UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009662
Receipt number R000011331
Scientific Title The project to investigate mTOR inhibitor-induced immune modulation in subjects with renal cell cancer.
Date of disclosure of the study information 2013/01/01
Last modified on 2017/04/30 18:51:55

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Basic information

Public title

The project to investigate mTOR inhibitor-induced immune modulation in subjects with renal cell cancer.

Acronym

Japanese m-TOR Immune Modulation Trial(J-TORIM)

Scientific Title

The project to investigate mTOR inhibitor-induced immune modulation in subjects with renal cell cancer.

Scientific Title:Acronym

Japanese m-TOR Immune Modulation Trial(J-TORIM)

Region

Japan


Condition

Condition

advanced renal cell carcinoma

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate temsirolimus-induced immune modulation relevant to clinical efficacy or adverse events in subjects with RCC.

Basic objectives2

Others

Basic objectives -Others

To investigate temsirolimus-induced immune modulation relevant to tumor response (Objective Response Rate, ORR), progression free survival(PFS) and overall survival(OS).
To investigate temsirolimus-induced immune modulation relevant to adverse events on the lungs(ie. Interstitial Lung Disease, ILD) or other than ILD.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes on the immune-relevant parameter by temsirolimus-induced immune modulation.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Unresectable or metastatic renal carcinoma patients who were diagnosed from the results of cytological or pathological studies.
2.Patients who had more than one measurable lesions according on CT or MR imaging to the Response Evaluation Criteria in Soild Tumors (RECISTv.1.1).
3.Patients with aged 18 and over.
4.Patients with performance status 0-1 (ECOG).
5.Patients who does not observe a stromal shade in a lung by thorax CT.
6.Patients with an appropriate major organ function (liver, kidney, and myeloid).
7.Patients who meets all the following standards.
FBS<=1.5 x ULN
Total cholesterol<=400mg/dL
Trigliceride<=5.0 x ULN
8.Patients with expected survival for 3 months or longer.
9.Patients with written informed consent from the patient (In the case of underage, from both the patient himself and legally acceptable representative ).

7.Patients who meets all the following standardses.
FBS<=1.5 x ULN
Total cholesterol<=400mg/dL
Trigliceride<=5.0 x ULN
8.Patients with expected survival for 3 months or longer.
9.Patients with written informed consent from the patient.

Key exclusion criteria

1.Patients with known hypersensitivity to temsirolimus or its metabolites (including sirolimus).
2.Female patients of childbearing potential (including male patients of planning to childbear ) and becoming pregnant.
3.Patients treated with m-TOR inhibitor or performed prior immunotherapy within 6 months.
4.Patients treated with systemic steroidal therapy or immunosuppressive drug.
5.Patients with brain metastasis.
6.Patients with active double cancers.
7.Patients with active infectious disease.
8.In addition, patients whom a doctor in judge unsuitable as a candidate patients of an examination.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masatoshi Eto

Organization

Faculty of Life Sciences, Kumamoto University

Division name

Department of Urology

Zip code


Address

Honjo 1-1-1 Kumamoto City, Kumamoto, Japan

TEL

096-344-2111

Email

info2@cres-kyushu.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoshihiro Wada

Organization

Faculty of Life Sciences, Kumamoto University

Division name

Honjo 1-1-1 Kumamoto City, Kumamoto, Japan

Zip code


Address

Honjo 1-1-1 Kumamoto City, Kumamoto, Japan

TEL

096-344-2111

Homepage URL


Email

yoshiwad@kumamoto-u.ac.jp


Sponsor or person

Institute

Departmentof Urology, Faculty of Life Sciences, Kumamoto University

Institute

Department

Personal name



Funding Source

Organization

Departmentof Urology, Faculty of Life Sciences, Kumamoto University

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


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

熊本大学大学院生命科学研究部(熊本県)
札幌医科大学病院(北海道)
弘前大学大学院医学研究科(青森県)
広島市立安佐市民病院(広島県)
浜松医科大学医学部(静岡県)
岩手医科大学医学部(岩手県)
九州大学大学院医学研究院(福岡県)
東北大学大学院医学系研究科(宮城県)
奈良県立医科大学(奈良県)
徳島大学大学院(徳島県)
防衛医科大学校(埼玉県)
宮崎大学医学部(宮崎県)
大阪大学大学院医学研究科(大阪府)
四国がんセンター(愛媛県)
山形大学医学部(山形県)
山口大学大学院医学系研究科(山口県)
北海道大学大学院医学研究科(北海道)
京都大学大学院医学研究科(京都府)


Other administrative information

Date of disclosure of the study information

2013 Year 01 Month 01 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

Completed

Date of protocol fixation

2012 Year 10 Month 26 Day

Date of IRB


Anticipated trial start date

2013 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1.Samples: peripheral blood mononuclear cells taken from the patients.
Serial sampling is required as follows;
1)Just before starting temsirolimus. In cases after TKI (sorafenib, sunitinib, axitinib), wash-out time of at least 2 weeks is necessary.
2)Early phase of treatment with temsirolimus (Three - five weeks after the starting of treatment with temsirolimus).
3)(option) Just after the occurrence of abnormal findings on chest imaging (In the case of necessity of the treatment to ILD, before the treatment).
4)(option) At the resolution phase of ILD (In the case of lack of improvement within 2 weeks, 2 weeks after the onset of ILD).

2.Item for measures:
1)Proliferation activity of T cells, assessed by tritium thymidine uptake stimulated by ConA.
2)The expression profiles of B7-H1 on CD3+, CD4+T cells and CD3+, CD8+T cells.
3)The expression profiles of PD-1 on CD3+, CD4+T cells and CD3+, CD8+T cells.
4)The ratio of Foxp3+CD4+CD25+regulatory T cells in the total CD4+CD25+T cells.
*2) to 4) are assessed by flow cytometry
5) Production of IFN-gamma and IL-6 from LPS-stimulated PBMCs, assessed by ELISA.


Management information

Registered date

2012 Year 12 Month 28 Day

Last modified on

2017 Year 04 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011331