UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025659
Receipt number R000029517
Scientific Title A multicenter, single-arm, phase II study of ramucirumab plus FOLFIRI with 150 mg/m2 irinotecan, standard Nippon dose, as the second-line treatment for Japanese patients with metastatic colorectal cancer
Date of disclosure of the study information 2017/04/01
Last modified on 2018/01/29 10:53:03

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Basic information

Public title

A multicenter, single-arm, phase II study of ramucirumab plus FOLFIRI with 150 mg/m2 irinotecan, standard Nippon dose, as the second-line treatment for Japanese patients with metastatic colorectal cancer

Acronym

Study rindo

Scientific Title

A multicenter, single-arm, phase II study of ramucirumab plus FOLFIRI with 150 mg/m2 irinotecan, standard Nippon dose, as the second-line treatment for Japanese patients with metastatic colorectal cancer

Scientific Title:Acronym

Study rindo

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The objectives of this phase II study are to evaluate the efficacy and safety of FOLFIRI with low dose irinotecan (150 mg/m2, standard dose in Japan) plus ramucirumab (RAM) as a second-line treatment for Japanese patients with metastatic colorectal cancer (mCRC).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

progression-free survival (PFS)

Key secondary outcomes

Overall survival (OS), time to treatment failure (TTF), objective response rate (ORR), early tumor shrinkage (ETS), depth of response (DpR), two-dimensional response (2-DR), relative dose intensity (RDI) of irinotecan and ramucirumab, and incidence of 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

FOLFIRI plus ramucirumab treatment
ramucirumab : administered intravenously at a dose of 8 mg/kg over 60 minutes on day 1.
l-leucovorin: administered intravenously at a dose of 200 mg/m2 over 120 minutes on day 1.
irinotecan: administered intravenously at a dose of 150 mg/m2 over 90 minutes on day 1.
bolus 5-fluorouracil: administered by rapid intravenous infusion at a dose of 400 mg/m2 on day 1.
infusional 5-fluorouracil: administered by continuous intravenous infusion at a dose of 2400 mg/m2 over 46 hours from days 1 to 3.

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Histologically confirmed colorectal adenocarcinoma.
2. Unresectable metastatic disease.
3. Age 20 to 80 years.
4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
5. Prior oxaliplatin-based chemotherapy.
6. Prior bevacizumab or anti-EGFR containing regimen.
7. Bidimensionally measurable disease.
8. Adequate organ function.
9. The RAS mutation status (wild-type, mutant or not definable) of the patients is known prior to randomization.
10. Written informed consent was obtained.

Key exclusion criteria

1. Previous history of severe drug-induced allergy
2. Brain metastasis
3. Cerebrovascular disease or its symptoms within 1 year.
4. Massive pleural effusion or ascites that required drainage.
5. History of active double cancer.
6. Previous history of thoromboembolitic disease, or necessity for antithrombotic drug.
7. Intestinal bleeding, ileus, bowel obstruction or uncontrolled peptic ulcer.
8. History of gastrointestinal perforation within 1 year.
9. Diathesis of bleeding (history of hemoptysis, including cavitation and/or necrosis in lung metastasis confirmed by imaging), coagulopathy.
10. Severe renal failure or urinary protein (more than 2+).
11. Uncontrolled severe complications (DM, hypertension, diarrhea, et al.).
12. Patient with symptomatic cardiovascular disease or asymptomatic disease but have been treated.
13. Interstitial lung disease or pulmonary fibrosis.
14. Uncontrolled infection.
15. Patient receiving surgical procedure or such as skin-open biopsy, trauma surgery, or other more intensive surgeries within 4 weeks or aspiration biopsy within a week.
16. UGT1A1 gene status of homo type (*28/*28, *6/*6) or double hetero-type genetic polymorphisms *28 or *6 (*1/*28 and *1/*6).
17. Prior irinotecan or ramucirumab containing chemotherapy
18. Pregnant women, possibly pregnant women, wishing to become pregnant, and nursing mothers.
19. Not appropriate for the study at the physician's assessment.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Goro Nakayama

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Gastroenterological Surgery

Zip code


Address

65 Tsurumai-chi, Showa-ku, Nagoya, Japan

TEL

0527442250

Email

goro@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Goro Nakayama

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Gastroenterological Surgery

Zip code


Address

65 Tsurumai-chi, Showa-ku, Nagoya, Japan

TEL

0527442250

Homepage URL


Email

goro@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Eli Lilly Japan K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


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



Other administrative information

Date of disclosure of the study information

2017 Year 04 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

Open public recruiting

Date of protocol fixation

2017 Year 04 Month 17 Day

Date of IRB


Anticipated trial start date

2017 Year 09 Month 28 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2017 Year 01 Month 13 Day

Last modified on

2018 Year 01 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029517


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name