UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026527
Receipt number R000030459
Scientific Title Randomized phase II study of FOLFIRI plus ramucirumab versus FOLFOXIRI plus ramucirumab as first-line treatment in patients with metastatic colorectal cancer(WJOG9216G)
Date of disclosure of the study information 2017/03/24
Last modified on 2024/03/18 09:21:53

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Basic information

Public title

Randomized phase II study of FOLFIRI plus ramucirumab versus
FOLFOXIRI plus ramucirumab as first-line treatment in patients
with metastatic colorectal cancer(WJOG9216G)

Acronym

Randomized phase II study of FOLFIRI plus ramucirumab versus
FOLFOXIRI plus ramucirumab as first-line treatment in patients
with metastatic colorectal cancer(WJOG9216G, RECAST)

Scientific Title

Randomized phase II study of FOLFIRI plus ramucirumab versus
FOLFOXIRI plus ramucirumab as first-line treatment in patients
with metastatic colorectal cancer(WJOG9216G)

Scientific Title:Acronym

Randomized phase II study of FOLFIRI plus ramucirumab versus
FOLFOXIRI plus ramucirumab as first-line treatment in patients
with metastatic colorectal cancer(WJOG9216G, RECAST)

Region

Japan


Condition

Condition

first-line treatment in patients
with metastatic colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of FOLFIRI plus ramucirumab (Rmab) treatment and FOLFOXIRI plus Rmab treatment and to select the most promising treatment as the trial therapy used in the upcoming phase III trial

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Objective response rate

Key secondary outcomes

Overall survival,progression-free survival,time to treatment failure, time to second progression or death, early tumor shrinkage, depth of response, R0 resection rate, and safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Arm A: FOLFIRI+Rmab treatment
Rmab:8 mg/kg/day1
l-leucovorin (l-LV):200 mg/m2/day1
irinotecan (IRI): 180 mg/m2/day1
bolus 5-FU:400 mg/m2/day1
infusional 5-FU:2400 mg/m2/day1-3
Every 2 eeks

Interventions/Control_2

Arm B: FOLFOXIRI+Rmab treatment
Induction therapy: 8 courses (maximum of 12 courses)
Rmab:8 mg/kg/day1
IRI:165 mg/m2/day1
l-LV:200 mg/m2/day1
oxaaliplatin (OX):85 mg/m2/day1
infusional 5-FU: 3200 mg/m2/day1-3
Every 2 weeks

Maintenance therapy
5-FU/l-LV+Rmab, every 2 week

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) Histologically or cytologically diagnosed adenocarcinoma of the colon or rectum (excluding the appendix and anal canal).
2) Tumor is clinically determined to be unresectable for a radical cure.
3) Age of 20-75 years.
4) ECOG PS of 0-1 (a PS 0 is required for subjects aged 71-75 years).
5) Measurable lesion according to RECIST, version 1.1.
6) No history of chemotherapy (however, subjects may register if they have received adjuvant chemotherapy with fluoropyrimidine monotherapy and the cancer recurrence occurred >=24 weeks after the last dose. Patients who have received OX-based adjuvant chemotherapy may not register.)
7) Retained organ function.
8) UGT1A1 gene status of wild type (*1/*1), or *28, *6 genetic polymorphism single hetero-type (*1/*28, *1/*6).
9) The RAS mutation status (wild-type, mutant or not definable) of the patients is known prior to randomization.

Key exclusion criteria

1) Serious complications.
2) Receipt of a blood transfusion or hematopoietic factor therapy within 2 weeks prior to registration.
3) Grade >=2 peripheral sensory neuropathy.
4) History of Grade >=3 thromboembolism within 6 months before the scheduled treatment start date.
5) Receiving anti-platelet agents. Aspirin use at doses up to 325 mg/day is permitted.
6) Women who are pregnant, breastfeeding, had a positive pregnancy test, or women and men who do not wish to use contraception.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Yosuke
Middle name
Last name Kito

Organization

Ishikawa Prefectural Central Hospital

Division name

Department of Medical Oncology

Zip code

920-8530

Address

2-1 Kuratsukihigashi, Kanazawa,Ishikawa 920-8530 , Japan

TEL

076-237-8211

Email

kitoyo9100@gmail.com


Public contact

Name of contact person

1st name Naoki
Middle name
Last name Ishizuka

Organization

West Japan Oncology Group

Division name

WJOG datacenter

Zip code

556-0016

Address

Namba Plaza Bldg. 304-1-5-7, Motomachi Naniwa-ku, Osaka 556-0016 JAPAN

TEL

06-6633-7400

Homepage URL


Email

datacenter@wjog.jp


Sponsor or person

Institute

West Japan Oncology Group

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

none

Name of secondary funder(s)

none


IRB Contact (For public release)

Organization

Shizuoka Cancer Center Ethical Review Board for Clinical Studie

Address

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

Tel

055-989-5222

Email

rinsho_office@scchr.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



Other administrative information

Date of disclosure of the study information

2017 Year 03 Month 24 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

2017 Year 03 Month 24 Day

Date of IRB

2017 Year 04 Month 27 Day

Anticipated trial start date

2017 Year 06 Month 01 Day

Last follow-up date

2023 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 03 Month 13 Day

Last modified on

2024 Year 03 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030459


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name