UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017589
Receipt number R000020373
Scientific Title A phase II study of an oral nucleoside antitumor agent consisting trifluridine and tipiracil hydrochloride for previously fluoropyrimidine-treated elderly patients with unresectable or recurrent colorectal cancer (T-CORE1401)
Date of disclosure of the study information 2015/05/15
Last modified on 2020/05/18 15:58:17

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Basic information

Public title

A phase II study of an oral nucleoside antitumor agent consisting trifluridine and tipiracil hydrochloride for previously fluoropyrimidine-treated elderly patients with unresectable or recurrent colorectal cancer (T-CORE1401)

Acronym

A phase II study of TAS-102 for elderly patients with unresectable or recurrent colorectal cancer (T-CORE1401)

Scientific Title

A phase II study of an oral nucleoside antitumor agent consisting trifluridine and tipiracil hydrochloride for previously fluoropyrimidine-treated elderly patients with unresectable or recurrent colorectal cancer (T-CORE1401)

Scientific Title:Acronym

A phase II study of TAS-102 for elderly patients with unresectable or recurrent colorectal cancer (T-CORE1401)

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective is to confirm efficacy and safety of an oral nucleoside antitumor agent consisting trifluridine and tipiracil hydrochloride, TAS-102, for previously fluoropyrimidine-treated elderly patients with unresectable or recurrent colorectal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Progression-free survival (PFS)

Key secondary outcomes

Overall survival (OS), time to treatment failure (TTF), overall response rate (ORR), toxicities, associations between efficacy/toxicity and screening score for comprehensive geriatric assessment, and associations between efficacy/toxicity and serum concentrations of trifluridine.


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

Patients take orally 35 mg/m2 of a nucleoside antitumor agent consisting trifluridine and tipiracil hydrochloride twice a day (70 mg/m2/day, day 1-5, 8-12, q4w).

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

65 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

Patients are required to fulfill the following criteria for eligibility.
1) Histologically confirmed adenocarcinoma of colon or rectum.
2) One or more target lesions confirmed by CT or other imaging within 28 days before the registration.
3) One or more previous drug treatments including fluoropyrimidine-based regimen.
4) The Eastern Cooperative Oncology Group Performance Status of 0-2.
5) Ingestible.
6) Estimated to survive for three months or more since registration.
7) Written informed consent.
8) Age 65-84.
9) Fulfill the following hematological and biochemical data obtained in the most recent blood test. WBC >= 3,000 /mm3, neutrophils >= 1,500 /mm3, platelets >= 100,000 /mm3, hemoglobin >= 8.0 g/dl, AST =< 100 IU/l, ALT =< 100 IU/l, and total bilirubin =< 2.0 g/dl. Patients should not receive transfusion or granulocyte colony stimulating factor within 14 days before the blood test.
10) Determined to be able to receive the study protocol by the responsible researcher or contributing researchers of this study.

Key exclusion criteria

Patients who fulfill the following criteria for exclusion are excluded.
1) Synchronous double cancer or past history of other cancer within 5 years, except curable carcinoma in situ and skin cancer.
2) Active infection and inflammation (the body temperature with >= 38.0 degree of celsius).
3) Active hepatitis.
4) Serious complications or severe complications that require hospitalization for therapy, such as gastrointestinal paresthesia, bowel obstruction, interstitial pneumonia, pulmonary fibrosis, and uncontrollable hypertension, diabetes mellitus, renal dysfunction, liver dysfunction, and hepatic cirrhosis.
5) Chronic diarrhea (>= 4 times a day, or watery).
6) Active gastrointestinal bleeding.
7) Effusion that requires drainage.
8) Thoracotomy, laparotomy, or laparoscopic surgery within 28 days before registration.
9) Receiving medications with psychotropic drugs for mental disorders, or having mental disorders that require medications with psychotropic drugs.
10) Determined to be inappropriate to enter the study by the responsible researcher or contributing researchers, for any other reasons.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Chikashi Ishioka

Organization

Institute of Development, Aging and Cancer, Tohoku University

Division name

Department of Clinical Oncology

Zip code


Address

4-1 Seiryo-machi, Aoba-ku, Sendai-city, Miyagi

TEL

022-717-8543

Email

chikashi@tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hideki Shimodaira

Organization

Tohoku Clinical Oncology Research and Education Society (T-CORE)

Division name

Administration Office

Zip code


Address

2-42 Akebono-machi, Aoba-ku, Sendai-city, Miyagi

TEL

022-717-8599

Homepage URL


Email

hideki.shimodaira.c4@tohoku.ac.jp


Sponsor or person

Institute

Tohoku Clinical Oncology Research and Education Society (T-CORE)

Institute

Department

Personal name



Funding Source

Organization

Tohoku Clinical Oncology Research and Education Society (T-CORE)

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



Other administrative information

Date of disclosure of the study information

2015 Year 05 Month 15 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

Main results already published

Date of protocol fixation

2015 Year 04 Month 30 Day

Date of IRB

2015 Year 04 Month 24 Day

Anticipated trial start date

2015 Year 05 Month 01 Day

Last follow-up date

2017 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 05 Month 15 Day

Last modified on

2020 Year 05 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020373


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name