UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019191
Receipt number R000021559
Scientific Title Randomized Phase II/III Trial of Conventional Paclitaxel and Carboplatin with/without Bevacizumab versus Dose-dense Paclitaxel and Carboplatin with/without Bevacizumab in Stage IVB, Recurrent, or Persistent Cervical Carcinoma (JCOG1311, CC-TC/ddTC-P2/3)
Date of disclosure of the study information 2015/10/01
Last modified on 2021/01/05 16:08:13

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Basic information

Public title

Randomized Phase II/III Trial of Conventional Paclitaxel and Carboplatin with/without Bevacizumab versus Dose-dense Paclitaxel and Carboplatin with/without Bevacizumab in Stage IVB, Recurrent, or Persistent Cervical Carcinoma (JCOG1311, CC-TC/ddTC-P2/3)

Acronym

Randomized Phase II/III Trial of Conventional Paclitaxel and Carboplatin with/without Bevacizumab versus Dose-dense Paclitaxel and Carboplatin with/without Bevacizumab in Stage IVB, Recurrent, or Persistent Cervical Carcinoma (JCOG1311, CC-TC/ddTC-P2/3)

Scientific Title

Randomized Phase II/III Trial of Conventional Paclitaxel and Carboplatin with/without Bevacizumab versus Dose-dense Paclitaxel and Carboplatin with/without Bevacizumab in Stage IVB, Recurrent, or Persistent Cervical Carcinoma (JCOG1311, CC-TC/ddTC-P2/3)

Scientific Title:Acronym

Randomized Phase II/III Trial of Conventional Paclitaxel and Carboplatin with/without Bevacizumab versus Dose-dense Paclitaxel and Carboplatin with/without Bevacizumab in Stage IVB, Recurrent, or Persistent Cervical Carcinoma (JCOG1311, CC-TC/ddTC-P2/3)

Region

Japan


Condition

Condition

Metastatic or Recurrent Cervical Carcinoma, not amenable to curative surgery or radiotherapy

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical benefits of Dose-dense Paclitaxel and Carboplatin with/without Bevacizumab compared with Conventional Paclitaxel and Carboplatin with/without Bevacizumab in Stage IVB, Recurrent, or Persistent Cervical Carcinoma

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase II,III


Assessment

Primary outcomes

Phase II: Response Rate (Assessed in the following timing:
i) day 15-21 in the 3rd course, ii) day 15-21 in the 6th course, iii) day 22-56 in the last course (day 1 denotes the initial date of each course)),
Phase III: Overall Survival

Key secondary outcomes

Phase II: Adverse Events, Serious Adverse Events
Phase III: Progression-free Survival, Response Rate, Adverse Events, Serious Adverse Events, Proportion of periods of non-hospitalization to those of the planned treatment during the first 6 courses


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A: Chemotherapy: Paclitaxel / Carboplatin with/without Bevacizumab (Paclitaxel 175 mg/m2 day1, Carboplatin AUC5 day1, Bevacizumab 15 mg/kg day1, repeated every 3 weeks for 6 cycles. Protocol treatment (Paclitaxel / Carboplatin) is to be extended to up to 9 cycles when a certain tumor response is observed. Bevacizumab is to be administerd following tumor response and criteria for discontinuing.)

Interventions/Control_2

B: Chemotherapy: Dose-dense Paclitaxel / Carboplatin with/without Bevacizumab (Paclitaxel 80 mg/m2 day1, 8, 15 Carboplatin AUC5 day1, Bevacizumab 15 mg/kg day1, repeated every 3 weeks for 6 cycles. Protocol treatment (Paclitaxel / Carboplatin) is to be extended to up to 9 cycles when a certain tumor response is observed. Bevacizumab is to be administerd following tumor response and criteria for discontinuing.)

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

Female

Key inclusion criteria

1) Uterine cervical cancer histologically proven by biopsy to the primary tumor
2) Squamous cell carcinoma, adenocarcinoma, or adenosquamous cell carcinoma of the uterine cervix
3) One of the followings:
1. primary stage IVb cervical cancer
2. the first relapse or persistent cervical cancer after curative first line treatments
3. the second relapse or persistent cervical cancer after curative second line treatments for the first relapse
4) One of the followings:
1. There is at least one metastatic lesion outside the pelvic cavity except paraaortic LN and/or inguinal LN
2. There is no metastatic lesion outside the pelvic cavity except paraaortic LN and/or inguinal LN and either of paraaortic or inguinal LN has been irradiated
3. All lesions are localized inside the pelvic cavity, and some of them have been irradiated
5) No prior treatment of the followings was done,
1. prior surgical therapy for relapse inside the pelvic cavity with resection of bladder or intestinal tract
2. prior chemoradiation twice or more
3. prior adjuvant chemotherapy for initial treatment including two or more regimens
4. prior chemotherapy for metastatic or relapse regions
5. progression during prior neoadjuvant chemotherapy of taxane-platinum regimen
6. relapse or progression within 24 weeks after adjuvant chemotherapy of taxane-platinum regimen
6) Certain interval from the last administration of previous treatments as the followings
1. 42 days or more after prior chemoradiation
2. 21 days or more after prior radiatin
3. 28 days or more after prior surgical treatment
4. 14 days or more after prior adjuvant chemoterapy
7) Age: 20 to 75 years
8) PS: 0-2
9) No bilateral hydronephrosis
10) Peripheral motor neuropathy <= Grade 1, Peripheral sensory neuropathy <= Grade 1
11) Sufficient organ functions with the latest laboratory examination within 14 days
12) Normal ECG
13) Written informed consent

