UMIN-CTR Clinical Trial
| Unique ID issued by UMIN | UMIN000009297 |
|---|---|
| Receipt number | R000010909 |
| Scientific Title | Randomized phase II study comparing trastuzumab plus weekly paclitaxel with weekly paclitaxel alone for patients with HER2-positive advanced gastric or gastro-esophageal junction cancer refractory to trastuzumab combined with fluoropyrimidine and platinum. |
| Date of disclosure of the study information | 2012/11/09 |
| Last modified on | 2023/01/10 09:39:38 |
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Basic information
Public title
Randomized phase II study comparing trastuzumab plus weekly paclitaxel with weekly paclitaxel alone for patients with HER2-positive advanced gastric or gastro-esophageal junction cancer refractory to trastuzumab combined with fluoropyrimidine and platinum.
Acronym
Trial to Assess the Concept of using Trastuzumab beyond progression
Scientific Title
Randomized phase II study comparing trastuzumab plus weekly paclitaxel with weekly paclitaxel alone for patients with HER2-positive advanced gastric or gastro-esophageal junction cancer refractory to trastuzumab combined with fluoropyrimidine and platinum.
Scientific Title:Acronym
Trial to Assess the Concept of using Trastuzumab beyond progression
Region
| Japan |
Condition
Condition
gastric or gastro-esophageal junction adenocarcinoma
Classification by specialty
| Gastroenterology |
Classification by malignancy
Malignancy
Genomic information
NO
Objectives
Narrative objectives1
To evaluate efficacy and safety of trastuzumab + paclitaxel compared with paclitaxel alone in HER2-positive advanced gastric and gastro-esophageal junction adenocarcinoma patients refractory to trastuzumab + fluoropyrimidine + platinum containing chemotherapy.
Basic objectives2
Safety,Efficacy
Basic objectives -Others
Trial characteristics_1
Exploratory
Trial characteristics_2
Developmental phase
Phase II
Assessment
Primary outcomes
Progression-free survival
Key secondary outcomes
Overall survival, time to treatment failure, overall response rate, disease control rate, safety and translational biomarker research
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
YES
Institution consideration
Institution is considered as adjustment factor in dynamic allocation.
Blocking
NO
Concealment
Central registration
Intervention
No. of arms
2
Purpose of intervention
Treatment
Type of intervention
| Medicine |
Interventions/Control_1
weekly paclitaxel
Interventions/Control_2
trastuzumab + weekly paclitaxel
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
| Not applicable |
Gender
Male and Female
Key inclusion criteria
1) Histologically proven advanced unresectable or recurrent gastric or gastro-esophageal junction adenocarcinoma
2) Her2 positive (IHC3+ or ICH2+/FISH >=2.0)
3) Measurable or evaluable lesion
4) No previous chemotherapy nor radiation therapy for malignant tumor except for gastric cancer.
5) Refractory to fluoropyrimidine , platinum and trastuzumab containing chemotherapy.
6) Prior trastuzumab therapy with more than three doses, and within 6 weeks from last trastuzumab administration.
7) No prior therapy with taxan.
8) No prior therapy with anti-HER2 drugs except trastuzumab
9) No ileus or sub-ileus
10) ECOG performance status 0-2.
11) Expected survival >= 90 days.
12) Adequate bone marrow and organ function as defined as below:
leukocyte count >=3000/mm3
neutrophil count >=1500/mm3
hemoglobin level >= 8.0 g/dL
platelet count >= 100,000/mm3
AST and ALT <= 100 IU/L, or AST and ALT <=200 IU/L with liver metastases
total bilirubin <= 1.5 mg/dL
serum creatinine <=2.0 mg/dL
13) Left Ventricular Ejection Fraction (LVEF) >=50% measured by echocardiography or multi-gated acquisition scan (MUGA)
14) Written informed consent
Key exclusion criteria
1) Discontinuation of trastuzumab due to adverse event.
2) Synchronous or metachronous (within 5 years) malignancies other than carcinoma in situ or mucosal carcinoma.
3) Evidence of any other serious disease, e.g. active gastrointestinal hemorrhage, uncontrolled cardiovascular disease and uncontrolled diabetes mellitus.
4) Active infection under treatment.
5) History of serious allergic reactions.
6) Pulmonary fibrosis or interstitial pneumonitis detected by chest x-ray.
7) Symptomatic brain metastases or carcinomatous meningitis.
8) Massive pericardial effusion, pleural effusion or ascites*.
*except for patients if effusions and ascites did no accumulate for more than two weeks after dranage therapy.
*include patients if pleurosclerosis was performed with anti-cancer drugs except OK-432.
9) Peripheral sensory neuropathy of grade >= 2 according to NCI-CTCAE version 4.0.
10) Current treatment with corticosteroids.
11) Blood tests positive for HBs antigen.
12) Active gastrointestinal hemorrhage requiring multiple blood transfusions.
13) Uncontrolled psychiatry disease.
14) Pregnant or lactating female.
15) Judged inappropriate by the investigators.
Target sample size
90
Research contact person
Name of lead principal investigator
| 1st name | |
| Middle name | |
| Last name | Akitaka Makiyama |
Organization
JCHO Kyushu hospital
Division name
Department of Hematology/Oncology
Zip code
Address
1-8-1 Kishinoura, Yahatanishi-ku Kitakyushu-city, Fukuoka 806-8501, Japan
TEL
093-641-5111
makiyama20@hotmail.com
Public contact
Name of contact person
| 1st name | |
| Middle name | |
| Last name | Shinichiro Nakamura |
Organization
West Japan Oncology Group
Division name
WJOG datacenter
Zip code
Address
Namba Plaza Bldg.304-1-5-7,Motomachi Naniwa-ku,Osaka556-0016 JAPAN
TEL
06-6633-7400
Homepage URL
datacenter@wjog.jp
Sponsor or person
Institute
West Japan Oncology Group
Institute
Department
Personal name
Funding Source
Organization
Japan Society of Clinical Oncology
Organization
Division
Category of Funding Organization
Other
Nationality of Funding Organization
Other related organizations
Co-sponsor
Name of secondary funder(s)
IRB Contact (For public release)
Organization
Address
Tel
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
千葉県がんセンター（千葉県）、大阪府立急性期・総合医療センター（大阪府）、兵庫県立がんセンター（兵庫県）、虎の門病院（東京都）、大阪府立成人病センター（大阪府）、九州がんセンター（福岡県）、大阪市立総合医療センター（大阪府）、聖マリアンナ医科大学病院（神奈川県）
Other administrative information
Date of disclosure of the study information
| 2012 | Year | 11 | Month | 09 | Day |
Related information
URL releasing protocol
Publication of results
Published
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
Completed
Date of protocol fixation
| 2012 | Year | 10 | Month | 20 | Day |
Date of IRB
| 2012 | Year | 10 | Month | 25 | Day |
Anticipated trial start date
| 2012 | Year | 12 | Month | 03 | Day |
Last follow-up date
| 2017 | Year | 10 | Month | 03 | 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 | 11 | Month | 09 | Day |
Last modified on
| 2023 | Year | 01 | Month | 10 | Day |
Link to view the page
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010909
