UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023783
Receipt number R000026195
Scientific Title Pharmacokinetics and toxicity of irinotecan hydrochloride: effects of polymorphisms in transporter genes
Date of disclosure of the study information 2016/09/01
Last modified on 2016/08/26 17:08:18

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Basic information

Public title

Pharmacokinetics and toxicity of irinotecan hydrochloride: effects of polymorphisms in transporter genes

Acronym

PK/PD study of irinotecan hydrochloride.

Scientific Title

Pharmacokinetics and toxicity of irinotecan hydrochloride: effects of polymorphisms in transporter genes

Scientific Title:Acronym

PK/PD study of irinotecan hydrochloride.

Region

Japan


Condition

Condition

malignant solid tumor (pancreatic cancer, colorectal cancer, gastric cancer, lung cancer, ovarian cancer,breast cancer, neuroendocrine carcinoma)

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

We elucidate the genetic polymorphism of the transporter and pharmacokinetics of the irinotecan hydrochloride and toxic relations.

Basic objectives2

PK,PD

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

We analyze genetic polymorphism of OATP1B1, ABCG2 and OATP2B1 and Pharmacokinetics/Pharmacodynamics of the irinotecan and metabolite and toxicity expression relations of the irinotecan hydrochloride.

Key secondary outcomes

(1) We analyze about genetic polymorphism(OATP1B3, ABCB1, ABCC2 and CES2 which participates in activation of irinotecan, CYP3A4 which participates in inactivation of irinotecan) and a relation between PK/PD and toxicity.
(2) We analyze the genetic seasonal polymorphism to encode microRNA (miRNA) and the genetic polymorphism of an enzyme participating in processing of miRNA and PK/PD of the irinotecan hydrochloride and relations with the toxicity.
(3) We measure the plasma concentration of an internal compound becoming the OATP substrate and evaluate OATP inhibition by SN-38 and get grounds to estimate the interaction risk between the drug in the irinotecan hydrochloride dosage.
(4) We perform meta genome analysis of the enterobacterial flora and analyze a relation between toxicity of irinotecan hydrochloride (including the diarrhea) and enterobacterial flora.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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) Aged 20 to <75 years at the time of informed consent.
2) Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1.
3) Patients who was not treated with the irinotecan hydrochloride in the past.
4) Patients with at least 3 months of life-expectancy.
5) Adequate organ function, evidenced by following laboratory results within 14 days prior to starting chemotherapy.
Absolute neutrophil count >= 1,500/mm3
Platelet count >= 100,000/mm3
Hemoglobin >= 8.5g/dL
AST and ALT <= 2.5 times the upper limit of normal(ULN) (<= 5 times the ULN if liver metastases are present)
Total bilirubin <= 1.5 times the ULN
6) Signed, written informed concent is obtained.

Key exclusion criteria

1) Severe active infection.
2) Sever diarrhea.
3) Gastrointestinal paresthesia and bowel obstruction.
4) Interstitial pneumonia, pulmonary fibrosis.
5) Jaundice.
6) Patient who need drainage of peritoneal, pleural or pericardial effusion.
7) Unstable angina, myocardial infarction or heart failure within 3 months.

8) Severe complication (e.g., uncontrollable diabetis mellitus, liver disease).
9) Serological positive for HBs-antigen or HCV-antibody.
10) Intestinal resection within 4 weeks prior to enrollment or colostomy within 2 weeks prior to enrollment.
11) Patients who received chemotherapy not to include irinotecan hydrochloride, or radiation therapy within two weeks.
12) Severe hypersensitivity to medicine.
13) Patients who has difficulty in getting the understanding for the study.
14) Pregnant or lactating women, or men and women without wanting pregnancy.
15) Patients who were judged inappropriate for the study.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yutaro Kubota

Organization

Showa university school of medicine

Division name

Department of internal medicine, Division of medical oncology

Zip code


Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan

TEL

03-3784-8402

Email

yutaro1008@hotmail.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yutaro Kubota

Organization

Showa university school of medicine

Division name

Department of internal medicine, Division of medical oncology

Zip code


Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan

TEL

03-3784-8402

Homepage URL


Email

yutaro1008@hotmail.co.jp


Sponsor or person

Institute

Showa university school of medicine

Institute

Department

Personal name



Funding Source

Organization

Showa University institute of molecular oncology
Showa University School of Medicine, Division of Medical Oncology, Department of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University
Laboratory of Molecular Pharmacokinetics, Graduate School of Pharmaceutical Sciences, The University of Tokyo

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

昭和大学病院(東京都)
昭和大学江東豊洲病院(東京都)
昭和大学横浜市北部病院(神奈川)


Other administrative information

Date of disclosure of the study information

2016 Year 09 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

Preinitiation

Date of protocol fixation

2016 Year 06 Month 18 Day

Date of IRB


Anticipated trial start date

2016 Year 09 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We analyze genetic polymorphism of OATP1B1, ABCG2 and OATP2B1 and Pharmacokinetics/Pharmacodynamics of the irinotecan and metabolite and toxicity expression relations of the irinotecan hydrochloride.


Management information

Registered date

2016 Year 08 Month 26 Day

Last modified on

2016 Year 08 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000026195


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name