UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023446
Receipt number R000027015
Scientific Title A phase II trial of lenvatinib in patients with metastatic colorectal cancer after standard chemotherapy (NCCH1503,Lemon trial)
Date of disclosure of the study information 2016/08/02
Last modified on 2020/01/16 15:14:46

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Basic information

Public title

A phase II trial of lenvatinib in patients with metastatic colorectal cancer after standard chemotherapy
(NCCH1503,Lemon trial)

Acronym

A phase II trial of lenvatinib in patients with metastatic colorectal cancer after standard chemotherapy
(NCCH1503,Lemon trial)

Scientific Title

A phase II trial of lenvatinib in patients with metastatic colorectal cancer after standard chemotherapy
(NCCH1503,Lemon trial)

Scientific Title:Acronym

A phase II trial of lenvatinib in patients with metastatic colorectal cancer after standard chemotherapy
(NCCH1503,Lemon trial)

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy and safety of lenvatinib in patients with metastatic colorectal cancer refractory or intolerable to standard chemotherapy (fluoropyrimidines, oxaliplatin, irinotecan, bevacizumab, TAS-102 and cetuximab or panitumumab in patients with RAS wild-type)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Disease control rate

Key secondary outcomes

Adverse events
Overall response rate
Progression-free survival
Overall survival


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

24mg of lenvatinib is orally taken once daily.

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

79 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Pathologically proven colorectal adenocarcinoma
2)Unresectable metastatic colorectal cancer (except for appendiceal and anal canal cancer)
3)Refractory or intolerable to all of the following standard chemotherapy
a.Fluoropyrimidines,oxaliplatin,irinotecan and bevacizumab
b.Cetuximab or panitumumab in patients with RAS wild-type
c.TAS-102
4)No symptomatic brain metastasis and carcinomatous meningitis
5)Oral intake
6)Aged 20 to 79 years
7)Performance Status 0 or 1
8)One or more measurable lesions confirmed by contrast enhanced CT
9)No prior treatment of lenvatinib and regorafenib
10)Not received anti-cancer therapy within 14days before registration
11)Adequately controlled blood pressure
12)Not having any of the following histories/complications
a.History/complication of hypertensive crisis or hypertensive encephalopathy
b.History of total gastrectomy
c.History of surgery under general anesthesia or laparotomy biopsy within 28days before registration
d.Complication of unrecovered wound,active gastrointestinal ulcer or bleeding from the primary lesion
e.Complication of congenital hemorrhagic diathesis or coagulation disorder
f.Complication of cardiovascular diseases requiring more than 325mg of aspirin daily
13)Adequate organ functions defined as below within 14days before registration
a.Neutrophil count >=1500/mm3
b.Platelet count >=100000/mm3
c.Hemoglobin >=8.5g/dL
d.Total bilirubin <=1.8mg/dL
e.AST(GOT)<=100U/L (<=150U/L with liver metastases)
f.ALT(GPT)<=100U/L (<=150U/L with liver metastases)
g.Creatinine <=1.5mg/dL
h.PT-INR <=1.5(<=3.0 in patients receiving any prophylactic anticoagulant agents)
i.Adequate proteinuria value defined
i)Negative to 1+ on urine dipstick testing
ii)When >2+ on urine dipstick testing, <=1g/24hr by 24hr urine collection
14)Given consent to contraception
15)Written informed consent

Key exclusion criteria

1)Active double cancer; synchronous or metachronous within 5years. Patients with carcinoma in situ are eligible
2)Infections requiring systemic therapy
3)Fever of >=38 degrees Celsius at the time of registration
4)Grade >=2 adverse reactions caused by prior therapy except any grade of alopecia and grade 2 peripheral neurotoxicity
5)Pregnant or breast-feeding women,or women suspected of being pregnant
6)Mental disease interfering taking part in the trial
7)Taking continuous systemic steroids and/or other immunosuppressive drugs(orally or intravenously)
8)HIV antibody positive
9)Interstitial pneumonia and/or pulmonary fibrosis and/or severe pulmonary emphysema diagnosed by chest CT imaging
10)History of any of the followings; unstable angina and transient ischemic attacks within 6 months before registration, or heart attack,pulmonary embolism,deep vein thrombosis,brain bleeding,cerebral infarction and arterial thromboembolism

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Satoru Iwasa

Organization

National Cancer Center Hospital

Division name

Department of Gastrointestinal Medical Oncology

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Email

siwasa@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Mamiko Kawasaki

Organization

National Cancer Center Hospital

Division name

Clinical Trial Support Office

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Homepage URL


Email

makawasa@ncc.go.jp


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Center for Clinical Trials,
Japan Medical Association

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)

Eisai Co,Ltd.


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

国立がん研究センター中央病院


Other administrative information

Date of disclosure of the study information

2016 Year 08 Month 02 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

30

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 06 Month 13 Day

Date of IRB

2016 Year 07 Month 27 Day

Anticipated trial start date

2016 Year 08 Month 23 Day

Last follow-up date

2019 Year 01 Month 23 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 08 Month 02 Day

Last modified on

2020 Year 01 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027015


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name