UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041175
Receipt number R000047015
Scientific Title A cohort study on the safety of bevacizumab in combination with neoadjuvant chemotherapy in the initial treatment of advanced ovarian cancer using a Japanese healthcare database
Date of disclosure of the study information 2020/07/27
Last modified on 2022/12/05 17:01:46

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Basic information

Public title

A cohort study on the safety of bevacizumab in combination with neoadjuvant chemotherapy in the initial treatment of advanced ovarian cancer using a Japanese healthcare database

Acronym

A cohort study on the safety of bevacizumab in combination with neoadjuvant chemotherapy in the initial treatment of advanced ovarian cancer using a Japanese healthcare database

Scientific Title

A cohort study on the safety of bevacizumab in combination with neoadjuvant chemotherapy in the initial treatment of advanced ovarian cancer using a Japanese healthcare database

Scientific Title:Acronym

A cohort study on the safety of bevacizumab in combination with neoadjuvant chemotherapy in the initial treatment of advanced ovarian cancer using a Japanese healthcare database

Region

Japan


Condition

Condition

Advanced ovarian cancer

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To reveal the safety information of bevacizumab in combination with neoadjuvant chemotherapy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The incidence of gastrointestinal perforation of neoadjuvant chemotherapy in combination with or without bevacizumab in the initial treatment of advanced ovarian cancer, and the risk ratio and risk difference of bevacizumab in combination with neoadjuvant chemotherapy compared to chemotherapy alone

Key secondary outcomes



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


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Patients with ovarian cancer, fallopian tube cancer or peritoneal cancer from April 1, 2008 to January 29, 2020

Key exclusion criteria

Patients with cancer other than ovarian cancer, fallopian tube cancer or peritoneal cancer

Target sample size

48000


Research contact person

Name of lead principal investigator

1st name Kaori
Middle name
Last name Ouchi

Organization

Chugai Pharmaceutical Co., Ltd.

Division name

Medical Affairs Div.

Zip code

103-8324

Address

1-1 Nihonbashi-Muromachi 2-Chome, Chuo-ku, Tokyo 103-8324, Japan

TEL

03-3273-0866

Email

cma-clinicaltrial@chugai-pharm.co.jp


Public contact

Name of contact person

1st name Co., Ltd.
Middle name
Last name Chugai Pharmaceutical

Organization

Medical Affairs Div.

Division name

Medical Science Dept.

Zip code

103-8324

Address

1-1 Nihonbashi-Muromachi 2-Chome, Chuo-ku, Tokyo 103-8324, Japan

TEL

03-3273-0866

Homepage URL


Email

cma-clinicaltrial@chugai-pharm.co.jp


Sponsor or person

Institute

Chugai Pharmaceutical Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Chugai Pharmaceutical Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Non-Profit Organization MINS

Address

15-14 Dogenzaka 1-Chome, Shibuya-ku, Tokyo, Japan

Tel

03-6416-1868

Email

npo-mins@j-irb.com


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 27 Day


Related information

URL releasing protocol

N/A

Publication of results

Unpublished


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/36245228/

Number of participants that the trial has enrolled

7839

Results

PTX+CBDCA (TC) was most commonly used as first-line treatment. TC+Bev was used in 9.3% and 11.6% of patients in the NAC and PDS groups, respectively. The proportion of patients with risk factors for GI perforation in the TC+Bev group of NAC was lower compared to patients without Bev. The incidence of GI perforation in the NAC group was 0.38% in patients receiving TC+Bev and 0.18% in patients receiving TC without Bev (risk ratio=2.13; 95%CI=0.19 to 23.36; risk difference=0.20; 95%CI=-0.58 to 0.97).

Results date posted

2022 Year 12 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2022 Year 09 Month 30 Day

Baseline Characteristics

Patients diagnosed with ovarian, fallopian tube or peritoneal cancer and first treated between 1 April 2008 and 29 January 2020
(Patients with suspected recurrence and patients diagnosed with other cancers are excluded)

Participant flow

Patients were divided into two groups: the NAC group (IDS after NAC) and the PDS group (adjuvant chemotherapy after PDS). 2864 patients in the NAC group and 2760 patients in the PDS group were selected from each group from 22 November 2013 to 30 January 2019, considering the approval date of Bev and the observation period. Cases treated with the CBDCA+PTX (TC) combination therapy and TC+Bev combination therapy were selected for adverse event analysis.

Adverse events

None

Outcome measures

Incidence rates, risk ratios and risk differences for gastrointestinal perforation during the first treatment period in advanced ovarian cancer first-line NAC with and without Bev combination therapy

Plan to share IPD

None

IPD sharing Plan description

None


Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 05 Month 27 Day

Date of IRB

2020 Year 05 Month 27 Day

Anticipated trial start date

2008 Year 04 Month 01 Day

Last follow-up date

2020 Year 01 Month 29 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

A cohort study using a Japanese healthcare database


Management information

Registered date

2020 Year 07 Month 21 Day

Last modified on

2022 Year 12 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047015


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name