Key exclusion criteria

(1) Simultaneous or metachronous (within 5 years) double cancers.
(2) Active systemic infections to be treated.
(3) Body temperature of 38 or more degrees Celsius
(4) Women during pregnancy, possible pregnancy, or breast-feeding
(5) Psychiatric disease
(6) Continuous systemic steroid treatment
(7) Uncontrolled diabetes mellitus or routine administration of insulin
(8) Uncontrolled hypertension
(9) Unstable angina or prior myocardial infarction with in 6 months
(10) Metastasis to central nerve system with a symptom
(11) Interstitial pneumonia, pulmonary fibrosis, severe pulmonary emphysema
(12) HBs antigen positive, HCV antibody positive, HIV antibody positive
(13) hypersensitivity to polyoxyethylated castor oil
(14) hypersensitivity to alcohol

Target sample size

420


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nobuo Yaegashi

Organization

Tohoku University, School of Medicine

Division name

Department of Obstetrics and Gynecology

Zip code


Address

1-1 Seiryou Chou, Aoba-Ku, Sendai-City, Miyagi Prefecture, Japan

TEL

022-717-7251

Email

yaegashi@med.tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Mitsuya Ishikawa

Organization

JCOG1311 Coordinating Office

Division name

Division of Gynecology, National Cancer Center Hospital

Zip code


Address

5-1-1 Tsukuji, Chuo-ku, Tokyo, Japan

TEL

03-3542-2511(7847)

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


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

北海道大学病院(北海道)
札幌医科大学(北海道)
岩手医科大学(岩手県)
東北大学病院(宮城県)
筑波大学臨床医学系(茨城県)
茨城県立中央病院・茨城県地域がんセンター(茨城県)
群馬県立がんセンター(群馬県)
防衛医科大学校(埼玉県)
埼玉県立がんセンター(埼玉県)
埼玉医科大学総合医療センター(埼玉県)
千葉大学医学部(千葉県)
東京慈恵会医科大学附属柏病院(千葉県)
国立がん研究センター中央病院(東京都)
がん・感染症センター都立駒込病院(東京都)
東京女子医科大学(東京都)
慶應義塾大学病院(東京都)
東京慈恵会医科大学附属病院(東京都)
がん研究会有明病院(東京都)
東京大学医学部(東京都)
順天堂大学医学部附属順天堂医院(東京都)
NTT東日本関東病院(東京都)
神奈川県立病院機構神奈川県立がんセンター(神奈川県)
北里大学医学部(神奈川県)
新潟県立がんセンター新潟病院(新潟県)
信州大学医学部(長野県)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター中央病院(愛知県)
名古屋大学医学部(愛知県)
京都大学医学部附属病院(京都府)
大阪市立大学医学部附属病院(大阪府)
大阪国際がんセンター(大阪府)
大阪市立総合医療センター(大阪府)
大阪医科大学(大阪府)
兵庫県立がんセンター(兵庫県)
鳥取大学医学部(鳥取県)
国立病院機構呉医療センター・中国がんセンター(広島県)
国立病院機構四国がんセンター(愛媛県)
愛媛大学医学部附属病院(愛媛県)
国立病院機構九州がんセンター(福岡県)
久留米大学医学部(福岡県)
九州大学病院(福岡県)
佐賀大学医学部(佐賀県)
熊本大学医学部(熊本県)
鹿児島大学病院(鹿児島県)
鹿児島市立病院(鹿児島県)
琉球大学医学部(沖縄県)


Other administrative information

Date of disclosure of the study information

2015 Year 10 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


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

No longer recruiting

Date of protocol fixation

2015 Year 07 Month 24 Day

Date of IRB

2015 Year 09 Month 01 Day

Anticipated trial start date

2015 Year 10 Month 01 Day

Last follow-up date

2022 Year 04 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 10 Month 01 Day

Last modified on

2021 Year 01 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021559


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name