UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024676
Receipt number R000028387
Scientific Title A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604
Date of disclosure of the study information 2016/11/01
Last modified on 2019/05/04 13:08:34

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Basic information

Public title

A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604

Acronym

J-FORCE STUDY: J-SUPPORT and the Fourth agent Olanzapine Resist Cisplatin Emetogenesity.

Scientific Title

A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604

Scientific Title:Acronym

J-FORCE STUDY: J-SUPPORT and the Fourth agent Olanzapine Resist Cisplatin Emetogenesity.

Region

Japan


Condition

Condition

Malignant solid tumor

Classification by specialty

Gastroenterology Pneumology Obstetrics and Gynecology
Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this randomized, double-blind, placebo-controlled phase III trial is to confirm the efficacy of olanzapine 5mg combined with aprepitant, palonosetron, dexamethasone for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Complete response (CR: no emesis, no rescue medication) rate during the delayed phase (24-120h post-cisplatin administration).

Key secondary outcomes

1. Complete response rate during the acute (0-24h post-cisplatin administration) phase and for the overall phase (0-120h post-cisplatin administration).
2. Complete control (defined as no emetic episodes, no rescue medication, and no more than mild nausea) rate for the overall phases and in daily period.
3. Total control rate (defined as no emetic episodes, no rescue medication, and no nausea) rate for the overall phase and in daily period.
4. Time to treatment failure (i.e., time to first emetic episode or time to administration of rescue therapy, whichever occurred first).
5. Severity of nausea.
6. Severity of anorexia.
7. Severity and influence to daily life of sleepiness.
8. Adverse event.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Olanzapine 5mg+Aprepitant+Palonosetron+Dexamethasone

Interventions/Control_2

Placebo +Aprepitant+Palonosetron+Dexamethasone

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. Malignant tumor patients except for hematopoietic malignancy.
2. Cisplatin-naive patients who receive the cisplatin (>=50mg/m2)-based chemotherapy.
3. Patients who are 20-75 years old at the enrollment.
4. ECOG performance status 0-2.
5. Patients with no symptomatic brain metastasis/carcinomatosis.
6. Patients who do not take a medicine regularly, for example, 5HT3 receptor antagonists, NK1 receptor antagonists, corticosteroids, antidopamine agonists, phenothiazine tranquilizers, antihistamine drugs, benzodiazepine agents, etc. within 48 hours prior to enrollment.
7. Adequate organ function as defined by (each of the following values are examined within 7 days before prior to entry) ;1) T-Bil <=2.0 mg/dL, 2) AST <=100 IU/L, 3) ALT <=100 IU/L.
8. Written informed consent.

Key exclusion criteria

1. History of hypersensitivity or allergy for study drugs or similar compounds.
2. Patients who need antiemetics at the enrollment.
3. Patients who start taking opioids within 48 hours prior to enrollment.
4. Patient who suffered from ischemic heart disease, cerebral hemorrhage or apoplexy, active gastric or duodenum ulcer within 6 months prior to enrollment.
5. Patients who has a convulsive disorders that need anticonvulsants therapy.
6. Patients with symptomatic ascites that need therapeutic drainage.
7. Patients with gastro-intestinal stenosis or obstruction.
8. Pregnant, breastfeeding or expecting woman.
9. Psychotic patients using antipsychotic drug.
10. Patient who received abdominal or pelvic irradiation within 6 days prior to enrollment or patients who receive abdominal or pelvic concurrent chemoradiotherapy.
11. Patients who had diabetes mellitus with use of antidiabetics and patients with HbA1c (NGSP) >= 6.5 or HbA1c (JDS) >= 6.1.
12. Patients who cannot be hospitalized during 6 days (0-120 h post-cisplatin administration).
13. Habitual smoker at the enrollment.
14. Patients judged by the investigator to be inappropriate for this study.

Target sample size

690


Research contact person

Name of lead principal investigator

1st name Masakazu
Middle name
Last name Abe

Organization

Shizuoka Cancer Center

Division name

Department of Gynecologic Oncology

Zip code

411-8777

Address

1007, Shimonagakubo, Nagaizumicho, Suntogun, Shizuoka

TEL

055-989-5222

Email

ma.abe@scchr.jp


Public contact

Name of contact person

1st name Hironobu
Middle name
Last name Hashimoto

Organization

National Cancer Center Hospital

Division name

Department of Pharmacy

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

TEL

03-3542-2511

Homepage URL

http://www.j-support.org

Email

hhashimo@ncc.go.jp


Sponsor or person

Institute

AMED (Japan Agency for Medical Research and Development)

Institute

Department

Personal name



Funding Source

Organization

AMED (Japan Agency for Medical Research and Development)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shizuoka Cancer Center

Address

1007, Shimonagakubo, Nagaizumicho, Suntogun, Shizuoka

Tel

055-989-5222

Email

rinsho_office@scchr.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

NCCH1604

Org. issuing International ID_1

National Cancer Center Hospital

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 11 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

2016 Year 11 Month 01 Day

Date of IRB

2017 Year 01 Month 17 Day

Anticipated trial start date

2017 Year 02 Month 02 Day

Last follow-up date

2018 Year 07 Month 30 Day

Date of closure to data entry

2018 Year 10 Month 15 Day

Date trial data considered complete

2018 Year 11 Month 30 Day

Date analysis concluded

2019 Year 01 Month 15 Day


Other

Other related information



Management information

Registered date

2016 Year 11 Month 01 Day

Last modified on

2019 Year 05 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028387


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name