UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007242
Receipt number R000008463
Scientific Title A Phase II Clinical Trial of CBDCA and TS-1 concurrent chemotherapy followed by TS-1 Maintenance Therapy for Advanced and Recurrent Squamous Cell Lung Cancer: SMILE Trial
Date of disclosure of the study information 2012/02/07
Last modified on 2019/02/17 13:06:35

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Basic information

Public title

A Phase II Clinical Trial of CBDCA and TS-1 concurrent chemotherapy followed by TS-1 Maintenance Therapy for Advanced and Recurrent Squamous Cell Lung Cancer: SMILE Trial

Acronym

A Phase II Clinical Trial of CBDCA and TS-1 concurrent chemotherapy followed by TS-1 Maintenance Therapy for Advanced and Recurrent Squamous Cell Lung Cancer: SMILE Trial

Scientific Title

A Phase II Clinical Trial of CBDCA and TS-1 concurrent chemotherapy followed by TS-1 Maintenance Therapy for Advanced and Recurrent Squamous Cell Lung Cancer: SMILE Trial

Scientific Title:Acronym

A Phase II Clinical Trial of CBDCA and TS-1 concurrent chemotherapy followed by TS-1 Maintenance Therapy for Advanced and Recurrent Squamous Cell Lung Cancer: SMILE Trial

Region

Japan


Condition

Condition

Non-small cell lung cancer (squamous cell carcinoma)

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of carboplatin and S-1 followed by S-1 maintenance therapy for advanced or recurrent non-small cell lung cancer (squamous cell carcinoma)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

1-year survival rate

Key secondary outcomes

Progression free survival(PFS)
Overall survival (OS)
Objective response rate (ORR)
Safety


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

Induction chemothrapy
Carboplatin: AUC=5, day 1
TS-1: 80mg/m2, day 1-14
q4w, 4 cycles

Maintenance chemotherapy
TS-1 maintenance: 80mg/m2, day 1-14
q4w, Until PD

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

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histological or cytological confirmed
squamous cell lung carcinoma.
2) Patients with unresectable stageIIIb-
IV or postoperative recurrence.
3) Over 20 yeas old, under 75 years old.
4) ECOG PS 0-1.
5) Patients have the prospective for
surviving more than 3 months.
6) Patients who are able to take oral
medication.
7) Adequate main organ and bone marrow
function filled below criteria within
14 days before registration.
1. Leukocyte counts >= 4,000/mm3
<=12,000 /mm3
2. Neutrophil counts>=1,500 /mm3
3. Platelets >= 100,000 /mm3
4. Hemoglobin >=9.0 g/dL
5. Total bilirubin <= 1.5 mg/dL
6. AST and ALT <= 100 IU/L
7. PaO2 >= 60 Torr or SpO2 >= 90%
8. Serum creatinin clearance
>= 60 ml/min (Cockcroft-Gault)
8) Patients providing written informed
consent.

Key exclusion criteria

1) Any previous first line treatment
with radiotherapy (including chemo
radiotherapy)
2) Administration contraindication to
Carboplatin and S-1.
3) Severe complications, such as cardiac
failure, renal failure, hepatic
failure, hemorrhagic gastric or
duodenal ulcer, ileus, and
uncontrollable or insulin-treated
diabetic.
4) Severe drug allergies or history of
drug hypersensitivity
5) Symptomatic or apparent interstitial
pneumonia/lung fibrosis on CT scan or
X-ray image findings (Included
positive suspicion or history of
them).
6) Severe watery diarrhea
7) With active infection. Fever higher
than 38 degrees celsius.
8) HBsAg positive patients
9) The brain metastases which require
emergent treatment.
10) Patients with ascites, pleural or
pericardial effusion requiring
drainage.
11) Patients undergoing UFT or TS-1
adjuvant therapy. The case
postoperative recurrence within 6
months after adjuvant therapy.
12) Active concomitant malignancy with
disease-free duration to be within 3
years.
13) Required to continue Flucytosine (5-
FC), phenytoin and warfarinpotassium.
14) Pregnant, lactating or women of
child-bearing potential. Men who want
get partner pregnant.
15) The case that is judged to be
inadequacy for this study

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tetsu Shinkai, M.D., Ph.D

Organization

National Hospital Organization
Shikoku Cancer Center

Division name

Department of thoracic oncology and medicine

Zip code


Address

160 Kou Minami-umemoto, Matsuyama, Ehime 791-0280, Japan

TEL

089-999-1111

Email

tshinkai@shikoku-cc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Naoyuki Nogami, M.D., Ph.D

Organization

National Hospital Organization Shikoku Cancer Center

Division name

Department of thoracic oncology and medicine

Zip code


Address

160 Kou Minami-umemoto, Matsuyama, Ehime 791-0280, Japan

TEL

089-999-1111

Homepage URL


Email

nnogami@shikoku-cc.go.jp


Sponsor or person

Institute

National Hospital Organization
Shikoku Cancer Center

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


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

国立病院機構 四国がんセンター(愛媛県松山市)
松山赤十字病院(愛媛県松山市)
市立宇和島病院(愛媛県宇和島市)


Other administrative information

Date of disclosure of the study information

2012 Year 02 Month 07 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

No longer recruiting

Date of protocol fixation

2011 Year 11 Month 25 Day

Date of IRB


Anticipated trial start date

2012 Year 01 Month 01 Day

Last follow-up date

2016 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 02 Month 07 Day

Last modified on

2019 Year 02 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008463