UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024113
Receipt number R000027754
Scientific Title A phase III, open-label, randomized trial evaluating topical corticosteroid therapy for the facial acneiform dermatitis by EGFR Inhibitors: Stepwise rank down from potent corticosteroid.
Date of disclosure of the study information 2016/10/03
Last modified on 2020/09/23 09:44:43

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Basic information

Public title

A phase III, open-label, randomized trial evaluating topical corticosteroid therapy for the facial acneiform dermatitis by EGFR Inhibitors: Stepwise rank down from potent corticosteroid.

Acronym

A comparative study for Facial Acneiform dermatitis by EGFR Inhibitors by Stepwise rank down of corticoSteroid (FAEISS study)

Scientific Title

A phase III, open-label, randomized trial evaluating topical corticosteroid therapy for the facial acneiform dermatitis by EGFR Inhibitors: Stepwise rank down from potent corticosteroid.

Scientific Title:Acronym

A comparative study for Facial Acneiform dermatitis by EGFR Inhibitors by Stepwise rank down of corticoSteroid (FAEISS study)

Region

Japan


Condition

Condition

Lung cancer
Colorectal cancer

Classification by specialty

Gastroenterology Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study is designed to evaluate the effects of pre-emptive topical corticosteroid therapies with serially ranking down from very strong levels compared with that with serially ranking up from weak levels for the acneiform dermatitis by EGFR inhibitors in patients with lung or colorectal cancer without history of anti-EGFR therapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Incidence of more than grade 2 (moderate) facial acneiform dermatitis during the 10-week skin treatment period (by central review).

Key secondary outcomes

・ Proportion of more than grade 2 (moderate) facial acneiform dermatitis (by central review)
・ Proportion of more than grade 3 (severe) facial acneiform dermatitis (by central review)
・ Proportion of switching EGFR therapies due to facial acneiform dermatitis
・ Proportion of continuing EGFR therapy at the end of protocol treatment
・ Proportion of more than grade 1 (mild) facial acneiform dermatitis at the end of protocol treatment (by central review)
・ Incidence of adverse events on the face (by central review).
・ Proportion of non-worsening in QOL scores


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A pre-emptive therapy with daily 100mg (200mg in some institution) of minocycline hydrochloride, topical heparinoid moisturizer (two times a day) and EGFR inhibitors are followed with weak topical 0.05% prednisolone cream (two times a day) after development of the acneiform dermatitis. According to exacerbation of the dermatitis, topical corticosteroids will be serially ranking up from weak level.

Interventions/Control_2

A pre-emptive therapy with daily 100mg (200mg in some institution) of minocycline hydrochloride and topical heparinoid moisturizer (two times a day) are started with EGFR inhibitors. After development of the acneiform dermatitis, topical corticosteroid therapy is started with very strong class will be ranking down to strong, medium, mild and weak every two weeks for 10 weeks.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) Eligible patients have following (1) or (2). (1) patient with non-small cell lung cancer with mutated EGFR, and is planned to treat with erlotinib or afatinib. (2) patient with colorectal cancer with wild type KRAS and NRAS, and is planned to treat with cetuximab or panitumumab.
2)Histopathologically the samples from surgery or biopsy specimen was diagnosed following (1)or (2). (1) Non-small cell lung cancer (SCC, adenocarcinoma, large cell cancer {except large cell endocrine cancer}, adenosquamous cell cancer, unclassified cancer), (2) Colorectal adenocarcinoma (including mucinous adenocarcinoma and signet ring cell carcinoma) by the 8th edition as the JSCCR guidelines for the treatment of colorectal cancer.
3) Unresectable or relapse after curative resection
4) 20 years old and more, and 79 years old and younger.
5) An Eastern Cooperative Oncology Group performance status of 0 or 1
6) No bacterial, fungal, syphilis, and viral infection of the face.
7) No history of EGFR inhibitor therapy (history of therapy with cytotoxic drugs is acceptable).
8) Absence of esophageal stenosis or obstruction
9) Written informed consent.

Key exclusion criteria

1) Current topical corticosteroid therapy for facial lesion of atopic dermatitis and other skin diseases.
2) Presence of the metastatic skin lesions of lung or colorectal cancer.
3) Presence of the skin lesions including burn, frost bite, trauma or scar that influence to evaluation of the facial lesions.
4) Administration of following drugs: warfarin, sulphonylurea, digoxin, oral contraceptives, vitamin A analog, retinoid, steroid
5) History of allergy or serious side effects by minocycline hydrochloride

Target sample size

120


Research contact person

Name of lead principal investigator

1st name yoshio
Middle name
Last name Kiyohara

Organization

Shizuoka Cancer Center

Division name

Department of Dermatology

Zip code

4118777

Address

1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka 411-8777, Japan

TEL

055-989-5222

Email

y.kiyohara@scchr.jp


Public contact

Name of contact person

1st name Naoya
Middle name
Last name Yamazaki

Organization

National Cancer Center Hospital

Division name

Department of Dermatologic Oncology

Zip code

1040045

Address

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

TEL

03-3547-5201

Homepage URL


Email

nyamazak@ncc.go.jp


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Ethics Committee

Address

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

Tel

03-3547-5201

Email

irst@ml.res.ncc.go.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

静岡県立静岡がんセンター(静岡県)
国立がん研究センター中央病院(東京都)
愛知県がんセンター中央病院(愛知県)
大阪府立成人病センター(大阪府)
新潟県立がんセンター新潟病院(新潟県)
東北大学病院(宮城県)
国立がん研究センター東病院(千葉県)
三重大学病院(三重県)
四国がんセンター(愛媛県)


Other administrative information

Date of disclosure of the study information

2016 Year 10 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

No longer recruiting

Date of protocol fixation

2016 Year 08 Month 10 Day

Date of IRB

2016 Year 07 Month 27 Day

Anticipated trial start date

2016 Year 10 Month 04 Day

Last follow-up date

2019 Year 04 Month 19 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 09 Month 20 Day

Last modified on

2020 Year 09 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027754


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name