Unique ID issued by UMIN | UMIN000009910 |
---|---|
Receipt number | R000011612 |
Scientific Title | A phaseII study of irinotecan with bevacizumab as third line treatment for patients with metastatic colorectal cancer after failure to irinotecan who have progressed on bevacizumab with oxaliplatin-based chemotherapy in second line. |
Date of disclosure of the study information | 2013/01/30 |
Last modified on | 2018/08/14 01:15:14 |
A phaseII study of irinotecan with bevacizumab as third line treatment for patients with metastatic colorectal cancer after failure to irinotecan who have progressed on bevacizumab with oxaliplatin-based chemotherapy in second line.
A phaseII study of irinotecan with bevacizumab as third line treatment for patients with metastatic colorectal cancer after failure to irinotecan who have progressed on bevacizumab with oxaliplatin-based chemotherapy in second line.
A phaseII study of irinotecan with bevacizumab as third line treatment for patients with metastatic colorectal cancer after failure to irinotecan who have progressed on bevacizumab with oxaliplatin-based chemotherapy in second line.
A phaseII study of irinotecan with bevacizumab as third line treatment for patients with metastatic colorectal cancer after failure to irinotecan who have progressed on bevacizumab with oxaliplatin-based chemotherapy in second line.
Japan |
colorectal cancer
Gastroenterology | Gastrointestinal surgery |
Malignancy
NO
To evaluate the efficacy and safety of the combination of Irinotecan + Bevacizumab as third-line chemotherapy in the patients with unresectable advanced recurrent coloreatal cancer previously treated with Bevacizumab + fluorinated pyrimidine + L-OHP after failure to irinotecan.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Progression Free Survival
Safety
Overall Survival
Total Survival
Overall Response Rate
Disease Control Rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Irinotecan + Bevacizumab
20 | years-old | <= |
Not applicable |
Male and Female
1.Written informed consent.
2.Age :>=20 years
3.Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2.
4.Histological confirmation of colorectal cancer.
5.Advanced or recurrent colorectal cancer that is not amenable to curative resection.
6.Measurable or evaluable disease.
7.Progression after first-line chemotherapy for metastatic disease, including bevacizumab or anti-EGFR monoclonal antibody with irinotecan.
8.Patients who had a clinical benefit (confirmed stable disease (SD) for at least 6 months or clinical response) in primary treatment with irinotecan.
9.Progression during or after second-line chemotherapy for metastatic disease, including bevacizumab with fluorinated pyrimidine + L-OHP.( In the case of side effects, the treatment by bevacizumab + fluorinated pyrimidine after stopping L-OHP is continuable.)
10.Less than 75mg/m2/week irinotecan in primary treatment was administered.(in the case of the FOLFIRI regimen the dosage of irinotecan was decreased by the start of the 3rd cycle)
11.Vital organ functions (listed below) are preserved within 2 weeks prior to entry.
I.Leukocyte >=3,000/mm3
II.Neurtophils >=1,500/mm3
III.Platelets >=100,000/mm3
IV.Hemoglobin >=9.0g/dl
V.AST and ALT <= 100IU/l
(200IU/l in case of liver metastasis)
VI.Total bilirubin <= 2.0ml/dl
VII.Serum creatinine <= 1.2mg/dl
(1) Need to drain malignant celomic fluid.
(2)Radiological evidence of CNS metastases or brain cancer.
(3) Multiple primary cancers within 5 years.
(4) Complication of cerebrovascular disease or symptoms within 1 year.
(5)Any surgical treatments including skin-open biopsy, trauma surgery and other more intensive surgery within 4 weeks or aspiration biopsy within one week.
(6) The patient who is planning the surgical treatment during trial.
(7)Administering antithrombotic drug within 10 days.
(8)Need to administrate or having anti-platelets therapy (including Methotrexate aspirin and NSAIDS).
(9) Evidence of bleeding diathesis or coagulopathy.
(10)Active gastrointestinal ulcer
(11)Current or previous (within the last 1 year) history of GI perforation.
(12)Non healing fracture
(13)Renal failure to be treated,3+ or higher proteinuria within 2 weeks prior to entry.
(14)Uncontrolled Hypertension
(15)Clinically significant (i.e. active) cardiovascular disease or past or current history (within the last 1 year) of myocardial infarction.
(16)History of the serious hypersensitivity for irinotecan or bevacizumab.
(17)Uncontrolled diarrhea
(18)Evidence of interstinal lung disease, or pulmonary fibrosis.
(19)History of organ transplantation.
(20)Uncontrolled infection
(21)Pregnant or lactating women or women of childbearing potential.
(22) Men without the intention of preventing conception.
(23) Other conditions not suitable for this study.
25
1st name | |
Middle name | |
Last name | Yoshinori Sakai |
Tsuchiura kyodo general hospital
Department of Gastroenterology
11-7 Manabeshinmachi, Tsuchiura, Ibaraki, Japan
1st name | |
Middle name | |
Last name | Toshiki Masuishi |
Tsuchiura kyodo general hospital
Department of Gastroenterology
11-7 Manabeshinmachi, Tsuchiura, Ibaraki, Japan
Tsuchiura kyodo general hospital
none
Self funding
NO
2013 | Year | 01 | Month | 30 | Day |
Unpublished
Terminated
2013 | Year | 01 | Month | 17 | Day |
2013 | Year | 02 | Month | 01 | Day |
2013 | Year | 01 | Month | 30 | Day |
2018 | Year | 08 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011612