UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018187
Receipt number R000020992
Scientific Title Response Rate of Bevacizumab and FOLFOXIRI with pegfilgrastim in RAS-mutant type unresectable metastatic colorectal cancer.
Date of disclosure of the study information 2015/07/31
Last modified on 2019/01/03 12:44:09

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Basic information

Public title

Response Rate of Bevacizumab and FOLFOXIRI with pegfilgrastim
in RAS-mutant type unresectable metastatic colorectal cancer.

Acronym

Revital Trial

Scientific Title

Response Rate of Bevacizumab and FOLFOXIRI with pegfilgrastim
in RAS-mutant type unresectable metastatic colorectal cancer.

Scientific Title:Acronym

Revital Trial

Region

Japan


Condition

Condition

metastatic colorectal cancer

Classification by specialty

Medicine in general Gastroenterology Hematology and clinical oncology
Surgery in general Gastrointestinal surgery Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We confirms the efficacy and safety of FOLFOXIRI + Bevacizumab therapy with Pegfilgrastim in RAS-mutant type unresectable metastatic colorectal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

ORR: overall response rate

Key secondary outcomes

PFS: progression free survival, safety, R0 resection rate, Pathological response rate, OS:Overall survival, Treatment completion rate, RDI: relative dose intensity, ETS:Early Tumor Shrinkage


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

Biweekly FOLFOXIRI+Bevacizumab +Pegfilgrastim
Bevacizumab 5mg/kg/ q2w
Oxaliplatin 85mg/m2/ q2w
Irinotecan 165mg/m2/ q2w
l-LV 200mg/m2/ q2w
5FU-infusional 3,200mg/m2/ q2w
Pegfilgrastim 3.6mg / q2w

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

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1.Diagnosis of histologically confirmed adenocarcinoma of the colon or rectum and
inoperable metastatic disease
2.RAS mutant type
3.No Previous chemotherapy for colorectal cancer except adjuvant treatment if terminated more than 6 months before the start of study treatment
4.Unresectable liver metastases
5.Presence of a measurable index lesion(RECIST v1.1)
6.Age: between 20 and 75 years
7.Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 1 at study entry (patients above 70 years of age are eligble if their ECOG PS score is 0)
8.Adequate organ functions
1)WBC;3,000-12,000/mm3
2)ANC: greater than or equql to 1,500/mm3
3)Platelet: greater than or equql to 100,000/mm3
4)Hb: greater than or equql to 9.0g/dl
5)T-bil:less than or equal to 1.5 times the upper limit of normal (ULN)
6)aspartate transaminase (AST) or alanine transaminase (ALT) levels less than or equal to 2.5 times the ULN
7)serum creatinine level less than or equal to 1.5 times the ULN
8)Proteinuria below Gr1 (in the case of 2+ in the test paper method, registration possible in the case of proteinuria 1g <24 hours)
9.Life expectancy of at least 3 months
10.Provided signed written informed consent.
11.UGT1A1 *6*28 wild type or single hetero
12.No extrahepatic metastasis, or
it can be determined to be curative
even if extrahepatic metastases (lung metastasis PUL1 etc.)

Key exclusion criteria

1.Severe infection
2.Neuropathy >= Grade 2 according to the CTCAE
3.Prior hypersensitivity reaction to drugs useing in this trial
4.Dementia, altered mental status, or any psychiatric condition
5.Uncontrolled body fruid (ascites,pleural effusion.pericardiac effsion)
6.Severe stenotic primary lesion
7.Recieved radiotherapy to target lesion
8.Severe comorbidity (paralytic or mechanical bowel obstruction, interstitial pneumonia, pulmonary fobrosis, uncontrolable diabetes, heart failure,hypertension, renal failure, liver failure,thromboembolic disease, cerebrovascular disease, etc.)
9.Current or previous (within the last 1 year) history of GI perforation
10.HBs-Ag(+)
11.Any surgical treatments including skin-open biopsy, trauma surgery and other more intensive surgery except for CV-port procedure within 28 days
12.Active other malignant disease
13.Symptomatic brain metastasis
14.Uncontroled severe diarrhea
15.Past chemotherapy history by cytotoxic agent for other diseases except hormone agents and molecular target drugs
16.Women's pregnant or nursing, men/women who want to give birth or no intention to contraception
17.Any other cases who are regarded as inadequate for study enrollment by investigators.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shigemi Matsumoto

Organization

Kyoto University Hospital

Division name

Department of Medical Oncology

Zip code


Address

54 Syogoinkawara-cho, Sakyo-ku, Kyoto

TEL

075-751-4349

Email

motocame@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Akira Nozaki

Organization

NHO Kyoto Medical Center

Division name

Department of Clinical Oncology

Zip code


Address

1-1 Fukakusa mukaiha-cho Fushimi-ku, Kyoto

TEL

075-641-9161

Homepage URL


Email

anozaki@kyotolan.hosp.go.jp


Sponsor or person

Institute

Kyoto University Hospital

Institute

Department

Personal name



Funding Source

Organization

Kyoto University Hospital

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

京都大学医学部附属病院
京都民医連中央病院
大津赤十字病院
大阪赤十字病院
京都桂病院
高槻赤十字病院
倉敷中央病院
神戸市立医療センター中央市民病院


Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 31 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

Terminated

Date of protocol fixation

2015 Year 07 Month 23 Day

Date of IRB


Anticipated trial start date

2015 Year 08 Month 07 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

2015 Year 07 Month 03 Day

Last modified on

2019 Year 01 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020992


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name