UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034373
Receipt number R000039186
Scientific Title A phase II, multicenter study to investigate the safety and efficacy of atezolizumab monotherapy as a sequential therapy following chemoradiotherapy in patients with locally advanced unresectable esophageal cancer
Date of disclosure of the study information 2018/11/01
Last modified on 2023/06/16 07:11:44

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Basic information

Public title

A phase II, multicenter study to investigate the safety and efficacy of atezolizumab monotherapy as a sequential therapy following chemoradiotherapy in patients with locally advanced unresectable esophageal cancer

Acronym

TENERGY Study

Scientific Title

A phase II, multicenter study to investigate the safety and efficacy of atezolizumab monotherapy as a sequential therapy following chemoradiotherapy in patients with locally advanced unresectable esophageal cancer

Scientific Title:Acronym

TENERGY Study

Region

Japan


Condition

Condition

Esophageal cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the clinical efficacy and safety of atezolizumab monotherapy, following definitive chemoradiotherapy with fluorouracil and cisplatin in patients with unresectable locally advanced esophageal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Confirmed complete response rate by investigators' assessment

Key secondary outcomes

- Confirmed complete response rate by central assessment
- Progression-free survival
- Objective Response rate
- Overall survival
- Incidences of adverse events
- Sites of progressive disease


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



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Monotherapy with Atezolizumab (1200 mg), every 3 weeks intravenous administration

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

Eligibility criteria of primary part;
1. Histologically confirmed esophagus squamous cancer, adenosquamous cell carcinoma or basaloid-squamous carcinoma.
2. The primary lesion located within the thoracic esophagus
3. Diagnosed unresectable cancer with computed tomography (CT) scanned before the chemoradiotherapy (CRT)
4. No distant metastasis except supraclavicular lymph node with the CT before the CRT
5. No prior treatment for the esophageal cancer except endoscopic resection before CRT
6. Able to be enrolled to the study within 28 days after CRT that fulfills the requirements
7.

Eligibility criteria of postoperative recurrence part:
1. Surgical specimen histologically diagnosed as esophagus squamous cancer, adenosquamous cell carcinoma or basaloid-squamous carcinoma.
2. Unresectable, locoregionally recurrent cancer that can be treated with definitive CRT after the curative surgery for the primary esophageal cancer
3. No distant metastasis except supraclavicular lymph node with the CT before CRT
4. 24 weeks or longer elapsed on the first day of CRT after adjuvant chemotherapy, if conducted
5. Able to be enrolled to the study within 28 days after CRT that fulfills the requirements
6.

Common eligibility criteria
1. Age of 20 years or older
2. ECOG performance status of 0 or 1
3. Adequate hematologic and organ function
4. For women of childbearing potential: negative in a urine pregnancy test
5. Agreement to use an effective form of contraceptive methods from the consent through five months after the last dose of atezolizumab
6. Life expectancy of 3 months or longer
7. Singed informed consent form

Key exclusion criteria

1. Active double cancers
2. Requiring systemic treatment for active infection
3. Past or concurrent inflammatory bowel disease
4. Past or concurrent interstitial lung disease
5. Concurrent autoimmune disease or past chronic or recurrent autoimmune disease
6. Requiring Systemic treatment with corticosteroids or immunosuppressants or who have received these treatments within 14 days before the enrollment in the study
7. Past or concurrent thyroid dysfunction
8. A history or finding of cardiovascular risk
9. Poorly controlled diabetes mellitus.
10. Positive for any of the followings: HIV antibody, HBs antigen, HCV antibody test.
11. Pregnant or lactating
12. Clinically significant unstable psychiatric disorders or other medical disorders
13. No prior treatment with atezolizumab, anti-PD-1 antibody, anti-PD-L1 antibody, anti-PD-L2 antibody, anti-CD137 antibody or anti-CTLA-4 antibody, or any other antibody or drug therapy regulating T cell
14. Not willing to comply or incapable of complying with the procedures specified in the protocol.
15. Unsuitable for the study due to such as a complicated disorder affecting the assessment of toxicity in the investigator's judgment

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Takashi
Middle name
Last name Kojima

Organization

National Cancer Center Hospital East

Division name

Gastrointestinal Oncology Division

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan

TEL

04-7133-1111

Email

tenergy_core@east.ncc.go.jp


Public contact

Name of contact person

1st name Hideaki
Middle name
Last name Bando

Organization

Aichi Cancer Center Hospital

Division name

Department of Clinical Oncology

Zip code

464-8681

Address

1-1 Kanokoden, Chikusa-ku, Nagoya, 464-8681, Japan

TEL

052-762-6111

Homepage URL


Email

tenergy_core@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center
Hospital East

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Hospital Institutional Review Board

Address

6-5-1,Kashiwanoha,Kashiwa,Chiba,277-8577,Japan

Tel

04-7133-1111

Email

irboffice@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

国立研究開発法人国立がん研究センター東病院(千葉県)
国立研究開発法人国立がん研究センター中央病院(東京都)
埼玉県立がんセンター(埼玉県)
がん研究会有明病院(東京都)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター(愛知県)


Other administrative information

Date of disclosure of the study information

2018 Year 11 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

Completed

Date of protocol fixation

2018 Year 08 Month 29 Day

Date of IRB

2018 Year 10 Month 10 Day

Anticipated trial start date

2018 Year 11 Month 25 Day

Last follow-up date

2022 Year 01 Month 05 Day

Date of closure to data entry

2022 Year 02 Month 01 Day

Date trial data considered complete

2022 Year 03 Month 31 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 10 Month 04 Day

Last modified on

2023 Year 06 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039186


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name