UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021107
Receipt number R000024352
Scientific Title A phase I/IIa trial of docetaxel plus ribavirin for reprogramming efficacy in patients with progressive metastatic castration resistant prostate cancer who have previously received docetaxel alone
Date of disclosure of the study information 2016/03/01
Last modified on 2016/12/28 21:07:21

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Basic information

Public title

A phase I/IIa trial of docetaxel plus ribavirin for reprogramming efficacy in patients with progressive metastatic castration resistant prostate cancer who have previously received docetaxel alone

Acronym

DRREEM trial

Scientific Title

A phase I/IIa trial of docetaxel plus ribavirin for reprogramming efficacy in patients with progressive metastatic castration resistant prostate cancer who have previously received docetaxel alone

Scientific Title:Acronym

DRREEM trial

Region

Japan


Condition

Condition

Docetaxel resistant castration resistant prostate cancer

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To examine the safety and usefulness of combination therapy with docetaxel and ribavirin for docetaxel-resistant prostate cancer.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Incidences of adverse events/reactions and their grade

Key secondary outcomes

PSA effects: 30% response rate (>=30% decrease), 50% response rate (>=50% decrease)
Response rate (evaluated according to the RECIST in patients with measurable lesions)
QOL assessment (FACT-P, EQ-5D)
Diagnostic imaging
Blood concentrations of drugs: Changes in the blood concentrations of ribavirin, docetaxel, and prednisolone
Exploratory items: Changes in blood markers(ALP, leptin, IL-1, and IFN-gamma) CTC count and marker expression, blood DNA


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

ribavirin
orally administered twice a day (after breakfast and dinner) for maximum 105 days as following dosage

Body weight:Daily dose
<=60 kg: 600 mg
>60,<=80 kg: 800 mg
>80 kg: 1000 mg

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

30 years-old <=

Age-upper limit


Not applicable

Gender

Male

Key inclusion criteria

1.Patients aged 30 years or older on obtaining informed consent. However, those (in-/outpatients) aged 75 years or older who are not considered eligible by the chief investigator are excluded.
2.Those with a will to sign the informed consent document who are able to sign it
3.Those histopathologically diagnosed with prostate cancer
4.Those with castration-resistant prostate cancer
5.Those with exacerbation during or after docetaxel therapy
Those with one of the following findings are regarded as showing exacerbation:
1)An increase in the serum PSA level on 2 consecutive blood tests
2)PD evaluated according to the RECIST on diagnostic imaging in patients with measurable lesions
3)Marked enlargement of metastatic foci or appearance of new foci on bone scintigraphy
6.Those who recently received docetaxel therapy
7.Those with a PSA level of more than 2 ng/mL during the screening period
8.Those with no plan of new treatment for prostate cancer during the trial period
9.Those with an Easten Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
10.Those whose life expectancy is expected to be more than 12 weeks by the chief investigator or attending physicians
11.Those with favorable blood/liver/kidney functions meeting the following criteria during the screening period

Item:Criterion
Hemoglobin:not less than 11.0 g/dL
AST and ALT:below 60 IU/L
Leukocyte count:not less than 3000/microL
Serum creatinine:not more than 1.5 mg/dL
Neutrophil count:not less than 1500 /microL
Serum potassium:not less than 3.5 mEq
Platelet count:not less than 75000/microL
Serum albumin:not less than 3.0 g/dL
Total bilirubin:not more than 2.5xULN

12.Those consenting to contraception from signing the informed consent document until 6 months after the completion of investigational-drug administration

Key exclusion criteria

1.Patients with a history of hypersensitivity to the components of ribavirin or other antiviral drugs (aciclovir, ganciclovir, or vidarabine) who are not considered eligible by the chief investigator
2.Those who are to receive aciclovir or paclitaxel within 7 days before the start of investigational-drug administration
3.Those with serious complications other than prostate cancer on obtaining informed consent
4.Those with double cancer in whom the interval from previous treatment is <5 years on obtaining informed consent
5.Those participating in another trial on obtaining informed consent
6.Those receiving cabazitaxel
7.Others who are not considered eligible by the chief investigator or attending physicians

Target sample size

6


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takeo Kosaka

Organization

Department of Urology,Keio University School of Medicine

Division name

Urology

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582

TEL

03-3353-1211

Email

takemduro@keio.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasuko Saito

Organization

Keio University Hospital

Division name

Clinical and Translational Research Center

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582

TEL

03-5315-4278

Homepage URL


Email

pmo@ccr.med.keio.ac.jp


Sponsor or person

Institute

Department of Urology,Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Agency Medical Research and Development

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

2016 Year 03 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

Completed

Date of protocol fixation

2015 Year 12 Month 17 Day

Date of IRB


Anticipated trial start date

2016 Year 03 Month 01 Day

Last follow-up date

2016 Year 12 Month 26 Day

Date of closure to data entry

2016 Year 12 Month 26 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 19 Day

Last modified on

2016 Year 12 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024352


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name