Unique ID issued by UMIN | UMIN000003288 |
---|---|
Receipt number | R000003977 |
Scientific Title | Phase I/II study of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine. |
Date of disclosure of the study information | 2010/03/04 |
Last modified on | 2014/09/04 11:58:06 |
Phase I/II study of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.
KMOG0901 CeIRIS trial
Phase I/II study of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.
KMOG0901 CeIRIS trial
Japan |
Colorectal cancer: KRAS wild type
Gastroenterology | Hematology and clinical oncology |
Malignancy
YES
To evaluate the efficacy and safety of Cetuximab combined with S-1 and irrinotecan (CeIRIS) in KRAS wild type metastatic colorectal cancer patients refractory to treatment with oxaliplatin and fluoropyrimidine.
Safety,Efficacy
Exploratory
Phase I,II
1) Phase I study
To determine the maximum tolerated dose (MTD) and recommended dose (RD)
2) Phase II study
Response rate
1) Phase I study
To evaluate the toxicity and efficacy
2) Phase II study
Progression-free survival, Overall survival, Disease control rate, Time to treatment failure and Safety profile
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
Cetuximab: Weekly administration 400 mg/m2 for the 1st time (day1), 250mg/m2/week for the 2nd time or another (day8,15,..)
TS-1 is orally administered b.i.d. on days 1-14 and CPT-11 is intravenously administered on days 1 and 8 every 3 weeks
S-1:Level1 65mg/m2 day1-14
Level2 80mg/m2 day1-14
CPT-11:Level1,2 80mg/m2, day1,8
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) Histologically proven colorectal cancer
2) KRAS WT unresectable advanced/recurrent colorectal cancer
3) Confirmed UGT1A1 genotype: both *6 and *28 wild type, or either *6 or *28 heterozygote type
4) Presence of measurable lesion
5) Age >=20 and =<75
6) Eastern Cooperative Oncology Group (ECOG) performance status(PS) 0 or 1
7) Patients who had documented progressive disease after a minimum of 4 weeks of oxaliplatin and fluoropyrimidine containing chemotherapy.
8) No prior chemotherapy involving TS-1 or CPT-11 or Cetuximab.
9) Previous chemotherapy completed at least 2 weeks before inclusion.
10) Ability of oral intake
11) Submission of the available microsection (5-10um, more than 3 cut slides) to perform genetic test for KRAS and BRAF and microscopic test with hematoxylin-eosin stain.
12) With normal function of the important organs
13) Life expectancy of more than 3 months
14) With a written informed consent
15) Adequate organ function, evidenced by the following laboratory results within 1 week prior to registration.
1. WBC 3,000/mm3-12,000/mm3
2. Neurtophils >=1,500/mm3
3. Platelets >=100,000/mm3
4. Hemoglobin >=9.0g/dl
5. AST and ALT <=100IU/l
6. Total bilirubin <=1.5mg/dl
7. Creatinine <1.5mg/dl
1) Severe comorbidity (active infectious disease, severe cerebrovascular disorder, uncontrolable diabetes, heart failure, angina, myocardial infarction within three months, severe hepatic disorder, jaundice etc)
2) Comorbidity or history of interstitial lung disease or pulmonary fibrosis
3) Massive pleural effusion or ascites
4) Symptomatic brain metastasis
5) Wattery diarrhea
6) Paralytic or mechanical bowel obstruction
7) Patients who is receiving Fluorocytosine
8) Patients who is receiving Atazanavir Sulfate
9) Simultaneous or metachronous double cancers
10) History of severe allergy
11) Current chronic daily treatment with corticosteroids(oral intake or intravenously)
12) Severe infectious disease
13) Amalgamation of mental disease or psychotic manifestation
14) Pregnant or lactating women or women of childbearing potential.
15) Any other patient whom the physician in charge of the study judges to be unsuitable.
40
1st name | |
Middle name | |
Last name | T. Esaki |
National Kyushu Cancer Center
Gastrointestinal and Medical Oncology Division
3-1-1 Notame, Minami-ku, Fukuoka-city, Fukuoka, 811-1395, JAPAN
092-541-3231
tesaki@nk-cc.go.jp
1st name | |
Middle name | |
Last name | A. Makiyama |
JCHO Kyushu Hospital
Department of Hematology/Oncology
1-8-1 kishinoura, yahatanishi-ku, Kitakyushu, Fukuoka 806-8501, Japan
093-641-5111
makiyama.a@qkn-hosp.jp
Kyushu Medical Oncology Group
HO
Self funding
Department of Medical Oncology, First Department of Internal Medicine, Faculty of Medicine, Kyushu University
NO
2010 | Year | 03 | Month | 04 | Day |
Unpublished
Open public recruiting
2009 | Year | 12 | Month | 01 | Day |
2010 | Year | 02 | Month | 01 | Day |
2010 | Year | 03 | Month | 04 | Day |
2014 | Year | 09 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003977