Unique ID issued by UMIN | UMIN000009345 |
---|---|
Receipt number | R000010976 |
Scientific Title | Phase II Trial of Carboplatin plus S-1 for Previously Untreated Elderly Patients with Advanced Non-small-cell lung cancer with Wild Type Epidermal Growth Factor Receptor (OLCSG1202) |
Date of disclosure of the study information | 2012/11/16 |
Last modified on | 2017/11/20 17:20:21 |
Phase II Trial of Carboplatin plus S-1 for Previously Untreated Elderly Patients with Advanced Non-small-cell lung cancer with Wild Type Epidermal Growth Factor Receptor (OLCSG1202)
Phase II Trial of CBDCA + S-1 for 1st line Elderly NSCLC with Wild Type EGFR (OLCSG1202)
Phase II Trial of Carboplatin plus S-1 for Previously Untreated Elderly Patients with Advanced Non-small-cell lung cancer with Wild Type Epidermal Growth Factor Receptor (OLCSG1202)
Phase II Trial of CBDCA + S-1 for 1st line Elderly NSCLC with Wild Type EGFR (OLCSG1202)
Japan |
Non-small cell lung cancer
Pneumology | Hematology and clinical oncology |
Malignancy
YES
The present study was planned with the objective of investigating the combination of carboplatin and S-1 in the treatment of previously untreated elderly patients with advanced non-small-cell lung cancer. This study is designed as a phase II study of assessment of the efficacy and tolerability.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Response Rate
Progression Free Survival, Overall Survival, Quality of Life, Adverse Event, Effects of complication, Compliance with Treatment
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Four cycles of Carboplatin(AUC 5, Day 1)+ S-1 (80mg/m2/day, 2week on/2week off) followed by maintenance S-1 monotherapy in 4-week cycles until progression disease
70 | years-old | <= |
Not applicable |
Male and Female
1) Histologically or cytologically confirmed non-small-cell lung cancer with Chemo-naive patients
2) Patients who have measurable lesion or evaluable lesion by RECIST
3) Patients with Chemo-naive patients Stage three/four without any indications for radiotherapy
4) Patients aged over 70 years old
5) ECOG PS 0-2
6) Patients who have measurable lesion or evaluable lesion by RECIST
7) Adequate bone mallow function, evaluated within 14 days before enrollment (registration day is day1, and on the same day two weeks ago, is impossible) as
WBC >= 3,000/mm3
Neu >= 1,500/mm3
Plt >= 150,000/mm3
Hb >= 9 g/dL
8) Adequate liver function
T.Bil <= 1.5 mg/dL
AST/ALT <= 2.5 * upper limit of normal
9) Adequate renal function
Serum Cr <= upper limit of normal.
10) Adequate pulmonary function
PaO2 >= 60 Torr or SpO2 >= 90 % (both at rest and room air)
11) Patients who underwent palliative radiation therapy within one week were excluded
12) Patients who are able to take orally
13) Written informed consent from the patients
1) Patients with brain metastases with the clinical symptoms
2) Patients with disease-free interval is less than five years without treatment and even in patients with cancer or metachronous duplication of activity
3) Patients who underwent radiation therapy within one weeks (a palliative radiation therapy to the lesion, e.g. bone metastasis, was excepted from this exclusion)
4) Patients with a history of severe drug allergy
5) Pregnancy, breast feeding or wish of future bearing
6) Patients with severe complication
Interstitial pneumonia or pulmonary fibrosis detectable on Chest X-ray
History of severe heart disease (uncontrollable arrhythmia, uncontrollable angina pectoris, congestive heart failure, etc. within 3 months)
Uncontrollable diabetes mellitus
Patients with severe infection
Patients has pleural effusion, pericardial effusion and ascites to be treated
7) Patients who need to be treated by radiotherapy in an urgent
8) concomitant therapy with other pyrimidine fluoride antineoplastic agents
9) concomitant therapy with warfarin
10) concomitant therapy with dabigatran etexilate
11) Principal investigator cases that are deemed inappropriate
32
1st name | |
Middle name | |
Last name | Katsuyuki Kiura |
Okayama University Hospital
Department of Respiratory Medicine
2-5-1, Shikata-cho, Kita-ku, Okayama, Japan
086-235-7227
kkiura@md.okayama-u.ac.jp
1st name | |
Middle name | |
Last name | Katsuyuki Hotta |
Okayama University Hospital
Department of Respiratory Medicine
2-5-1, Shikata-cho, Kita-ku, Okayama, Japan
086-235-7227
khotta@md.okayama-u.ac.jp
Okayama Lung Cancer Study Group
None
Self funding
None
NO
2012 | Year | 11 | Month | 16 | Day |
Published
http://www.lungcancerjournal.info/article/S0169-5002(17)30471-3/abstract
Carboplatin plus S-1 had favorable efficacy and tolerable toxicity for the elderly with NSCLC. This study met the predesigned primary endpoint, and the regimen seems to be a potent treatment option. Low TP expression in tumors might serve as a predictive maker of a better DCR. We need to conduct further studies to evaluate whether this combination is superior to the standard first-line treatment for the elderly.
Main results already published
2012 | Year | 07 | Month | 26 | Day |
2012 | Year | 11 | Month | 16 | Day |
2012 | Year | 11 | Month | 16 | Day |
2017 | Year | 11 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010976