UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000022117
Receipt number R000025499
Scientific Title Phase II study of lubiprostone for chemotherapy-induced constipation in patients with lung cancer
Date of disclosure of the study information 2016/04/29
Last modified on 2022/11/02 10:54:40

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Basic information

Public title

Phase II study of lubiprostone for chemotherapy-induced constipation in patients with lung cancer

Acronym

Phase II study of lubiprostone for chemotherapy-induced constipation in patients with lung cancer

Scientific Title

Phase II study of lubiprostone for chemotherapy-induced constipation in patients with lung cancer

Scientific Title:Acronym

Phase II study of lubiprostone for chemotherapy-induced constipation in patients with lung cancer

Region

Japan


Condition

Condition

primary lung cancer

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and efficacy of lubiprostone for chemotherapy-induced constipation in patients with lung cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Change from screening period in bowel movements (BMs) frequency at week first after starting lubiprostone without rescue medication use

Key secondary outcomes

Changes from screening period in BMs frequency at week 2 or more after starting lubiprostone without rescue medication use

Time to first BMs without rescue medication use

Percentage of patients with their first BMs within 24 and 48 hours after the dosage without rescue medication use

Changes from screening period of each parameter and total score in Constipation Scoring System

Change of the hardness in BMs (Bristol Stool Scale)

Time to first rescue medication use (Time to treatment failure)

Adverse Events


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

oral lubiprostone 24mcg BID

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


Not applicable

Gender

Male and Female

Key inclusion criteria

Primary inclusion criteria
1) Histologically or cytologically confirmed lung cancer
2) First course or after second course chemotherapy or chemoradiotherapy including cytotoxic anticancer agent (Regardless of untreated or treated, before or after start of the regimen)

3) Aged 20 years or over
4) ECOG Performance Status 0-2
5) Keep a diary by oneself, and ability to answer a writing by oneself-style question paper
6) Adequate organ function, as

- Neutro. > or = 1,500/mm3
- Hemoglobin > or = 8.0g/dL
- Plt > or = 7.5x10,000/mm3
- AST/ALT < or = 100 IU/L
- T-bil < or = 1.5mg/dL
- Cre < or = 1.5mg/dL
- SpO2(Room air)> or = 90%
7) Life expectancy more than 3 months
8) Orally-available
9) Previously not received lubiprostone
10) Written informed consent from the patients


Secondary inclusion criteria
1) After starting chemotherapy of the primary registration, there is no BM more than three days, or there is a feeling of remaining BM even if there is a BM every day, and 2 or less in Bristol Stool Scale
2) Chemotherapy or chemoradiotherapy after the second registration and the primary registration are equivalence regimens

Key exclusion criteria

Primary exclusion criteria
1) Only molecular target based agent (EGFR-TKI, ALK-TKI, VEGF inhibitor, immunotherapy)
2) Brain metastases with symptomatic or required for steroid and anticonvulsant

3) Mechanical bowel obstruction (e.g., tumor, hernia) or organic disorder of the large
or small bowel (e.g., obstruction, stenosis, inflammatory bowel disease)
4) Megacolon or Pseudo intestinal obstruction
5) Gastrointestinal or abdominal surgery for three months before registration
6) Severe complications (e.g., uncontrollable peptic ulcer, angina pectoris, cardiovascular disease, or infection)
7) Starting opioid within two weeks before primary registration
8) History of severe drug allergy
9) Inappropriate for this study judged by the attending doctor

Secondary exclusion criteria
1) Discontinuation of equivalence regimens for severe adverse events, except for dose reduction
2) Mechanical bowel obstruction (e.g., tumor, hernia) or organic disorder of the large
or small bowel (e.g., obstruction, stenosis, inflammatory bowel disease)
3) Severe complications (e.g., uncontrollable peptic ulcer, angina pectoris, cardiac disease, or infection)
4) Starting opioid within two weeks before secondary registration
5) Inappropriate for this study judged by the attending doctor

Target sample size

37


Research contact person

Name of lead principal investigator

1st name Seisuke
Middle name
Last name Nagase

Organization

International University of Health and Welfare, Mita hospital

Division name

Respiratory Disease Center

Zip code

108-8329

Address

1-4-3 Mita, Minato-ku, Tokyo, Japan

TEL

03-3451-8121

Email

snagase@iuhw.ac.jp


Public contact

Name of contact person

1st name Seisuke
Middle name
Last name Nagase

Organization

International University of Health and Welfare, Mita hospital

Division name

Respiratory Disease Center

Zip code

108-8329

Address

1-4-3 Mita, Minato-ku, Tokyo, Japan

TEL

03-3451-8121

Homepage URL


Email

snagase@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare, Mita hospital

Institute

Department

Personal name



Funding Source

Organization

None

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

International University of Health and Welfare, Mita hospital, IRB

Address

1-4-3 Mita, Minato-ku, Tokyo, Japan

Tel

03-3451-8121

Email

rinri-mita@iuhw.ac.jp


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

国際医療福祉大学三田病院(東京都)


Other administrative information

Date of disclosure of the study information

2016 Year 04 Month 29 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

Open public recruiting

Date of protocol fixation

2016 Year 03 Month 28 Day

Date of IRB


Anticipated trial start date

2016 Year 04 Month 14 Day

Last follow-up date

2018 Year 12 Month 31 Day

Date of closure to data entry

2019 Year 03 Month 31 Day

Date trial data considered complete

2019 Year 03 Month 31 Day

Date analysis concluded

2019 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2016 Year 04 Month 28 Day

Last modified on

2022 Year 11 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025499


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name