UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000050878
Receipt number R000057983
Scientific Title Prospective observational study to evaluate the efficacy of anamorelin on the course of first line chemotherapy in patients with previously-untreated advanced non-small cell lung cancer and cachexia (NEJ050B)
Date of disclosure of the study information 2023/04/18
Last modified on 2024/04/18 11:02:50

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Prospective observational study to evaluate the efficacy of anamorelin on the course of first line chemotherapy in patients with previously-untreated advanced non-small cell lung cancer and cachexia (NEJ050B)

Acronym

Prospective observational study of anamorelin in patients with previously-untreated advanced non-small cell lung cancer and cachexia (NEJ050B)

Scientific Title

Prospective observational study to evaluate the efficacy of anamorelin on the course of first line chemotherapy in patients with previously-untreated advanced non-small cell lung cancer and cachexia (NEJ050B)

Scientific Title:Acronym

Prospective observational study of anamorelin in patients with previously-untreated advanced non-small cell lung cancer and cachexia (NEJ050B)

Region

Japan


Condition

Condition

Non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate whether anamorelin affects on Quality of Life (QOL) related to appetite, efficacy of first line chemotherapy, and adverse events on the course of first-line chemotherapy in patients with previously-untreated advanced non-small cell lung cancer and cachexia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Proportion of patients with clinically relevant improvement in FAACT (A/CS) at 3 weeks after the start of first-line chemotherapy

Key secondary outcomes

FAACT (A/CS), Questionnaire for eating-related distress among patients with advanced cancer (QERD), FACT-G, ECOG PS, KPS, body weight, objective response rate, disease control rate, progression-free survival, overall survival, adverse events, Composite Clinical Response (defined as the proportion of patients with an increase in body weight of >= 5 % and an increase in FAACT 5IASS score of >= 2 points at 3 weeks after the start of first-line chemotherapy)


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Pathologically diagnosed NSCLC.
(2) Newly diagnosed locally advanced (clinical stage IIIB, IIIC) or metastatic NSCLC.
(3) Subjects meet the diagnostic criteria for cachexia (body weight loss >= 5 % within the last 6 months).
(4) Subjects have anorexia and 2 or more of the following (i) to (iii): (i) have fatigue or malaise, (ii) have reduced overall muscular strength, (iii) have more than 1 of the following conditions: CRP > 0.5 mg/dL, Hb < 12 g/dL, Alb < 3.2 g/dL.
(5) No prior systemic therapy (including in cytotoxic chemotherapy, targeted therapy, and immune checkpoint inhibitor) for advanced NSCLC. Subjects who received prior adjuvant and/or neo-adjuvant therapies are eligible.
(6) Subjects scheduled to receive systemic therapy (cytotoxic chemotherapy, targeted therapy, and immune checkpoint inhibitor are all acceptable).
(7) Patients scheduled to receive anamorelin within 7 days prior to systemic therapy.
(8) ECOG PS of 0 to 2.
(9) Aged 18 years or more.
(10) Provided Informed Consent.

Key exclusion criteria

(1) Current use of corticosteroids.
(2) Subjects scheduled to receive systemic therapy, but don't fit into cohorts 1, 2, or 3.
(3) Subjects with a history of hypersensitivity to anamorelin
(4) Subjects with congestive heart failure
(5) Subjects with myocardial infarction or angina pectoris
(6) Subjects with severe conduction system disorders (such as complete atrioventricular block)
(7) Subjects receiving the following drugs: clarithromycin, indinavir, itraconazole, nelfinavir, saquinavir, telaprevir, voriconazole, ritonavir-containing products, cobicistat-containing products
(8) Subjects with liver dysfunction of more than moderate severity (Child-Pugh class B or C)
(9) Subjects with difficulty in oral intake of food due to gastrointestinal obstruction or other organic abnormality of the gastrointestinal tract
(10) Subjects who are unable to accurately complete the QOL questionnaire.
(11) Subjects who are judged by the principal or sub-investigator to be unsuitable for inclusion in this study.

Target sample size

135


Research contact person

Name of lead principal investigator

1st name Kazuhisa
Middle name
Last name Takahashi

Organization

Juntendo University Graduate School of Medicine

Division name

Department of Respiratory Medicine

Zip code

113-8431

Address

3-1-3, Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3813-3111

Email

kztakaha@juntendo.ac.jp


Public contact

Name of contact person

1st name Keita
Middle name
Last name Miura

Organization

Shizuoka Cancer Center

Division name

Division of Thoracic Oncology

Zip code

411-8777

Address

1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, Japan

TEL

055-989-5222

Homepage URL


Email

ke.miura@scchr.jp


Sponsor or person

Institute

North East Japan Study Group (NEJSG)

Institute

Department

Personal name



Funding Source

Organization

ONO PHARMACEUTICAL CO., LTD.

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

Research Ethics Committee, Faculty of Medicine, Juntendo University

Address

3-1-3, Hongo, Bunkyo-ku, Tokyo, Japan

Tel

03-5802-1584

Email

kenkyu5858@juntendo.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

2023 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


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

Enrolling by invitation

Date of protocol fixation

2022 Year 12 Month 23 Day

Date of IRB

2023 Year 03 Month 06 Day

Anticipated trial start date

2023 Year 03 Month 31 Day

Last follow-up date

2025 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective observational study


Management information

Registered date

2023 Year 04 Month 18 Day

Last modified on

2024 Year 04 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000057983


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name