UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012237
Receipt number R000014309
Scientific Title Additional biomarker study of Randomized Phase III Study of Pemetrexed + Cisplatin and Vinorelbine + Cisplatin for Completely Resected Non-squamous Non-Small Cell Lung Cancer
Date of disclosure of the study information 2013/11/08
Last modified on 2022/01/18 15:03:41

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Basic information

Public title

Additional biomarker study of Randomized Phase III Study of Pemetrexed + Cisplatin and Vinorelbine + Cisplatin for Completely Resected Non-squamous Non-Small Cell Lung Cancer

Acronym

Additional biomarker study of Randomized Phase III Study of Pemetrexed + Cisplatin and Vinorelbine + Cisplatin for Completely Resected Non-squamous Non-Small Cell Lung Cancer

Scientific Title

Additional biomarker study of Randomized Phase III Study of Pemetrexed + Cisplatin and Vinorelbine + Cisplatin for Completely Resected Non-squamous Non-Small Cell Lung Cancer

Scientific Title:Acronym

Additional biomarker study of Randomized Phase III Study of Pemetrexed + Cisplatin and Vinorelbine + Cisplatin for Completely Resected Non-squamous Non-Small Cell Lung Cancer

Region

Japan


Condition

Condition

Completely resected non-squamous non-small cell lung cancer patients (pathologic stage II-IIIA)

Classification by specialty

Pneumology Chest surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To investigate the prognostic and predictive biomarkers for NSCLC cancer treated with Cisplatin plus Pemetrexed or Vinorelbine

Basic objectives2

Others

Basic objectives -Others

Biomarker study

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Analysis of somatic gene mutation and gene expression in tumor tissue

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

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically confirmed non-squamous NSCLC. Adenosquamous carcinoma is eligible if the squamous cell carcinoma component is less than 50%.
2) Pathologic stage II or IIIA (UICC TNM Classification 7th edition)
3) Proven EGFR gene mutation status (Exon19 deletion/ Exon21 L858R; present/ absent) (regardless of the type of determination method)
4) Complete resection* is pathologically confirmed.
*Complete resection is the surgical procedure which removes lung cancer to the R0 level. However, when cancer metastasis is found in the uppermost part of a dissected or sampled lymph node in R0 (un) cases, the case is defined as "incomplete resection". R1 (is) and R1(cy+) are also defined as "incomplete resection".
5) The level of surgical resection is higher than lobectomy.
6) ND2a-1 or higher-level lymph node dissection or selective lymph node dissection has been conducted.
7) No other treatments except surgery have been carried out for lung cancer.
8) The age is within 20-75 years inclusive.
9) A performance status (ECOG) of 0 or 1.
10) Registration was made at 21 or more days after surgery but within 56 days after surgery.
11) The functions of the main organs are maintained, and all the criteria stated below are satisfied.
(Laboratory test values should be the most recent findings obtained within 14 days before registration, although the findings made 2 weeks previously are acceptable, if they were obtained on the same day of the week as that of the date of registration.)
* Hemoglobin: >=9.0 g/dl
* WBC: >=3000/mm3 (Neutrophil count: >=1500/mm3)
* Platelet count: >=100,000/mm3
* Both AST and ALT: <=100 IU/L
* Total bilirubin: <=1.5 mg/dl
* Serum creatinine: <=1.5 mg/dl
* Creatinine clearance: >=60 ml/min (actual measurement or the value obtained using the Cockcroft-Gault formula)
12) PaO2: >=70 Torr or SpO2: >=95% in the state of no oxygen inhalation (room climate)
13) Submission of written informed consent concerning study participation.

Key exclusion criteria

1) Have active double cancer (synchronous double cancer and metachronous double cancer within a 5-year disease-free interval are defined as active double cancer; in situ uterocervical carcinoma judged to be curable by topical therapy, gastric/colorectal cancer resectable by endoscopy, and topically resectable active skin diseases, except malignant melanoma, are not included in active double cancer); however, a patient is eligible even if double primary NSCLC is observed in the resected lung.
2) Previously treated with cisplatin, pemetrexed or vinorelbine
3) Administration of folic acid or Vitamin B12 is not possible.
4) Serious post-operative complications (post-operative infections, suture failures, etc.)
5) Interstitial shadow considered to be clearly indicative of interstitial pneumonia on chest CT
6) Active infection
7) Requirement of continuous systemic administration (oral or intravenous) of steroid at a dose > 10 mg/day in the case of prednisolone, and the current use of an immunosuppressant; however, patients currently treated with oral steroid at a dose of 10 mg/day in case of prednisolone can be enrolled in the study.
8) Women who are currently pregnant or will not be compliant with a medically approved contraceptive regimen during and for 6 months after the treatment period and lactating women.
Men who will not be compliant with a contraceptive regimen during and for 6 months after the treatment period.
9) History of serious drug hypersensitivity
10) Other serious complications
11) Others judged by the investigator to be unsuitable for the study

Target sample size

800


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuto Nishio

Organization

Kinki University Faculty of Medicine

Division name

Department of Genome Biology

Zip code


Address

377-2 Ohno-Higashi, Osaka-sayama, Osaka, 589-8511, Japan

TEL

072-366-0221

Email

knishio@med.kindai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuko Sakai

Organization

Kinki University Faculty of Medicine

Division name

Department of Genome Biology

Zip code


Address

377-2 Ohno-Higashi, Osaka-sayama, Osaka, 589-8511, Japan

TEL

072-366-0221

Homepage URL


Email

kasakai@med.kindai.ac.jp


Sponsor or person

Institute

Kinki University Faculty of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

TCOG, TORG, CJLSG, West Japan Oncology Group, JMTO, Setouchi Lung Cancer Study Group, LOGIK.

Name of secondary funder(s)

Kinki University Faculty of Medicine, Department of Genome Biology


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



Other administrative information

Date of disclosure of the study information

2013 Year 11 Month 08 Day


Related information

URL releasing protocol

None

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/10.1111/cas.14730

Number of participants that the trial has enrolled

389

Results

The study demonstrated the significance of tumor mutation burden as a biomarker for predicting the recurrence-free survival of pemetrexed/cisplatin in stage II-IIIA non-squamous non-small cell lung cancer patients.

Results date posted

2021 Year 11 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

not applicable

Participant flow

not applicable

Adverse events

not applicable

Outcome measures

not applicable

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 08 Month 30 Day

Date of IRB

2013 Year 11 Month 02 Day

Anticipated trial start date

2013 Year 11 Month 08 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Nothing in particular


Management information

Registered date

2013 Year 11 Month 07 Day

Last modified on

2022 Year 01 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014309