UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042905
Receipt number R000047516
Scientific Title Postoperative radiotherapy (PORT) for pathological N2 non-small cell lung cancer with adjuvant chemotherapy: a randomized phase III trial
Date of disclosure of the study information 2021/01/05
Last modified on 2021/01/05 11:31:01

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Basic information

Public title

Postoperative radiotherapy (PORT) for pathological N2 non-small cell lung cancer with adjuvant chemotherapy: a randomized phase III trial
(JCOG1916, J-PORT)

Acronym

Postoperative radiotherapy (PORT) for pathological N2 non-small cell lung cancer with adjuvant chemotherapy: a randomized phase III trial
(JCOG1916, J-PORT)

Scientific Title

Postoperative radiotherapy (PORT) for pathological N2 non-small cell lung cancer with adjuvant chemotherapy: a randomized phase III trial

Scientific Title:Acronym

Postoperative radiotherapy (PORT) for pathological N2 non-small cell lung cancer with adjuvant chemotherapy: a randomized phase III trial

Region

Japan


Condition

Condition

pathological N2 non-small cell lung cancer

Classification by specialty

Chest surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this randomized phase III study is to confirm the superiority, in terms of relapse-free survival, of radiotherapy over observation after postoperative chemotherapy in patients with pathological N2 stage III non-small cell lung cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

relapse-free survival

Key secondary outcomes

overall survival, proportion of patients completing radiotherapy in arm B, early adverse events, late adverse events in arm B, severe adverse events, local recurrence


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

A: Observation

Interventions/Control_2

B: Thoracic radiotherapy

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

(1)Histologically confirmed NSCLC via surgical specimens
(2)Diagnosed as clinical N0-1 prior to surgery but diagnosed as pathological N2 after surgery
(3)Complete resection (R0) is histologically confirmed via surgical specimens
(4)No satellite tumors
(5)Lobectomy is performed for the primary tumor
(6)Systematic or lobe-specific lymph node dissection is performed
(7)Aged 20 years or older at the time of registration
(8)Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
(9)No prior segmentectomy or lobectomy of the lung other than the resection of the primary tumor
(10)No prior chemotherapy other than the postoperative chemotherapy for the primary tumor
(11)No prior radiotherapy to the chest
(12)More than one course of any of the following regimens is administered for the postoperative chemotherapy without Grade 4 non-hematologic adverse events or drug-induced pneumonitis
(a)Cisplatin plus vinorelbine
(b)Cisplatin plus docetaxel
(c)Cisplatin plus pemetrexed
(13)Within 56 days after postoperative chemotherapy for the primary tumor
(14)No sign of relapse on head, thoracic, and abdominal contrast-enhanced CT after completion of postoperative chemotherapy
(15)No sign of interstitial pneumonia on CT and by histological evaluation of the surgical specimen
(16)Can undergo radiotherapy according to the protocol
(17)Sufficient organ function
(a)White blood cell count >= 3,000/mm3, <= 12,000/mm3
(b)Hemoglobin >= 9.0g/dL
(c)Platelet count >= 80,000/mm3
(d)Total bilirubin <= 1.5 mg/dL
(e)Aspartate aminotransferase <= 100 U/L
(f)Alanine aminotransferase <= 100 U/L
(g)Creatinine <= 1.5 mg/dL
(h)SpO2 >= 93% (room air)
(18)No sign of ischemic heart disease on the latest electrocardiogram findings
(19)Written informed consent

Key exclusion criteria

(1)History of synchronous or metachronous (within 3 years) malignancies
(2)Active infection requiring systemic therapy
(3)Fever with a body temperature higher than 38.0 degrees Celsius at the time of registration
(4)Pregnant, possibly pregnant, within 28 days of delivery, breastfeeding females, or males expecting to father a child
(5)Psychiatric illnesses or symptoms affecting the daily lives
(6)Systemic treatment with steroids or immunosuppressive agents
(7)Unstable angina(diagnosis or worsening of chest pain within 3 weeks) or history of myocardial infarction within 6 months prior to the registration

Target sample size

330


Research contact person

Name of lead principal investigator

1st name Shun-ichi
Middle name
Last name Watanabe

Organization

National Cancer Center Hospital

Division name

Division of Thoracic Surgery

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

TEL

03-3542-2511

Email

JCOG_sir@ml.jcog.jp


Public contact

Name of contact person

1st name Kazuo
Middle name
Last name Nakagawa

Organization

JCOG1916 Coordinating Office

Division name

Division of Thoracic Surgery, National Cancer Center Hospital

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

TEL

03-3542-2511(7041)

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045 Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.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

国立病院機構仙台医療センター(宮城県)
東北大学病院(宮城県)
山形県立中央病院(山形県)
茨城県立中央病院・茨城県地域がんセンター(茨城県)
栃木県立がんセンター(栃木県)
群馬県立がんセンター(群馬県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
千葉大学医学部(千葉県)
国立がん研究センター中央病院(東京都)
杏林大学医学部(東京都)
東京医科大学病院(東京都)
がん・感染症センター都立駒込病院(東京都)
慶應義塾大学病院(東京都)
東京慈恵会医科大学附属病院(東京都)
がん研究会有明病院(東京都)
東京大学医学部(東京都)
順天堂大学医学部附属順天堂医院(東京都)
日本医科大学付属病院(東京都)
聖マリアンナ医科大学(神奈川県)
神奈川県立がんセンター(神奈川県)
横浜市立市民病院(神奈川県)
北里大学医学部(神奈川県)
新潟県立がんセンター新潟病院(新潟県)
金沢大学医学部(石川県)
岐阜大学医学部(岐阜県)
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)
京都大学医学部附属病院(京都府)
大阪大学医学部(大阪府)
大阪市立大学医学部附属病院(大阪府)
大阪国際がんセンター(大阪府)
国立病院機構近畿中央呼吸器センター(大阪府)
大阪市立総合医療センター(大阪府)
神戸大学医学部(兵庫県)
兵庫県立がんセンター(兵庫県)
倉敷中央病院(岡山県)
岡山大学病院(岡山県)
国立病院機構呉医療センター・中国がんセンター(広島県)
広島大学病院(広島県)
国立病院機構四国がんセンター(愛媛県)
国立病院機構九州がんセンター(福岡県)
産業医科大学(福岡県)
九州大学病院(福岡県)
長崎大学病院(長崎県)
熊本大学病院(熊本県)
熊本中央病院(熊本県)


Other administrative information

Date of disclosure of the study information

2021 Year 01 Month 05 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

Open public recruiting

Date of protocol fixation

2020 Year 08 Month 31 Day

Date of IRB

2020 Year 12 Month 17 Day

Anticipated trial start date

2021 Year 01 Month 05 Day

Last follow-up date

2032 Year 01 Month 05 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 01 Month 05 Day

Last modified on

2021 Year 01 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047516


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name