UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004882
Receipt number R000003868
Scientific Title Multicenter Phase II trial of Irinotecan plus S-1 with cetuximab (IRIS/Cet) in patients with EGFR positive and KRAS wild type of advanced/metastatic colorectal cancer
Date of disclosure of the study information 2011/01/15
Last modified on 2015/07/15 10:14:32

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Basic information

Public title

Multicenter Phase II trial of Irinotecan plus S-1 with cetuximab (IRIS/Cet) in patients with EGFR positive and KRAS wild type of advanced/metastatic colorectal cancer

Acronym

Phase II trial of Irinotecan plus S-1 with cetuximab in advanced/metastatic colorectal cancer

Scientific Title

Multicenter Phase II trial of Irinotecan plus S-1 with cetuximab (IRIS/Cet) in patients with EGFR positive and KRAS wild type of advanced/metastatic colorectal cancer

Scientific Title:Acronym

Phase II trial of Irinotecan plus S-1 with cetuximab in advanced/metastatic colorectal cancer

Region

Japan


Condition

Condition

advanced/metastatic colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To assess the effectiveness and safety of irinotecan plus S-1 rejimen (IRIS) with Cetuximab combination therapy as the 2nd line treatment in patients with EGFR positive and KRAS wild type advanced/metastatic colorectal cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Response rate

Key secondary outcomes

Disease control rate


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Irinotecan plus S-1 with cetuximab combination therapy
Cetuximab 400mg/m2 day1 and then 250mg/m2 day 8,15,22 weekly until PD, or Cetuximab 500mg/m2 day 1, 15, 29 biweekly until PD
Irinotecan 100 mg/m2 day1,15, 30 biweekly until PD
S-1
S-1 80mg [BSA<1.25m2] or 100mg [1.25m2<BSA<1.5m2] or 120mg [1.5m2<BSA]/body/day, day 1-14, q4weeks

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) Histologically confirmed colorectal cancer.
2) Clinically proven unresectable advanced/ metastatic colorectal cancer
3) Previously received on one regimen of oxaliplatin-contained chemotherapy (contained relapse less than 6 months from adjuvant chemotherapy)
4) Presence of at least one measurable lesion (according to the RECIST ver.1.1)
5) Immunohistochemical evidence of EGFR expression, either in the primary tumor or in metastatic tumor lesion
6) KRAS wild type (in codon 12, 13) confirmed, either in the primary tumor or in metastatic tumor lesion
7) Patients unaffected prior therapy
At least 4-6 weeks since prior radiotherapy
At least 4 weeks since prior operation for organ
At least 2 weeks since prior chemotherapy
At least 2 weeks since prior immune therapy, cytokine therapy or BRM therapy
8) More than 20 years of age
9) ECOG performance status 0-1
10) Adequate organ function for study treatment
WBC>=3000mm3, neutrophils>=1500/mm3
Platelets>=100000/mm3
Hemoglobin>=8.0g/dl
AST and ALT<=upper limit of normal (ULN)*2.5 (<=ULN*5 in case of liver metastasis)
Total bilirubin<=upper limit of normal (ULN)*2
Creatinine<=upper limit of normal (ULN)
11) Oral food intake possible
12) Life expectancy must be 3 months or longer after the combination therapy
13) Written informed consent

Key exclusion criteria

1) History of severe allergy
2) Simultaneous or metachronous double cancers
3) Symptomatic brain metastasis
4) Severe infectious disease
5) Severe complications (interstitial lung disease or pulmonary fibrosis, heart failure, kidney failure, hepatic failure, uncontrolable diabetes, Jaundice)
6) Paralytic or mechanical bowel obstruction
7) Massive pleural effusion or ascites
8) Wattery diarrhea
9) Patients who is receiving Atazanavir Sulfate or Flucytosine
10) Pregnant or lactating women or women of childbearing potential
11) Any other cases who are regarded as inadequate for study enrollment by the investigator.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshito Komatsu

Organization

Hokkaido University Hospital

Division name

Cancer center

Zip code


Address

Nishi 5-chome, Kita 14-jo, Kitaku, Sapporo-city, Hokkaido

TEL

011-716-1161

Email

ykomatsu@med.hokudai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Satoshi Yuuki

Organization

Hokkaido University Hospital

Division name

Gastroenterology & Hematorogy

Zip code


Address

Nishi 5-chome, Kita 14-jo, Kitaku, Sapporo-city, Hokkaido

TEL

011-706-5657

Homepage URL


Email

satoshi-yuuki175@joy.ocn.ne.jp


Sponsor or person

Institute

NPO Hokkaido Gastrointestinal Cancer Study Group (HGCSG)

Institute

Department

Personal name



Funding Source

Organization

NPO Hokkaido Gastrointestinal Cancer Study Group (HGCSG)

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

北海道大学病院(北海道)
北海道消化器癌化学療法研究会(HGCSG)関連施設


Other administrative information

Date of disclosure of the study information

2011 Year 01 Month 15 Day


Related information

URL releasing protocol


Publication of results

Partially published


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

Main results already published

Date of protocol fixation

2009 Year 12 Month 14 Day

Date of IRB


Anticipated trial start date

2010 Year 03 Month 01 Day

Last follow-up date

2013 Year 12 Month 31 Day

Date of closure to data entry

2013 Year 12 Month 31 Day

Date trial data considered complete

2014 Year 12 Month 01 Day

Date analysis concluded

2014 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 01 Month 15 Day

Last modified on

2015 Year 07 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003868