UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028447
Receipt number R000032563
Scientific Title Phase II Trial of Apixaban in Japanese Patients with Cancer-Associated Venous Thromboembolism
Date of disclosure of the study information 2017/08/01
Last modified on 2022/06/07 20:49:03

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Basic information

Public title

Phase II Trial of Apixaban in Japanese Patients
with Cancer-Associated Venous Thromboembolism

Acronym

J-CAV study

Scientific Title

Phase II Trial of Apixaban in Japanese Patients
with Cancer-Associated Venous Thromboembolism

Scientific Title:Acronym

J-CAV study

Region

Japan


Condition

Condition

cancer-associated venous thromboemborism (CA-VTE)

Classification by specialty

Cardiology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To verify the reproductivity of the safety and efficacy of apixaban for Japanese CA-VTE

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

incidence rate of the composite of major bleeding and clinically relevant non-major bleeding

Key secondary outcomes

1) incidence rate of the composite of recurrence of symptomatic VTE and VTE-related death
2) incidence rate of any bleeding
3) incidence rate of event-free survival (without VTE, major bleeding, and death)
4) duration of the hospitalizaion
5) colliration between Ottawa score and incidence rate of the composite of recurrence of symptomatic VTE and VTE-related death
6) colliration between Khorana score and incidence rate of the composite of recurrence of symptomatic VTE and VTE-related death


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification

NO

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Subjects will receive 10 mg b.i.d. apixaban for 7 days as an initial therapy, followed by 5 mg b.i.d. apixaban for 23 weeks as long-term therapy.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) 20 years and older, both male and female
2) A diagnosis of cancer within six months before enrollment. Any treatment for cancer within the previous six months, or recurrent or metastatic cancer, or hematological malignancy without complete remission.
3) Objectively verified acute venous thrombosis
4) Informed consent

Key exclusion criteria

1) Hemodynamic instability
2) The patients will be treated with surgery or systemic thrombolysis for severe pulmonary embolism. Anticoagulant therapy prior to trial entry for > 7 days.
3) Subjects with an indication, other than VTE, intended for long-term anti-coagulant therapy, such as mechanical valve or arterial fibrillation
4) Use of a Factor Xa Inhibitor (e.g. apixaban, rivaroxaban, or edoxaban) =< 3 months prior to randomization
5) Thienopyridine therapy will be continued on study
6) Active bleeding or severe risk of bleeding
7) HIV protease inhibitor will be continued on study
8) Systemic use of Azole antifungals or Macrolide antibiotics at the time of registration
9) Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 3 or 4
10) Life expectancy < 6 months
11) Laboratory data
a) Platelet count < 50,000/mm^3
b) Calculated creatinine clearance < 30 ml/min using the Cockcroft-Gault formula
c) AST or ALT > 3 x UNL
d) PT-INR > 1.6
12) Clinically significant liver disease (e.g., acute hepatitis, chronic active hepatitis, or cirrhosis)
13) Severe hypersensitivity reaction to apixaban
14) Pregnant, breast-feeding, or unwilling to use adequate contraception
15) Other conditions inadequate for this research

Target sample size

62


Research contact person

Name of lead principal investigator

1st name Hironobu
Middle name
Last name Minami

Organization

Kobe University Hospital

Division name

Medical Oncology / Hematology

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan

TEL

078-382-5820

Email

hminami@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Yoshinori
Middle name
Last name Imamura

Organization

Kobe University Hospital

Division name

Medical Oncology / Hematology

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan

TEL

078-382-5820

Homepage URL


Email

yimamura@med.kobe-u.ac.jp


Sponsor or person

Institute

Kobe University Hospital, Medical Oncology / Hematology

Institute

Department

Personal name



Funding Source

Organization

Kobe University Hospital, Medical Oncology / Hematology

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kobe University Hospital Clinical & Translational Research Center

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan

Tel

078-382-6669

Email

kainyu@med.kobe-u.ac.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

神戸大学医学部附属病院(兵庫県)、近畿大学医学部附属病院(大阪府)、大阪市立大学附属病院(大阪府)、神戸低侵襲がん医療センター(兵庫県)


Other administrative information

Date of disclosure of the study information

2017 Year 08 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

Terminated

Date of protocol fixation

2018 Year 01 Month 24 Day

Date of IRB

2018 Year 01 Month 29 Day

Anticipated trial start date

2018 Year 02 Month 01 Day

Last follow-up date

2019 Year 08 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

2017 Year 07 Month 31 Day

Last modified on

2022 Year 06 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032563


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name