UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030077
Receipt number R000034327
Scientific Title Phase II study investigating efficacy and safety of TFTD plus bevacizumab by RAS mutation status in patients with unresectable advanced or recurrent colorectal cancer refractory or intolerant to standard chemotherapy
Date of disclosure of the study information 2018/01/09
Last modified on 2021/07/12 14:26:08

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Basic information

Public title

Phase II study investigating efficacy and safety of TFTD plus bevacizumab by RAS mutation status in patients with unresectable advanced or recurrent colorectal cancer refractory or intolerant to standard chemotherapy

Acronym

PhaseII study investigating efficacy and safety of TFTD plus bevacizumab by RAS mutation status in patients with unresectable advanced or recurrent colorectal cancer refractory or intolerant to standard chemotherapy (JFMC51-1702-C7)

Scientific Title

Phase II study investigating efficacy and safety of TFTD plus bevacizumab by RAS mutation status in patients with unresectable advanced or recurrent colorectal cancer refractory or intolerant to standard chemotherapy

Scientific Title:Acronym

PhaseII study investigating efficacy and safety of TFTD plus bevacizumab by RAS mutation status in patients with unresectable advanced or recurrent colorectal cancer refractory or intolerant to standard chemotherapy (JFMC51-1702-C7)

Region

Japan


Condition

Condition

Colorectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate the efficacy and safety of TFTD plus bevacizumab by RAS mutation status in patients with unresectable advanced or recurrent colorectal cancer refractory or intolerant to standard chemotherapy

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Disease control rate (DCR) by RAS mutation status

Key secondary outcomes

DCR in full analysis set
Progression-free survival
Overall survival
Objective response rate
Safety
Efficacy and safety by the BRAF mutation status (exploratory outcome)


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

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

TFTD: 35 mg/m. given orally twice daily on days 1-5 and 8-12 in a 28-day cycle
Bevacizumab: 5 mg/kg,
administered by intravenous infusion for 30 min every 2 weeks

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.Histologically confirmed advanced or recurrent colorectal adenocarcinoma (exclude appendix and anal cancer)
2.Unresectable colorectal cancer confirmed by imaging
3.Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
4.Confirmed RAS mutation status
5.Treatment history of one or more regimens of standard chemotherapy
(1) Refractory or intolerant to fluoro
pyrimidine, irinotecan, oxaliplatin, angiogenesis inhibitor (bevacizumab, ramucirumab, or aflibercept), and anti-EGFR antibody (cetuximab or panitumumab) for wild-type RAS
(2) Exclude history of intolerance to bevacizumab
(3)Include history of adjuvant chemotherapy if a tumor had relapsed within 6 months after the last administration
6 No treatment history of regorafenib and TFTD
7.Measurable lesions based on the Response Evaluation Criteria In Solid Tumors (RECIST version 1.1) within the 21 days before enrolment
8.Adequate bone marrow,hepatic,and renal functions
9.Written informed consent

Key exclusion criteria

1.History of intolerance to bevacizumab
2.Thromboembolic events within the 6 months before enrolment
3.Active bleeding
4.Severe heart disease within the 6 months before enrolment
5.Cerebrovascular events
6.Active infections
7.Ascites, pleural effusion, or pericardial effusion requiring treatment
8.Gastrointestinal obstruction, renal failure, or liver failure
9.Uncontrolled diabetes mellitus
10.Uncontrolled hypertension
11.Positive for Hepatitis B surface antigen (HbsAg+) or Hepatitis C antibody (HCV Ab+)
12.Other active cancer
13.Symptomatic brain metastases
14.Requiring immunosuppressive treatment due to an autoimmune disorder or history of organ transplantation
15.Treatment history;
(1)Major surgery (i.e., thoracotomy or laparotomy) within the 4 weeks before enrollment
(2)Chemotherapy within the 2 weeks before enrollment
(3)Extensive exposure of radiation within the 4 weeks before enrollment
16.Unresolved adverse events of grade 2 or higher (classified with the National Cancer Institute Common Terminology Criteria for Adverse Events [CTCAE] version 4.0) from previous treatment
17.Unhealed wound or traumatic fracture
18.tendency of haemorrhage and undergoing treatment with an antithrombotic drug (including a daily dose of 325 mg or more of oral aspirin)
19.Females who are in pregnancy, breastfeeding, with a positive pregnancy test or unwilling to use adequate contraception or males of reproductive potential
20.Clinically significant mental or psychological disorder
21.Patients whose participation in the trial was judged to be inappropriate by the investigator

Target sample size

100


Research contact person

Name of lead principal investigator

1st name 1)TAKAO 2)KENTARO 3)EIJI
Middle name
Last name 1)TAKAHASHI 2)YAMAZAKI 3)OKI

Organization

1)Gifu University, Graduate School of Medicine
2)Shizuoka Cancer Center
3)Graduate School of Surgery and Science Kyushu University

Division name

1)Department of Surgical Oncology 2)Division of Gastrointestinal Oncology 3)Department of Surgery and Science

Zip code

1)501-1194 2)411-8777 3)812-8582

Address

1) 1-1 Yanagido, Gifu city, GIFU,501-1194, Japan 2)1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, SHIZUOKA, 411-8777, Japan 3)3-1-1 Maidashi, Higashi-ku, Fukuoka City, FUKUOKA, 812-8585, Japan

TEL

03-5627-7594

Email

jfmc51@jfmc.or.jp


Public contact

Name of contact person

1st name TAKAO
Middle name
Last name TAKAHASHI

Organization

Gifu University, Graduate School of Medicine

Division name

Department of Surgical Oncology

Zip code

501-1194

Address

1-1 Yanagido, Gifu city, GIFU,501-1194, Japan

TEL

03-5627-7594

Homepage URL

http://www.jfmc.or.jp/

Email

jfmc51@jfmc.or.jp


Sponsor or person

Institute

Japanese Foundation for Multidisciplinary Treatment of Cancer

Institute

Department

Personal name



Funding Source

Organization

TAIHO PHARMACEUTICAL CO.,LTD

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

National Cancer Center Hospital East

Address

6-5-1 Kashiwanoha, Kashiwa city, Chiba

Tel

04-7133-1111

Email

ncche-irb@east.ncc.go.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

2018 Year 01 Month 09 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1016/j.esmoop.2021.100093

Number of participants that the trial has enrolled

102

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

2017 Year 09 Month 05 Day

Date of IRB

2018 Year 12 Month 06 Day

Anticipated trial start date

2019 Year 01 Month 09 Day

Last follow-up date

2020 Year 09 Month 10 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 11 Month 22 Day

Last modified on

2021 Year 07 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034327


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name