Unique ID issued by UMIN | UMIN000008473 |
---|---|
Receipt number | R000009965 |
Scientific Title | Phase II study of cetuximab with mFOLFOX6 therapy in patients with KRAS wild-type advanced colorectal cancer which has unresectable liver metastases |
Date of disclosure of the study information | 2012/07/23 |
Last modified on | 2020/01/28 15:57:05 |
Phase II study of cetuximab with mFOLFOX6 therapy in patients with KRAS wild-type advanced colorectal cancer which has unresectable liver metastases
Cmab mFOLFOX6 study
Phase II study of cetuximab with mFOLFOX6 therapy in patients with KRAS wild-type advanced colorectal cancer which has unresectable liver metastases
Cmab mFOLFOX6 study
Japan |
colorectal cancer
Gastroenterology | Gastrointestinal surgery |
Malignancy
YES
To evaluate antitumor effect, safety and efficacy of cetuximab with mFOLFOX6 therapy inpatients with KRAS wild-type advanced colorectal cancer which has unrecectable liver metastasis
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
Response rate
Safety
Resection rate of liver metastatis resion
R0 liver resection rate
Relapse-free survival
Overall survival
Treatment completion rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
The initial dosage of Cetuximab assumes it 400mg/ m2.
Cetuximab gives the second one week after initial administration, but the dose from the second assumes it 250mg/ m2.
mFOLFOX6 repeats the administration once in two weeks to up to six courses as 1 course.
Cetuximab is given in day 1 and day 8 all over the course of mFOLFOX6.
Perform hepatectomy four weeks later from the next day on a chemotherapy end day in case of resectable at the end of chemotherapy of 6 curses.
20 | years-old | <= |
Not applicable |
Male and Female
1)Colorectal cancer histological proven
2)Unresectable liver metastasis more than 5 synchronism liver metastases or more than 5cm tumor size
3)Primary tumor is performed radical excision of; or the case that is available for radical excision in curative hepatectomy by this study and synchronism or heterochrony
4)KRAS wild type of Codon 12 and codon 13
5)A measurable lesion or an evaluable lesion is confirmed with an objectivity document according to RECIST standard
6)No prior chemotherapy for colorectal cancer
7)No prior oxaliplatin and cetuximab or panitumumab
8)More than 20 years old
9)Expect to survive more than 3 months
10)ECOG performance status: 0-1
11)Organs (bone marrow, lung, liver and kidney) failure is not advanced
i)Hemoglobin : more than 8.0g/dl
ii)Neutrophil count : more than 1,500 / mm3
iii)Platelet : more than 100,000 / mm3
iv)Serum total bilirubin : less than 1.5 mg / dl
v)AST,ALT : less than 200 U/l
vi)Serum creatinine : less tahn 1.5 mg / dl
12)ECG no abnormalities in 28 days before
13)Informed consent
1)Severe drug allergy
2)Metastatic focus out of the liver
3)Active double cancer
4)Active infection
5)Intestinal paralysis, intestinal obstruction
6)Severe complications (interstitial pneumonia or pulmonary fibrosis, heart failure, kidney failure, liver failure, it is difficult to control hypertention, diabetes etc.)
7)Pleural effusion, ascites
8)Diarrhea (watery stool)
9)Brain metastases
10)Pregnant and lacting women
11)A bleeding tendency, coagulation disorder or the case with the abnormal clotting factor
12)Mental disorder
13)Patients who receive steroid continuously are excluded
14)Patients who have past histories of cerebral infarction, cardiac infarction and / or pulmonary infarction are excluded
15)History of the organ transplantation to need an immunosuppressive drug
16)The patient that a study responsibility physician judged to be inappropriat
23
1st name | Ayumu |
Middle name | |
Last name | Goto MD. PhD. |
Yokohama City University Hospital
Clinical Oncology division
236-0004
3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan
045-787-2800
ayumu16g@yokohama-cu.ac.jp
1st name | Ayumu |
Middle name | |
Last name | Goto MD. PhD. |
Yokohama City University Hospital
Clinical Oncology division
232-0004
3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan
045-787-2800
ayumu16g@yokohama-cu.ac.jp
Yokohama City University Hospital Clinical Oncology division
None
Self funding
Yokohama City University Ethics Committee
3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan
0453707627
rinri@yokohama-cu.ac.jp
NO
横浜市立大学附属病院(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
横浜市立市民病院(神奈川県)
伊東市民病院(静岡県)
横浜掖済会病院(神奈川県)
横浜市済生会南部病院(神奈川県)
済生会若草病院(神奈川県)
横浜船員保険保険病院(神奈川県)
藤沢市民病院(神奈川県)
横須賀共済病院(神奈川県)
横須賀市立市民病院(神奈川県)
独立行政法人国立病院機構横浜医療センター(神奈川県)
横浜市立みなと赤十字病院(神奈川県)
2012 | Year | 07 | Month | 23 | Day |
NONE
Unpublished
NONE
7
early termination of clinical trial because of less saple size
2020 | Year | 01 | Month | 28 | Day |
single arm phase II trial of mFOLFOX6 plus cetuximab for colorectal cancer patients with liver metastasis
Single arm phase II (no randomaization)
No severe adverse events
This single arm hase II trial has Simon Two-Stage design (Optimal design)
Terminated
2011 | Year | 10 | Month | 13 | Day |
2011 | Year | 11 | Month | 10 | Day |
2012 | Year | 07 | Month | 23 | Day |
2018 | Year | 01 | Month | 01 | Day |
2012 | Year | 07 | Month | 19 | Day |
2020 | Year | 01 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009965