UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035974
Receipt number R000040882
Scientific Title RETROSPECTIVE JAPANESE REAL WORLD STUDY OF METASTATIC RENAL CELL CARCINOMA TREATED WITH NIVOLUMAB PLUS IPILIMUMAB (J-cardinal study)
Date of disclosure of the study information 2019/02/22
Last modified on 2022/09/01 14:20:51

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Basic information

Public title

RETROSPECTIVE JAPANESE REAL WORLD STUDY OF METASTATIC RENAL CELL CARCINOMA TREATED WITH NIVOLUMAB PLUS IPILIMUMAB (J-cardinal study)

Acronym

J-cardinal study

Scientific Title

RETROSPECTIVE JAPANESE REAL WORLD STUDY OF METASTATIC RENAL CELL CARCINOMA TREATED WITH NIVOLUMAB PLUS IPILIMUMAB (J-cardinal study)

Scientific Title:Acronym

J-cardinal study

Region

Japan


Condition

Condition

metastatic renal cell carcinoma (mRCC)

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study on patients with metastatic renal cell carcinoma (mRCC), who started treatment with nivolumab plus ipilimumab in clinical practice in Japan, is to collect data on the use of nivolumab plus ipilimumab under actual clinical conditions and clarifies the following at early timing after approval.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

ORR

Key secondary outcomes

Safety, BOR, PFS, OS, Tumor reduction rate, Status for use of nivolumab plus ipilimumab, Efficacy after discontinuation of nivolumab plus ipilimumab


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

A patient with RCC with distant metastasis treated for the first time with nivolumab plus ipilimumab between 21 Aug 2018 and 31 Jan 2019

Intermediate and poor on the IMDC risk definition

Key exclusion criteria

Patients who are applied for post marketing study of nivolumab plus ipilimumab

Favorable on the IMDC risk definition

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Hiroki
Middle name
Last name Matsumoto

Organization

Ono Pharmaceutical CO., LTD

Division name

Oncology Medical, Medical Affairs

Zip code

541-8564

Address

8-2, Kyutaromachi 1-Chome, Chuo-ku, Osaka-Shi, Osaka, Japan

TEL

662632992

Email

hi.matsumoto@ono.co.jp


Public contact

Name of contact person

1st name Chizuko
Middle name
Last name Kamada

Organization

CMIC Co., Ltd.

Division name

Academia Clinical Research Div.

Zip code

105-0023

Address

Hamamatsucho Bldg., 1-1-1 Shibaura, Minato-ku, Tokyo, Japan

TEL

0367798000

Homepage URL


Email

J-cardinal_cta@cmic.co.jp


Sponsor or person

Institute

Ono Pharmaceutical CO.,LTD.
Bristol-Myers Squibb K.K.

Institute

Department

Personal name



Funding Source

Organization

Ono Pharmaceutical CO.,LTD.
Bristol-Myers Squibb K.K.

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

Ono Pharmaceutical CO.,LTD. "Medical and Health Research Involving Human Subjects" Ethics Committee

Address

8-2, Kyutaromachi 1-Chome, Chuo-ku, Osaka-Shi, Osaka, Japan

Tel

0662632992

Email

n.nishiwaki@ono.co.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

2019 Year 02 Month 22 Day


Related information

URL releasing protocol

https://academic.oup.com/jjco/advance-article/doi/10.1093/jjco/hyac124/6654520?login=true

Publication of results

Published


Result

URL related to results and publications

https://academic.oup.com/jjco/advance-article/doi/10.1093/jjco/hyac124/6654520?login=true

Number of participants that the trial has enrolled

45

Results

The effectiveness of nivolumab plus ipilimumab combination therapy in a real world setting in Japan at 2-year analysis and safety at 1-year analysis were comparable with those of CheckMate 214. The analysis also demonstrated the effectiveness of second-line therapy after the combination therapy.

Results date posted

2022 Year 09 Month 01 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with IMDC intermediate or poor risk previously untreated mRCC, who had initiated nivolumab plus ipilimumab combination therapy between21 August 2018 and 31 January 2019, were allowed to enroll in this study.

Participant flow

Forty-five patients were enrolled from nine hospitals in Japan and their data were retrospectively analyzed.

Adverse events

Any grade treatment-related adverse events occurred in 35 patients (77.8%), whereas grade >=3 treatment related AEs occurred in 17 patients (37.8%). No new safety signals for nivolumab plus ipilimumab combination therapy were reported.

Outcome measures

Objective response rate of nivolumab plus ipilimumab combination therapy was 41.5% (17 patients), with 6 patients (14.6%) achieving complete response. Median progression-free survival of the combination therapy was 17.8 months and 24-month overall survival rates were 59.1%. Twenty-two patients were treated with second-line therapy. Objective response rate of second-line therapy was 20% and median progression-free survival was 9.8 months.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 01 Month 28 Day

Date of IRB

2019 Year 01 Month 31 Day

Anticipated trial start date

2019 Year 05 Month 07 Day

Last follow-up date

2021 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a non-interventional, medical record review of clinical data collected from Japanese patients using an electronic data collection (EDC) system.


Management information

Registered date

2019 Year 02 Month 22 Day

Last modified on

2022 Year 09 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040882


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name