UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000036424
Receipt number R000041290
Scientific Title An observational study to evaluate clinical utility of the pursuit of RAS status using ctDNA analysis to investigate the optimal patient population for anti-EGFR re-challenge therapy
Date of disclosure of the study information 2019/04/18
Last modified on 2022/04/09 15:28:40

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Basic information

Public title

Best timing of EGFR re-challenge by monitoring the mutant allele of KRAS/NRAS in liquid biopsy

Acronym

REMARRY Study

Scientific Title

An observational study to evaluate clinical utility of the pursuit of RAS status using ctDNA analysis to investigate the optimal patient population for anti-EGFR re-challenge therapy

Scientific Title:Acronym

REMARRY Study

Region

Japan


Condition

Condition

Patients with RAS/BRAF V600E wild-type unresectable advanced or recurrent colorectal cancer who have been treated with anti-EGFR monoclonal antibody

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the dynamics of RAS mutational status in patients with RAS/BRAF V600E wild-type unresectable advanced or recurrent colorectal cancer who have been treated with anti-EGFR monoclonal antibody by sequential monitoring using circulating tumor DNA analysis.

Basic objectives2

Others

Basic objectives -Others

To explore patients who are effective for anti-EGFR monoclonal antibody re-challenge based on the results of the monitoring.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The dynamics of the positive RAS mutations rate by circulating tumor DNA analysis using OncoBEAM RAS CRC KIT

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Unresectable advanced colorectal adenocarcinoma confirmed by histological diagnosis.
2) RAS (KRAS/NRAS) and BRAF V600E wild type analyzed by tumor tissue.
3) Participants in GOZILA Study (UMIN000029315).
4) Complete or partial response to previous chemotherapy including anti-EGFR antibody (cetuximab or panitumumab).
5) Documentation of progression to previous anti-EGFR antibody within 2 months after last anti-EGFR antibody administration.
6) Patients who are able to be obtained blood sample before following treatment.
7) ECOG 0 or 1.
8) Age >= 20 year old.
9) Life expectancy of at least 12 weeks.
10) Written informed consent obtained.

Key exclusion criteria

1) Severe comorbidity.
(a) Active multiple cancer
(b) Uncontroled central nervous system or leptomeningeal metastasis
(c) Mental illness or mental symptoms that would interfere with participation in the study
2) Any patients who are regarded as inadequate for anti-EGFR monoclonal antibody re-challenge by investigators.
3) Intolerant to previous irinotecan therapy.
4) Comorbidity or history of severe pulmonary disease.
5) Men/women who are unwilling to avoid pregnancy. Women who are pregnant or breastfeeding. Women with a positive pregnancy test.
6) Active HCV or HIV infection.
7) Any other patients who are regarded as inadequate for study enrollment by investigators.

Target sample size

180


Research contact person

Name of lead principal investigator

1st name Hiroya
Middle name
Last name Taniguchi

Organization

Aichi cancer center hospital

Division name

Department of Clinical Oncology

Zip code

464-8681

Address

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

TEL

052-762-6111

Email

hiroya.taniguchi@aichi-cc.jp


Public contact

Name of contact person

1st name Hiromichi
Middle name
Last name Nakajima

Organization

National Cancer Center Hospital East

Division name

Department of experimental therapeutics

Zip code

2778577

Address

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

TEL

04-7133-1111

Homepage URL


Email

hiromina@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital East

Institute

Department

Personal name



Funding Source

Organization

Sysmex Corporation

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

NCC IRB office

Address

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



Other administrative information

Date of disclosure of the study information

2019 Year 04 Month 18 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

180

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

No longer recruiting

Date of protocol fixation

2019 Year 03 Month 16 Day

Date of IRB

2019 Year 03 Month 19 Day

Anticipated trial start date

2019 Year 04 Month 18 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study Design: Observational study
Target population:the patients who meet the selection criteria until March 31 2020 from research permit date


Management information

Registered date

2019 Year 04 Month 05 Day

Last modified on

2022 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000041290


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name