Unique ID issued by UMIN | UMIN000025659 |
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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 |
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
Study rindo
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
Study rindo
Japan |
colorectal cancer
Gastrointestinal surgery |
Malignancy
YES
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).
Safety,Efficacy
progression-free survival (PFS)
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
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.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
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.
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.
60
1st name | |
Middle name | |
Last name | Goro Nakayama |
Nagoya University Graduate School of Medicine
Department of Gastroenterological Surgery
65 Tsurumai-chi, Showa-ku, Nagoya, Japan
0527442250
goro@med.nagoya-u.ac.jp
1st name | |
Middle name | |
Last name | Goro Nakayama |
Nagoya University Graduate School of Medicine
Department of Gastroenterological Surgery
65 Tsurumai-chi, Showa-ku, Nagoya, Japan
0527442250
goro@med.nagoya-u.ac.jp
Nagoya University Graduate School of Medicine
Eli Lilly Japan K.K.
Profit organization
NO
2017 | Year | 04 | Month | 01 | Day |
Unpublished
Open public recruiting
2017 | Year | 04 | Month | 17 | Day |
2017 | Year | 09 | Month | 28 | Day |
None
2017 | Year | 01 | Month | 13 | Day |
2018 | Year | 01 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029517
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