UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005594
Receipt number R000006615
Scientific Title A study on taking method of adjuvant Tegafur-Uracil and Leucovorin Calcium in patients with resected Colorectal Cancer (Three times-daily regimen Versus twice-daily regimen)
Date of disclosure of the study information 2011/05/18
Last modified on 2021/05/25 15:54:15

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Basic information

Public title

A study on taking method of adjuvant Tegafur-Uracil and Leucovorin Calcium in patients with resected Colorectal Cancer (Three times-daily regimen Versus twice-daily regimen)

Acronym

A study on taking method of Tegafur-Uracil and Leucovorin Calcium (Three times-daily regimen Versus twice-daily regimen)

Scientific Title

A study on taking method of adjuvant Tegafur-Uracil and Leucovorin Calcium in patients with resected Colorectal Cancer (Three times-daily regimen Versus twice-daily regimen)

Scientific Title:Acronym

A study on taking method of Tegafur-Uracil and Leucovorin Calcium (Three times-daily regimen Versus twice-daily regimen)

Region

Japan


Condition

Condition

Colorectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate efficacy of UFT/LV in a twice-daily regimen as compared to in a three times-daily regimen for an adjuvant therapy in patients with stage II/III colorectal cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

3-year Disease-free survival

Key secondary outcomes

Overall survival
Adverse events,
Completion rate of treatment
Compliance


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

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A group(three taimes-daily)
UFT was administered at a dose of 300 mg/m2/day, and LV was administered at a dose of 75 mg/day. The daily doses of both UFT and LV were divided into three doses administered 8 hours apart and taken together along with water. Repeat five 35-day cycles consisting of 28- day of oral chemotherapy administration and then a 7-day rest period.

Interventions/Control_2

B group(twice-daily)
UFT was administered at a dose of 300 mg/m2/d, and LV was administered at a dose of 50 mg/day. The daily doses of both UFT and LV were divided into twice doses and taken together along with water. Repeat five 35-day cycles consisting of 28- day of oral chemotherapy administration and then a 7-day rest period.

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Histologically proven, Stage II, III, (Japanese Classification of Colorectal cancer 7th Ehition) primary Colorectal adenocarcinoma (eliminating appendiceal cancer).
2)Curability A
3)Age between 20 and 80 years.
4)Performance status(ECOG) of 0-1.
5)No prior therapy expect the operation.
6)Capability of oral intake
7)Patients who have satisfied the following the clinical test values within two weeks before the registration.
1.Neutrophile:>= 1,500/mm3
2.Platelet:>= 100,000/mm3
3.Hemoglobin:>= 9.0g/dL
4.Total bilirubin: < 2.0 mg/dL
5.AST, ALT: <100IU/L
6.Serum creatinine: <1.5mg/dL
8)Patient with starting the treatment within 8 weeks after operation.
9)Written informed consent.

Key exclusion criteria

1)Active synchronous or metachronous malignancy carcinoma in situ.
2)Severe postoperative complications.
3)Severe complication.
4)Severe diarrhea.
5)Severe infectious disease.
6)Medical history of severe anaphylaxis or allergia to any drug.
7)Undergoing treatment with fluorocytosine.
8)Pregnant or lactating woman at any time during study. Men of the fertility hope.
9)Severe mental disorder.
10)Patients judged inappropriate for the study by their physicians.

Target sample size

380


Research contact person

Name of lead principal investigator

1st name Taishi
Middle name
Last name Hata

Organization

Osaka University Graduate School of Medicine

Division name

Department of Surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka 565-0871,Japan

TEL

06-6879-3251

Email

thata@gesurg.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Mamoru
Middle name
Last name Uemura

Organization

Osaka University Graduate School of Medicine

Division name

Department of Surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka 565-0871,Japan

TEL

06-6879-3251

Homepage URL


Email

muemura@gesurg.med.osaka-u.ac.jp


Sponsor or person

Institute

Multicenter Study Group of Osaka (MCSGO), Colorectal Cancer Treatment Group

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University Clinical Research Review Committee

Address

2-15 Yamadaoka, Suita, Osaka 565-0871,Japan

Tel

06-6879-3251

Email

rinri@hp-crc.med.osaka-u.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

2011 Year 05 Month 18 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/33604941/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/33604941/

Number of participants that the trial has enrolled

386

Results

In total, 386 patients were enrolled between July 28, 2011, and September 27, 2013. The 3-year disease-free survival rates of group A (n = 194) and B (n = 192) were 79.4% and 81.4% , respectively.

The most common grade 3/4 adverse events in group A and B were diarrhea (3.9% vs. 7.3%), neutropenia (2.9% vs. 1.6%), increase in aspartate aminotransferase (4.0% vs. 3.9%), increase in alanine aminotransferase (6.2% vs. 6.8%), nausea (1.7% vs. 3.4%), and fatigue (1.1% vs. 2.3%).

Results date posted

2021 Year 05 Month 24 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

stage II/III colorectal cancer in an adjuvant setting

Participant flow

a multicenter randomized trial to assess the noninferiority
of a twice-daily compared with a three-times-daily UFT/LV regimen for stage II/III colorectal cancer in an adjuvant setting

Adverse events

The most common grade 3/4 adverse
events in group A and B were diarrhea (3.9% vs. 7.3%),
neutropenia (2.9% vs. 1.6%), increase in aspartate aminotransferase (4.0% vs. 3.9%), increase in alanine aminotransferase (6.2% vs. 6.8%), nausea (1.7% vs. 3.4%), and fatigue
(1.1% vs. 2.3%).

Outcome measures

The 3-year disease-free
survival rates of group A (n = 194) and B (n = 192) were
79.4% and 81.4% , respectively.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 03 Month 18 Day

Date of IRB

2011 Year 07 Month 01 Day

Anticipated trial start date

2011 Year 07 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 05 Month 12 Day

Last modified on

2021 Year 05 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006615