect.
10 An orally-available case.
11 The case that an agreement by the free will of the patients is obtained in a document about participation of this study.
Key exclusion criteria 1) The case that a squamous cancer ingredient accounts for more than 50% in the case of mixed type with the squamous cancer.
2) A mixed case with small cell lung cancer.
3) We have EGFR resistance gene mutation (T790M).
4) With the symptom or metastases to brain case to need treatment such as a steroid or the antispasmodic.
5) The case with a history of the hemoptysis or the merger.
6) The case with a history, the merger of the following sputum bloody.d
7) A case that was given the radiotherapy for the chest.
8) It is a case of after the palliative irradiation for bone metastases or the metastases to brain except the primary tumor for less than two weeks.
9) The invasion of the primary tumor is found in in great vessels in trachea or lobar bronchus or the TNM classification T4 of the lung cancer handling agreement revision seventh edition partly.
10) A case with the superior vena caval syndrome.
11) A case with the interstitial pneumonia that is clear by chest CT or pulmonary fibrosis.
12) The case with a serious infection.
13) The case with serious complications.
14) The case with pleural effusion, ascitic fluid requiring treatment such as the drainage and the pericardial fluid.
15)A case with the multiple primary cancer of the activity.
16)A case with a history of serious drug allergy.
17)Uncontrollable hypertension < 160/100
18) A case with a history of less than one year before merger of cerebrovascular disorder with the symptom or registration.
19) Need to antiplatelet therapy or anticoagulation therapy without Aspirin 325 mg/day
20) Gastrointestinal perforation within 1 year
21) The case that it was judged mental disorder to become the clinical problem to have difficulty in registration to this study.
22) With pregnancy and the pregnant likelihood or women nursing or men in hope of fertility.
23)Inappropriate for this study judged by the attending physician


Target sample size 27

Research contact person
Name of lead principal investigator
1st name
Middle name
Last name Seisuke Nagase
Organization International University of Health and Welfare
Division name Respiratory Disease Center
Zip code
Address 1-4-3 Mita, Minato-ku, Tokyo, Japan
TEL 03-3451-8121
Email snagase@iuhw.ac.jp

Public contact
Name of contact person
1st name
Middle name
Last name Seisuke Nagase
Organization International University of Health and Welfare
Division name Respiratory Disease Center
Zip code
Address 1-4-3 Mita, Minato-ku, Tokyo, Japan
TEL 03-3451-8121
Homepage URL
Email snagase@iuhw.ac.jp

Sponsor
Institute International University of Health and Welfare

Respiratory Disease Center
Institute
Department

Funding Source
Organization non
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
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 東京医科大学病院 呼吸器・甲状腺外科(東京都)
国際医療福祉大学三田病院 呼吸器センター(東京都)

Other administrative information
Date of disclosure of the study information
2015 Year 02 Month 16 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 Enrolling by invitation
Date of protocol fixation
2014 Year 12 Month 01 Day
Date of IRB
Anticipated trial start date
2014 Year 12 Month 01 Day
Last follow-up date
2018 Year 05 Month 01 Day
Date of closure to data entry
2019 Year 05 Month 01 Day
Date trial data considered complete
2019 Year 05 Month 01 Day
Date analysis concluded
2019 Year 05 Month 01 Day

Other
Other related information

Management information
Registered date
2015 Year 02 Month 16 Day
Last modified on
2016 Year 08 Month 17 Day


Link to view the page
URL(English) https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019209

Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name


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