UMIN-CTR Clinical Trial
| Unique ID issued by UMIN | UMIN000004194 |
|---|---|
| Receipt number | R000005040 |
| Scientific Title | A randomized phase III study of continuous maintenance Bevacizumab with or without Pemetrexed after induction therapy of Carboplatin, Pemetrexed, and Bevacizumab in patients with advanced non-squamous non-small-cell lung cancer whose EGFR mutation status is not active (other than Exon 19 deletion or Exon 21 point mutation) or is not known |
| Date of disclosure of the study information | 2010/09/13 |
| Last modified on | 2021/10/08 16:34:38 |
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Basic information
Public title
A randomized phase III study of continuous maintenance Bevacizumab with or without Pemetrexed after induction therapy of Carboplatin, Pemetrexed, and Bevacizumab in patients with advanced non-squamous non-small-cell lung cancer whose EGFR mutation status is not active (other than Exon 19 deletion or Exon 21 point mutation) or is not known
Acronym
Continuous maintenance of bevacizumab with or without pemetrexed for advanced non-squamous non-small cell lung cancer (COMPASS)
Scientific Title
A randomized phase III study of continuous maintenance Bevacizumab with or without Pemetrexed after induction therapy of Carboplatin, Pemetrexed, and Bevacizumab in patients with advanced non-squamous non-small-cell lung cancer whose EGFR mutation status is not active (other than Exon 19 deletion or Exon 21 point mutation) or is not known
Scientific Title:Acronym
Continuous maintenance of bevacizumab with or without pemetrexed for advanced non-squamous non-small cell lung cancer (COMPASS)
Region
| Japan |
Condition
Condition
Non-small cell lung cancer
Classification by specialty
| Pneumology | Hematology and clinical oncology |
Classification by malignancy
Malignancy
Genomic information
NO
Objectives
Narrative objectives1
To investigate whether the addition of Pemetrexed to Bevacizumab maintenance therapy would improve overall survival after Pemetrexed/Carboplatin/Bevacizumab
Basic objectives2
Efficacy
Basic objectives -Others
Trial characteristics_1
Exploratory
Trial characteristics_2
Pragmatic
Developmental phase
Phase III
Assessment
Primary outcomes
Overall survival from the date of randomization for maintenance therapy
Key secondary outcomes
Progression free survival from the date of randomization for maintenance therapy, Overall Survival from the date of enrollment, Progression free survival from the date of enrollment, Adverse event
Base
Study type
Interventional
Study design
Basic design
Parallel
Randomization
Randomized
Randomization unit
Individual
Blinding
Open -no one is blinded
Control
Active
Stratification
YES
Dynamic allocation
YES
Institution consideration
Institution is considered as adjustment factor in dynamic allocation.
Blocking
Concealment
Central registration
Intervention
No. of arms
2
Purpose of intervention
Treatment
Type of intervention
| Medicine |
Interventions/Control_1
Bevacizumab after induction therapy of Carboplatin, Pemetrexed, and Bevacizumab
Interventions/Control_2
Bevacizumab with Pemetrexed after induction therapy of Carboplatin, Pemetrexed, and Bevacizumab
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
Induction therapy
1)Have non-squamous NSCLC and have not received any prior systemic chemotherapy including neoadjuvant /adjuvant therapy
with Stage IIIB, not candidate for curative radiotherapy, Stage IV or recurrence disease after surgery
a) Mixed type is classified into dominant histology but mixed small cell histology is not permitted
b) Regarding the patient who have or have had pleural effusion;
*A patient who requires treatment such as drainage of the pleural space is NOT eligible
*A patient who remains without pleural effusion for more than two weeks after drainage is eligible
*A patient with history of treatment with anticancer drugs (excluding BRM such as picibanil) for pleurodesis is NOT eligible
2)EGFR mutation status is not active (other than Exon 19 deletion or Exon 21 point mutation) or is not known
3)Have measurable lesion meeting Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, but radiation-irradiated lesion is not this case.
4)Must be 20 or more years old at the time of consent.
