Unique ID issued by UMIN | UMIN000007117 |
---|---|
Receipt number | R000008372 |
Scientific Title | Gunma study - Oxaliplatin-based chemotherapy and Avastin following Irinotecan-based chemotherapy with Erbitux in metastatic colorectal cancer |
Date of disclosure of the study information | 2012/01/23 |
Last modified on | 2020/09/01 14:50:44 |
Gunma study - Oxaliplatin-based chemotherapy and Avastin following Irinotecan-based chemotherapy with Erbitux in metastatic colorectal cancer
GARNET TRIAL
Gunma study - Oxaliplatin-based chemotherapy and Avastin following Irinotecan-based chemotherapy with Erbitux in metastatic colorectal cancer
GARNET TRIAL
Japan |
Metastatic colorectal cancer
Gastroenterology | Gastrointestinal surgery |
Malignancy
NO
To evaluate the efficacy and safety of FOLFIRI+Cetuximab(q2w) as first line and FOLFOX or XELOX +Bevacizumab as second line in metastatic colorectal cancer with EGFR-detectable and KRAS wild type
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
Total Progression free survival (PFS1+PFS2):
PFS during first-line (PFS1) and PFS during second-line (PFS2)
Progression free survival during first-line (PFS1)
Progression free survival during second-line (PFS2)
Response rate during first-line (RR1)
Response rate during second-line (RR2)
Tumor shrinkage rate at 8 weeks in first-line
Overall survival (OS)
Survival beyond progression (SBP)
Safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
first line chemotherpy
FOLFIRI+Cetuximab
(Cetuximab 500mg/m2/bi-week
CPT-11 150mg/m2/bi-week
l-LV 200mg/m2/bi-week
5-FU/bolus 400mg/m2/bi-week
5-FU/infusional 2,400mg/m2/bi-week (day 1-3))
FOLFIRI+Cetuximab
second line chemotherapy (1)
mFOLFOX6+Bevacizumab
(Bevacizumab 5mg/kg/bi-week
L-OHP 85mg/m2/bi-week
l-LV 200mg/m2/bi-week
5-FU/bolus 400mg/m2/bi-week
5-FU/infusional 2,400mg/m2/bi-week (day 1-3))
second line chemotherapy (2)
XELOX+Bevacizumab
(Bevacizumab 7.5mg/kg/tri-week
L-OHP 130mg/m2/tri-week
Capecitabine 2000mg/m2/day/2 (day 1-15))
20 | years-old | <= |
79 | years-old | >= |
Male and Female
1) Patients with histologically proven colorectal cancer
2) Metastatic colorectal cancer with EGFR expressed
3) Metastatic colorectal cancer with KRAS wild-type
4) No prior chemotherapy (Patients who recieved treatment including oxaliplatin or fluoropyrimidine type anti-cancer drugs before 24 weeks are eligibled)
5) 20 years-old<=
6) PS:0-1(EGOG performance status score)
7) Presence of measurable lesion (RECIST Ver.1.1)
8) Patients who are tolerant to oral administration
9) Patients have enough organ function for study treatment
i leucocytes>=3,000/mm3,neutrophils>=1,500/mm3
ii platelets>=100,000/mm3
iii hemoglobin>=9.0g/dl
iv AST(GOT),ALT(GPT),ALP<=twice as upper limit of normal (ULN)(5 timesif showing liver disease)
v total blirubin<=half time as upper limit of normal(ULN)
vi creatinine<=half time as upper limit of normal(ULN)
10) Life expectancy of more than 3 months
11) Written informed consent
1) Synchronous multiple malignancy or metachronous multiple malignancy within 5 years disease-free interval
2) Symptomatic brain metastases
3) Severe myelosuppression
4) Watery diarrhea
5) Severe infectious disease
6) Interstitial lung disease or pulmonary fibrosis
7) Comorbidity or history of severe heart failure
8) Sensory alteration or paresthesia interfering with function
9) Need to drain malignant coelomic fluid
10) Severe comorbidity
11) Paralytic or mechanical bowel obstruction
12) Jaundice
13) Patient taking Atazanavir sulphate
14) Men/women who are unwilling to avoid pregnancy. Women who are pregnant or breastfeeding. Women with a positive pregnancy test
15) History of severe allergy
16) History of allergy for Cetuximab, Bevacizumab, fluoropyrimidine, irinotecan, oxaliplatin and other platinating agent
17) Prior treatment of Cetuximab, Bevacizumab, fluoropyrimidine, irinotecan and oxaliplatin
Any other cases who are regarded as inadequate for study enrollment by investigators
53
1st name | |
Middle name | |
Last name | Hiroyuki Kuwano |
Gunma University Graduate school of Medicine
Department of General surgical science
3-39-22 syouwamachi, Maebashi, Gunma, Japan, 371-8511
027-220-8224
hkuwano@gunma-u.ac.jp
1st name | |
Middle name | |
Last name | Hiroyuki Kuwano |
Gunma University Graduate school of Medicine
Department of General surgical science
3-39-22 syouwamachi, Maebashi, Gunma, Japan, 371-8511
027-220-8225
hkuwano@med.gunma-u.ac.jp
Gunma University Graduate school of Medicine Department of General surgical science clinical study group
none
Self funding
Japan
NO
2012 | Year | 01 | Month | 23 | Day |
Unpublished
Completed
2011 | Year | 07 | Month | 21 | Day |
2011 | Year | 07 | Month | 21 | Day |
2011 | Year | 10 | Month | 01 | Day |
2011 | Year | 10 | Month | 01 | Day |
2012 | Year | 01 | Month | 23 | Day |
2020 | Year | 09 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008372