Unique ID issued by UMIN | UMIN000012204 |
---|---|
Receipt number | R000014269 |
Scientific Title | A phase2 study to evaluate the efficacy and safety of weekly nab-paclitaxel in combination with carboplatin in patients with cancer of unknown primary |
Date of disclosure of the study information | 2013/11/05 |
Last modified on | 2020/12/19 13:55:18 |
A phase2 study to evaluate the efficacy and safety of weekly nab-paclitaxel in combination with carboplatin in patients with cancer of unknown primary
Efficacy and safety of weekly nab-paclitaxel plus CBDCA in patients with CUP
A phase2 study to evaluate the efficacy and safety of weekly nab-paclitaxel in combination with carboplatin in patients with cancer of unknown primary
Efficacy and safety of weekly nab-paclitaxel plus CBDCA in patients with CUP
Japan |
cancer of unknown primary (CUP)
Hematology and clinical oncology |
Malignancy
NO
Patients with cancer of unknown primary(CUP) are treated by a combination chemotherapy of weekly nab-paclitaxel and carboplatin(CBDCA) as a first-line chemotherapy. We analyze the efficacy(RR, PFS, OS) and safety.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
response rate
progression free survival, overall survival, adverse event
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Nab-paclitaxel is administered as a 30-minute infusion at a dose of 100mg/m2 on days 1,8,and 15 followed by carboplatin at an AUC of 6 mg.min/ml(per Calvert formula) given on day1, every 21 days. Responding patients and patients with stable disease have a six-cycle maximum.
20 | years-old | <= |
Not applicable |
Male and Female
1)Patients with histologically comfirmed metastatic malignant lesion, with no identifiable primary site by physical examination, imaging, and laboratory examination.
2)No indication for radical operation and radiotherapy.
3)Measurable disease according to RECIST(version1.1).
4)No prior chemotherapy for CUP.
5)ECOG scale: 0-1
6)Patient with enough feasibility for planned chemotherapy(hematological, liver, renal, cardiopulmonary function).
7)peripheral neuropathy <= Grade1
8)Patients who are expected to survive for more than 3 months.
9)Written informed consent.
1)Pregnancy or breast feeding.
2)Patients unable to take nab-paclitaxel and CBDCA because of significant cardiovascular abnormalities, renal dysfunctions, hepatic insufficiency, uncontrolled diabetes, uncontrolled hypertension, bleeding tendency, active interstitial pneumonia,etc.
3)Known HIV, active hepatitis B, active hepatitis C, and/or other known severe infections, including but not limited tuberculosis.
4)Ascites, pleural effusion, pericardial effusion, which require regular drainage.
5)Any other active malignancy unless free of disease for at least five years.
6)Known active brain metastasis.
7)Known hypersensitivity to any of platinum drugs, paclitaxel, and albumin containing drugs.
8)Specific clinicopathologic subgroups which have effective management.
a)Woman with isolated axillary lymph node metastasis.
b)Patients with CUP presenting as metastatic cervical or isolated inguinal lymphadenopathy(squamous cell carcinoma).
c)Men with features of the extra gonadal germ cell cancer syndrome.
d)Men with features of prostate cancer(adenocarcinoma, elevated level of PSA, and osteoblastic bone metastasis).
e)Neuroendcrine tumors.
28
1st name | |
Middle name | |
Last name | Toshinari Yagi |
Osaka International Cancer Institute
Department of Clinical Oncology
3-1-69 Otemae, Chuo-ku,Osaka 541-8567 Japan
06-6945-1181
yagi-to@mc.pref.osaka.jp
1st name | |
Middle name | |
Last name | Toshinari Yagi |
Osaka International Cancer Institute
Department of Clinical Oncology
3-1-69 Otemae, Chuo-ku,Osaka 541-8567 Japan
06-6945-1181
yagi-to@mc.pref.osaka.jp
Osaka International Cancer Institute
Self funding
Self funding
Japan
NO
大阪国際がんセンター(大阪府)
2013 | Year | 11 | Month | 05 | Day |
Unpublished
Terminated
2013 | Year | 09 | Month | 25 | Day |
2013 | Year | 09 | Month | 25 | Day |
2013 | Year | 11 | Month | 05 | Day |
2020 | Year | 01 | Month | 10 | Day |
2020 | Year | 01 | Month | 10 | Day |
2020 | Year | 01 | Month | 10 | Day |
2020 | Year | 01 | Month | 20 | Day |
This clinical trail was discontinued due to poor patient enrollment.
2013 | Year | 11 | Month | 02 | Day |
2020 | Year | 12 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014269