UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031646
Receipt number R000036136
Scientific Title Evaluation of the efficacy and safety of 5mg olanzapine combined with aprepitant, granisetron and dexamethasone to prevent carboplatin-induced nausea and vomiting in gynecologic cancer patients: a multicenter phase 2 study.
Date of disclosure of the study information 2018/04/05
Last modified on 2020/01/16 17:00:35

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Basic information

Public title

Evaluation of the efficacy and safety of 5mg olanzapine combined with aprepitant, granisetron and dexamethasone to prevent carboplatin-induced nausea and vomiting in gynecologic cancer patients: a multicenter phase 2 study.

Acronym

J-TOP-G : Japan, combination of Triplet therapy and Olanzapine for Prevention of carboplatin-induced nausea and vomiting in Gynecologic cancer patients

Scientific Title

Evaluation of the efficacy and safety of 5mg olanzapine combined with aprepitant, granisetron and dexamethasone to prevent carboplatin-induced nausea and vomiting in gynecologic cancer patients: a multicenter phase 2 study.

Scientific Title:Acronym

J-TOP-G : Japan, combination of Triplet therapy and Olanzapine for Prevention of carboplatin-induced nausea and vomiting in Gynecologic cancer patients

Region

Japan


Condition

Condition

gynecologic cancer

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To Evaluate the efficacy and safety of using 5mg olanzapine in combination with aprepitant, granisetron, dexamethasone in patients with gynecologic cancer who will be treated with carboplatin

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Complete response (no emesis, no rescue medication) rate within 120 hours from the start of CBDCA administration.

Key secondary outcomes

1. Complete response (no emesis, no rescue medication) rate within 168 hours from the start of CBDCA administration.
2. Complete response rate during the acute (0-24h) phase.
3. Complete response rate during the delayed (24-120h or 24-168h) phase.
4. Complete control (no emetic episodes, no rescue medication use, and no more than mild nausea) rate for the acute, delayed and overall phases.
5. Total control rate (no emetic episodes, no rescue medication use, and no nausea) rate for the acute, delayed and overall phases.
6. Severity of nausea.
7. Severity of anorexia.
8. Severity of sleepiness and the impact on life
9. Adverse event


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

aprepitant+granisetron+dexamethasone+olanzapine(5mg)

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

79 years-old >=

Gender

Female

Key inclusion criteria

1. Patients with gynecologic cancer who are scheduled to receive carboplatin(AUC>=4)-based chemotherapy
2. Patients aged >= 20 years old and <= 80 years old
3. Patients with an ECOG Performance Status of 0 - 2
4. Patients with no symptomatic brain metastasis and carcinomatosis
5. Patients with no history of administration of moderate to high emetogenic chemotherapy
6. Patients who do not take a medicine regularly, for example, 5HT3 receptor antagonists, NK1 receptor antagonists, corticosteroids, antidopamine agonists, phenothiazine tranquilizers, antihistamine drugs, benzodiazepine agents, etc.
7. Patients who meet the following standard values in general clinical tests:
AST and ALT <=100U/L
Total bilirubin <=2.0mg/dL
8. Written informed consent

Key exclusion criteria

1. History of hypersensitivity or allergy for study drugs or similar compounds.
2. Patients who need antiemetics at the enrollment.
3. Patients who start taking opioids within 48 hours prior to enrollment.
4. Patient with unstable angina, ischemic heart disease, cerebral hemorrhage or apoplexy, active gastric or duodenal ulcer within 6 months prior to enrollment.
5. Patients who have convulsive disorders requiring anticonvulsants therapy
6. Patients with ascites effusion requiring paracentesis
7. Patients who have gastrointestinal obstruction
8.Pregnant, breastfeeding or expecting women or who do not wish to use contraception
9. Patients who have psychosis or psychiatric symptoms that interferes with daily life
10. Patient who received abdominal or pelvic irradiation within 6 days prior to enrollment
11. Patients who had diabetes mellitus
12. Habitual smoker at enrollment
13. Other patients who are judged to be inappropriate for the study by the investigator

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Kenichiro
Middle name
Last name Morishige

Organization

Gifu University Graduate School of Medicine

Division name

Department of Obstetrics and Gynecology

Zip code

500-1194

Address

1-1 Yanagido, Gifu

TEL

058-230-6000

Email

mken@gifu-u.ac.jp


Public contact

Name of contact person

1st name Hirotoshi
Middle name
Last name Iihara

Organization

Gifu University Hospital

Division name

Department of Pharmacy

Zip code

500-1194

Address

1-1 Yanagido, Gifu

TEL

058-230-6000

Homepage URL


Email

dai0920@gifu-u.ac.jp


Sponsor or person

Institute

Gifu University

Institute

Department

Personal name



Funding Source

Organization

Self funding

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

Gifu University

Address

1-1 Yanagido, Gifu, Gifu

Tel

058-230-6059

Email

rinri@gifu-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



Other administrative information

Date of disclosure of the study information

2018 Year 04 Month 05 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

60

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

2018 Year 04 Month 04 Day

Date of IRB

2018 Year 04 Month 04 Day

Anticipated trial start date

2018 Year 04 Month 05 Day

Last follow-up date

2019 Year 07 Month 11 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 03 Month 09 Day

Last modified on

2020 Year 01 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036136


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name