UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020864
Receipt number R000023978
Scientific Title Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)
Date of disclosure of the study information 2016/02/03
Last modified on 2024/02/13 14:56:10

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Basic information

Public title

Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)

Acronym

Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)

Scientific Title

Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)

Scientific Title:Acronym

Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)

Region

Japan


Condition

Condition

advanced gastric cancer.

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy and safety of S-1 + oxaliplatin compared with S-1 alone for elderly patients with advanced gastric cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

overall survival

Key secondary outcomes

progression free survival,time to treatment failure,response rate,safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

S-1 monotherapy
S-1 was administered at 80mg/m2/BID (p.o.), on days 1-28 every 6 weeks until disease progression.

Interventions/Control_2

S-1 + oxaliplatin
S-1 plus oxaliplatin every 3 weeks until disease progression
S-1: 80mg/m2/BID (p.o.), on days 1-14
Oxaliplatin: 100mg/m2 (i.v.) on day 1

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

70 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Histologically proven gastric or gastro-esophageal junction adenocarcinoma
2) Advanced unresectable or recurrent gastric cancer
3) The criteria for pre-treatment
i. If there is no history of surgery
No previous chemotherapy, immunotherapy and radiation therapy for cancer. However, irradiation for the pain caused by bone metastases is allowed.
ii. If there is a history of surgery
No previous chemotherapy, immunotherapy and radiation therapy for cancer. However, irradiation for the pain caused by bone metastases is allowed.
a) Recurrence after radical surgery
Preoperative or postoperative adjuvant chemotherapy with S-1 alone is allowed.
More than 24 weeks (168 days) from the last date of the oral S-1 administration to recurrence
b) The palliative surgery for unresectable cases
More than two weeks after surgery
Postoperative complications has improved
Do not allow the neoadjuvant chemotherapy
c) Exploratory laparotomy, bypass surgery, etc. for unresectable cases.
4) Massive pericardial effusion, pleural effusion or ascites*.
*except for patients if effusions and ascites did no accumulate for more than two weeks after drainage therapy.
*include patients if pleurosclerosis was performed with anti-cancer drugs except OK-432.
5) Symptomatic brain metastases or carcinomatous meningitis.
6) Her2 negative
7) Measurable or evaluable lesion
8) adequate oral intake and able to take oral medication
9) 70 years old or older
10) ECOG performance status 0-2.
11) Adequate bone marrow and organ function as defined as below:
neutrophil count >=1500/mm3
hemoglobin level >= 8.0 g/dL
platelet count >= 100,000/mm3
AST and ALT <= 100 IU/L, or AST and ALT <=200 IU/L with liver metastases
total bilirubin <= 1.5 mg/dL
serum creatinine <=2.0 mg/dL
creatinine clearance >=30mL/min
12) Written informed consent

Key exclusion criteria

1) Synchronous or metachronous (within 5 years) malignancies other than carcinoma in situ or mucosal carcinoma.
2) Active infection under treatment
3) Peripheral sensory neuropathy of grade >= 2 according to NCI-CTCAE version 4.0.
4) Diarrhea of grade >= 2 according to NCI-CTCAE version 4.0.
5) Pulmonary fibrosis or interstitial pneumonitis detected by chest x-ray.
6) Receiving flucytosine
7) Receiving phenytoin or warfarin potassium
8) Current treatment with corticosteroids.
9) Pregnant or lactating female.
10) Uncontrolled psychiatry disease
11) History of serious allergic reactions.
12) Evidence of any other serious disease, e.g. COPD, uncontrolled diabetes mellitus, uncontrolled hypertension, uncontrolled cardiovascular disease, Cerebral infarction within one year, active gastrointestinal hemorrhage, blood tests positive for HBs antigen or HVC antibody.
13) Judged inappropriate by the investigators.

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akitaka Makiyama

Organization

Japan Community Healthcare Organization Kyushu Hospital

Division name

Department of Hematology/Oncology

Zip code


Address

1-8-1 kishinoura, yahatanishi-ku, Kitakyushu, Fukuoka 806-8501, Japan

TEL

093-641-5111

Email

makiyama20@hotmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Shinichiro Nakamura

Organization

West Japan Oncology Group

Division name

WJOG datacenter

Zip code


Address

Namba Plaza Bldg.304-1-5-7,Motomachi Naniwa-ku,Osaka556-0016 JAPAN

TEL

06-6633-7400

Homepage URL


Email

datacenter@wjog.jp


Sponsor or person

Institute

West Japan Oncology Group

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Non profit foundation

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

2016 Year 02 Month 03 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

Completed

Date of protocol fixation

2016 Year 01 Month 31 Day

Date of IRB

2016 Year 03 Month 02 Day

Anticipated trial start date

2016 Year 04 Month 12 Day

Last follow-up date

2022 Year 12 Month 11 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 03 Day

Last modified on

2024 Year 02 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023978


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name