| Recruitment status | Completed |
| Unique ID issued by UMIN | UMIN000009280 |
| Receipt No. | R000010902 |
| Scientific Title | A Phase II Study of Bi-weekly XELIRI with Bevacizumab for patient with Metastatic Colorectal Cancer as second-line chemotherapy |
| Date of disclosure of the study information | 2012/11/07 |
| Last modified on | 2019/12/19 (Ver. 12) |
| Basic information | ||
| Public title | A Phase II Study of Bi-weekly XELIRI with Bevacizumab for patient with Metastatic Colorectal Cancer as second-line chemotherapy | |
| Acronym | JSWOG C3 | |
| Scientific Title | A Phase II Study of Bi-weekly XELIRI with Bevacizumab for patient with Metastatic Colorectal Cancer as second-line chemotherapy | |
| Scientific Title:Acronym | JSWOG C3 | |
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| Condition | |||
| Condition | advanced and/or recurrent colorectal cancer | ||
| Classification by specialty |
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| Classification by malignancy | Malignancy | ||
| Genomic information | YES | ||
| Objectives | |
| Narrative objectives1 | To evaluate the efficacy and safety of XELIRI plus bevacizumab in advanced colorectal cancer as second-line chemotherapy |
| Basic objectives2 | Safety,Efficacy |
| Basic objectives -Others | |
| Trial characteristics_1 | Exploratory |
| Trial characteristics_2 | Pragmatic |
| Developmental phase | Phase II |
| Assessment | |
| Primary outcomes | progression free survival and safety |
| Key secondary outcomes | overall survival,time to progression, and safety,Response rate,Dose Intensity,and Analysis of the safety and efficacy of CPT-11-containing regimens based on genetic polymorphisms UGT1As |
| 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 |
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| Interventions/Control_1 | XELIRI plus bevacizumab therapy
Capecitabine: 2000 mg/m2 day1 to 8 CPT11 150mg/m2 day1 Bevacizumab: 10mg/kg day 1 The treatment is repeated every two weeks until disease progression or severe toxicity. |
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| Interventions/Control_2 | ||
| Interventions/Control_3 | ||
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| Interventions/Control_7 | ||
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| Interventions/Control_9 | ||
| Interventions/Control_10 | ||
| Eligibility | ||||
| Age-lower limit |
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| Age-upper limit |
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| Gender | Male and Female | |||
| Key inclusion criteria | (1) Written informed consent after the explanation of the content of the examination
(2) Age of 20 years or elder (3) ECOG performance status of 0 and 1 (4) Life expectancy more than 3 months (5) Histopathologically confirmed colorectal cancer (6) Measurable or evaluable disease (RECIST ver.1.1) (7) Metastatic colorectal cancer which has prior therapy of Oxalipalatin based chemotherapy (8) Adequate organ functions |
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| Key exclusion criteria | (1) Massive pleural effusion or ascites that required drainage
(2) Severe liver disease (3) Severe renal function disorder, 2+ or higher proteinuria within 2 weeks prior to enrollment (4) Severe renal failure (5) Metastases to the CNS (6) History of active double cancer within 5 years (7) Complication of cerebrovascular disease or symptoms within 1 year (8) Patient receiving surgical procedure or such as skin-open biopsy, trauma surgery, or other more intensive surgeries within 4 weeks or aspiration biopsy within a week (9) Radiation therapy within 4 weeks before enrollment (10) Administering antithrombotic drug within 10 days before enrollment (11) bleeding diathesis or receiving anticoagulant drug(except Aspirin under 325mg/day) (12) A bleeding tendency, coagulation disorder or abnormal coagulation factor (13) Uncontrollable peptic ulcer (14) History of gastrointestinal perforation within 1 year. (15) Patient with untreated traumatic bone fracture (16) Uncontrollable hypertension (17) Serious heart disease (18) History of severe allergy with 5-FU (19) Uncontrollable diarrhea (20) Interstitial pneumonitis (21) Inability of oral Agent intake (22) Requiring novel immunosuppressant and steroid (23) Receiving atazanavir sulfate (24) Severe infection disease (25) Treatment history of CPT-11 (26) Other conditions not suitable for this study |
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| Target sample size | 50 | |||
| Research contact person | |||||||
| Name of lead principal investigator |
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| Organization | Yamaguchi University | ||||||
| Division name | Digestive surgery and surgical oncology | ||||||
| Zip code | 755-8505 | ||||||
| Address | 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan | ||||||
| TEL | +81-836-22-2264 | ||||||
| hazama@yamaguchi-u.ac.jp | |||||||
| Public contact | |||||||
| Name of contact person |
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| Organization | YAMAGUCHI UNIVERSITY GRADUATE SCHOOL OF MEDICINE | ||||||
| Division name | Digestive surgery and surgical oncology | ||||||
| Zip code | 755-8505 | ||||||
| Address | 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan | ||||||
| TEL | +81-836-22-2264 | ||||||
| Homepage URL | |||||||
| hazama@yamaguchi-u.ac.jp | |||||||
| Sponsor | |
| Institute | NPO Japan Southwest Oncology Research Support Organization(JSWOG) |
| Institute | |
| Department | |
| Funding Source | |
| Organization | NPO Japan Southwest Oncology Research Support Organization(JSWOG) |
| Organization | |
| Division | |
| Category of Funding Organization | Non profit foundation |
| Nationality of Funding Organization | |
| Other related organizations | |
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| Name of secondary funder(s) | |
| IRB Contact (For public release) | |
| Organization | Yamaguchi University |
| Address | 1-1-1 Minamikogushi , Ube, 755-8505, Japan |
| Tel | 0836-22-2428 |
| clin_res@yamaguchi-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 | |
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| Date of disclosure of the study information |
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| Related information | |
| URL releasing protocol | |
| Publication of results | Partially published |
| Result | |||||||
| URL related to results and publications | |||||||
| Number of participants that the trial has enrolled | 51 | ||||||
| Results | 51 patients were enrolled in this study. Median PFS was 5.5 months, and median OS was 13.5 months. The RR was 14.6%, and the DCR was 66.7%. Hypertension was the most common Grade 3 adverse event (27.5%), followed by neutropenia (17.6%). Only two patients suffered from grade 3 hand-foot syndrome. In mCRC patients, biweekly CAPIRI + bevacizumab appears effective and feasible as a second-line chemotherapy with relatively low toxicities, and has potential as a useful substitute for FOLFIRI + bevacizumab. |
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| Recruitment status | Completed | ||||||
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| Link to view the page | |
| URL(English) | https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010902 |