UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041004
Receipt number R000046804
Scientific Title To establish of optimal antiemetic therapy for trastuzumab deruxtecan therapy-induced nausea and vomiting in patients with breast cancer:an open-label, randomized pilot study
Date of disclosure of the study information 2020/07/06
Last modified on 2024/01/07 17:45:00

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Basic information

Public title

To establish of optimal antiemetic therapy for trastuzumab deruxtecan therapy-induced nausea and vomiting in patients with breast cancer:an open-label, randomized pilot study

Acronym

To establish of optimal antiemetic therapy for trastuzumab deruxtecan therapy-induced nausea and vomiting in patients with breast cancer:an open-label, randomized pilot study

Scientific Title

To establish of optimal antiemetic therapy for trastuzumab deruxtecan therapy-induced nausea and vomiting in patients with breast cancer:an open-label, randomized pilot study

Scientific Title:Acronym

To establish of optimal antiemetic therapy for trastuzumab deruxtecan therapy-induced nausea and vomiting in patients with breast cancer:an open-label, randomized pilot study

Region

Japan


Condition

Condition

breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To Evaluate the complete responce using granisetron, dexamethasone or granisetron + dexamethasone + aprepitant(fosaprepitant) as an antiemetic treatment in patients with breast cancer who will be treated with trastuzumab deruxtecan(DS-8201).

Basic objectives2

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 DS-8201 administration.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

granisetron + dexamethasone

Interventions/Control_2

granisetron + dexamethasone + aprepitant (fosaprepitant)

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

Female

Key inclusion criteria

1. Female patients with breast cancer
2. Patients with no history of administration of DS-8201
2. Patients aged >= 20 years old
4. 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.
5. Patients who meet the following standard values in general clinical tests:
AST and ALT <=100U/L
Total bilirubin <=2.0mg/dL
6. 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. Patients who are judged to be inappropriate for the study by the investigator

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name Futamura

Organization

Gifu University Graduate School of Medicine

Division name

Department of Surgical Oncology

Zip code

500-1194

Address

1-1 Yanagido, Gifu

TEL

058-230-6000

Email

mfutamur@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

Ethical review committee of the Gifu University Graduate School of Medicine

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

2020 Year 07 Month 06 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.jcancer.org/v14p2644.htm

Number of participants that the trial has enrolled

40

Results

The overall CR rates were 36.8% and 70.0% in the GD and GDA arms, respectively (odds ratio 0.1334; 95% confidence interval [CI]: 0.0232-0.7672; P = 0.0190), with a difference of 33.2%.

Results date posted

2024 Year 01 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2023 Year 08 Month 28 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 06 Month 12 Day

Date of IRB

2020 Year 07 Month 01 Day

Anticipated trial start date

2020 Year 07 Month 01 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 07 Month 05 Day

Last modified on

2024 Year 01 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046804


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name