5)Have Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0~1
6)Have adequate organ function within one week before study entry
7)Have an estimated life expectancy of at least 90days
8)Have signed an informed consent document
Maintenance therapy
1)Meet eligibility criteria between day15 and day43 (day 1 is the date when patients receive last dose of induction therapy)
2)No evidence of Progressive disease on chest CT after the 4th cycle of induction chemotherapy. Brain metastasis should be evaluated with the same modality as used in the base line assessment (MRI or CT)
3)Have ECOG PS 0~1 at the time of randomization
4)Have adequate organ function within 1 weeks before randomization
Key exclusion criteria
Induction therapy
1)Have CNS metastasis. (A case with locally treated asymptomatic brain metastasis can be registered.)
2)Have received radiation therapy to lesions of lung
3)Currently have or have a history of a cardiac effusion which requires treatment
4)Have another active malignancy
5)Currently have or have a history of hemoptysis, or hemosputum as defined below;
a) continue hemosputum for more than one week
b) have had or require continuous oral administration of hemostat
c) have had or require injectable administration of hemostat
6)Have possibly complication related to bleeding episode
a) Have a bleeding diathesis
b) Have a evidence of involvement in major thoracic blood vassel
c) Have a evidence of cavitation in intra-thoracic lesion
d) Have a evidence of thrombosis
7)Have anti-thrombosis drugs within 10 days before enrollment or need them during the study
8)Currently have or have a history of the below disease;
a) Currently have brain vascular disease with symptom, or have a history of it within one year before enrollment
b) Have ever had a history of gastrointestinal perforation or diverticulitis or fistula
c) Have symptomatic heart failure, unstable angina or arrhythmia which requires treatment, or have a history of cardiac infarction within one year before enrollment
d) Have any evidence of interstitial lung disease, drug-induced interstitial disease, radiation pneumonitis or pulmonary fibrosis on chest X-ray or with clinically active symptom, or have medical history of it
e) Currently have superior vena cava syndrome
f) Currently have a cord compression
g) Have a serious, nonhealing wound or unhealed bone fracture.
h) Have an uncontrollable ulcer
i) Have uncontrollable hypertension
j) Have a serious concomitant active infection, which needs antibiotics, antimycotic drugs or virucide
9)have a known sensitivity to any component of platinum drugs or monoclonal antibody drugs
10)Not have time interval described after prior therapies at the time of study entry
...etc.
Target sample size
620
Research contact person
Name of lead principal investigator
| 1st name | |
| Middle name | |
| Last name | Takashi Seto |
Organization
National Kyushu Cancer Center
Division name
Department of Thoracic Oncology
Zip code
Address
3-1-1, Notame, Minami-ku, Fukuoka, 811-1395, Japan
TEL
092-541-3231
tseto@nk-cc.go.jp
Public contact
Name of contact person
| 1st name | |
| Middle name | |
| Last name | Shinichiro Nakamura |
Organization
West Japan Oncology Group
Division name
WJOG datacenter
Zip code
Address
Namba Plaza Bldg.3F 1-5-7,Motomachi Naniwa-ku,Osaka556-0016 JAPAN
TEL
06-6633-7400
Homepage URL
datacenter@wjog.jp
Sponsor or person
Institute
West Japan Oncology Group
Institute
Department
Personal name
Funding Source
Organization
Eli Lilly Japan K.K.
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
Address
Tel
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
| 2010 | Year | 09 | Month | 13 | 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
Completed
Date of protocol fixation
| 2010 | Year | 07 | Month | 17 | Day |
Date of IRB
| 2010 | Year | 06 | Month | 12 | Day |
Anticipated trial start date
| 2010 | Year | 09 | Month | 01 | Day |
Last follow-up date
| 2019 | Year | 02 | Month | 03 | Day |
Date of closure to data entry
Date trial data considered complete
Date analysis concluded
Other
Other related information
Management information
Registered date
| 2010 | Year | 09 | Month | 13 | Day |
Last modified on
| 2021 | Year | 10 | Month | 08 | Day |
Link to view the page
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005040
