UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016991
Receipt number R000019718
Scientific Title Phase II trial (Investigator-initiated clinical trial) of CH5424802 in patients with relapsed or refractory ALK-positive anaplastic large cell lymphoma
Date of disclosure of the study information 2015/04/01
Last modified on 2020/11/20 16:21:41

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Basic information

Public title

Phase II trial (Investigator-initiated clinical trial) of CH5424802 in patients with relapsed or refractory ALK-positive anaplastic large cell lymphoma

Acronym

Investigator-initiated trial of CH5424802 against relapsed or refractory ALK-positive ALCL

Scientific Title

Phase II trial (Investigator-initiated clinical trial) of CH5424802 in patients with relapsed or refractory ALK-positive anaplastic large cell lymphoma

Scientific Title:Acronym

Investigator-initiated trial of CH5424802 against relapsed or refractory ALK-positive ALCL

Region

Japan


Condition

Condition

Relapsed or refractory ALK-positive anaplastic large cell lymphoma

Classification by specialty

Hematology and clinical oncology Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy, safety, and pharmacokinetics of alectinib hydrochloride in patients with relapsed or refractory ALK-positive anaplastic large cell lymphoma.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Overall response rate determined by Independent Review Facility

Key secondary outcomes

Pharmacokinetics of CH5424802
The first safety evaluation
Complete remission rate
Duration of response
Progression-free survival,
Event free survival,
Overall survival
Adverse event and adverse drug reaction


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

The investigational product is administered orally at 300 mgb.i.d after breakfast and dinner for 21 days, which is regarded as 1 cycle. In subjects weighing less than 35 kg, the investigational product is administered at 150 mg b.i.d after breakfast and dinner.
The administration is terminated after a maximum of 16 cycles, in principle, but may be continued over 17 or more cycles in subjects judged to require the treatment.

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

6 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients aged 6 years or older at consent and judged by the investigator/subinvestigator to be able to take capsules.
2) Patients definitively diagnosed with ALK-positive ALCL by histological examination.
Note: Judgments are made by immunohistochemical staining of tissues collected at the initial examination or relapse.
3) Patients who can provide pathological tissues of lymphoma for central review.
4) Patients in whom the condition was judged to be PD during standard chemotherapy, CR/PR could not be achieved after the therapy, or recurrence or re-exacerbation was observed after standard chemotherapy.
5) Patients having measurable lesions defined by the Revised Response Criteria for Malignant Lymphoma according to the evaluation by the implementing medical facility.
6) Patients with an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-2.
7) Patients expected to survive for 3 months or longer at the time of consent.
8) Patients who fulfill all the following criteria on the clinical laboratory tests at the screening examination. Those who have not been administered a genetically engineered human granulocyte colony-stimulating factor (G-CSF) preparation or have not received blood transfusion within 1 week before examination of the neutrophil and platelet counts and retain normal functions of major organs.
1.Neutrophil count: >=1,500/uL
2.Platelet count: >=75,000/uL
3.Serum bilirubin level: <1.5 times the upper limit of normal (ULN) of the facility
4.Serum creatinine level: <=1.5 times the ULN
5.Alanine aminotransferase (ALT) and aspartic aminotransferase (AST) levels: <=2.5 times the ULN
9) Written consent to participate in this clinical trial has been given by the subject in person or by a legal guardian (when the subject is younger than 20 years at consent).

Key exclusion criteria

1) Patients in whom the latest diagnosis is primary cutaneous ALCL/2)Patients in whom active viral, bacterial, or fungal infection has been observed within 2 weeks before the first administration of the investigational product/3) Patients with poorly controlled diabetes/4) Patients with a history or complication of another malignant neoplasm that has not been cured for 3 years or longer/5) Patients with CNS lesions/6) Patients showing signs or symptoms suggestive of PML/7) Patients with a history of severe hypersensitivity or allergy/8) Patients positive for HIV antibody, HBs antigen, HBs antibody, HBc antibody, or HVC antibody/9) Patients with liver cirrhosis/10) Patients who have received ASCT within 12 weeks before the first administration of the investigational product/11) Patients who have received allogeneic hematopoietic stem-cell transplantation/12) Patients who have received treatment for a malignant neoplasm within 4 weeks before the first administration of the investigational product/13) Patients who have been administered an adrenocorticosteroid hormone preparation for the treatment of lymphoma within 7 days before the first administration of the investigational product./14) Patients administered another investigational product or treated using an investigational instrument within 4 weeks./15) Patients who received a treatment specifically targeting ALK in the past./16) Patients known to have hypersensitivity to additives contained in the investigational product./17) Patients who are pregnant, breast-feeding, or may be pregnant, or do not consent to contraception for 6 months after the last administration of the investigational product./18) Patients who have a disability that impairs their ability to consent in writing or conform to the trial procedure./19) Patients who have been judged by the investigator to be inappropriate for participation in this clinical trial for other reasons.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Hirokazu
Middle name
Last name Nagai

Organization

National Hospital Organization Nagoya Medical Center

Division name

Department of Hematology and Oncology Research, Clinical Research Center

Zip code

4600001

Address

4-1-1 Sannomaru Nakaku Nagoya, Aichi, Japan

TEL

052-951-1111

Email

nagaih@nnh.hosp.go.jp


Public contact

Name of contact person

1st name Yutaka
Middle name
Last name Ito

Organization

National Hospital Organization Nagoya Medical Center

Division name

Department of Clinical Research Management, Clinical Research Center

Zip code

4600001

Address

4-1-1 Sannomaru Nakaku Nagoya, Aichi, Japan

TEL

052-951-1111

Homepage URL


Email

alc.office@nnh.go.jp


Sponsor or person

Institute

National Hospital Organization Nagoya Medical Center
Hirokazu Nagai
St.Marianna University School of Medicine Hospital
Tetsuya Mori
National Hospital Oganization Kyusyu cancer center
Che Irusun

Institute

Department

Personal name



Funding Source

Organization

Chugai Inc.

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

Nagoya Medical Center

Address

4-1-1,Sannomaru,Naka-ku,Nagoya-shi Aichi-ken,Japan

Tel

052-951-1111

Email

study.office@nnh.go.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

2015 Year 04 Month 01 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

10

Results

in preparation

Results date posted

2019 Year 04 Month 03 Day

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

Main results already published

Date of protocol fixation

2015 Year 02 Month 18 Day

Date of IRB

2015 Year 03 Month 12 Day

Anticipated trial start date

2015 Year 04 Month 01 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete

2018 Year 04 Month 11 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 03 Month 31 Day

Last modified on

2020 Year 11 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019718


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name