UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012263
Receipt number R000014333
Scientific Title A Multinational, Randomized, Phase III Study of XELIRI with/without Bevacizumab versus FOLFIRI with/without Bevacizumab as Second-line Therapy in Patients with Metastatic Colorectal Cancer.
Date of disclosure of the study information 2013/11/11
Last modified on 2019/02/22 13:33:58

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Basic information

Public title

A Multinational, Randomized, Phase III Study of
XELIRI with/without Bevacizumab versus FOLFIRI with/without Bevacizumab
as Second-line Therapy in Patients with Metastatic Colorectal Cancer.

Acronym

Asian XELIRI Project (AXEPT): non-inferiority study of FOLFIRI with/without Bevacizumab vs. XELIRI with/without Bevacizumab as 2nd-line therapy in patients with mCRC

Scientific Title

A Multinational, Randomized, Phase III Study of
XELIRI with/without Bevacizumab versus FOLFIRI with/without Bevacizumab
as Second-line Therapy in Patients with Metastatic Colorectal Cancer.

Scientific Title:Acronym

Asian XELIRI Project (AXEPT): non-inferiority study of FOLFIRI with/without Bevacizumab vs. XELIRI with/without Bevacizumab as 2nd-line therapy in patients with mCRC

Region

Japan Asia(except Japan)


Condition

Condition

Patients with 2nd-line treatment of mCRC

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To demonstrate the non-inferiority of XELIRI with or without Bevacizumab compared with FOLFIRI with or without Bevacizumab as 2nd-line treatment in patient with metastatic colorectal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Overall Survival

Key secondary outcomes

PFS, TTF, ORR, DCR, RDI, Safety, Correlation between UGT1A1 polymorphisms and Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Arm A: FOLFIRI +/- Bevacizumab
(CPT-11:180 mg/m2)

Interventions/Control_2

Arm B: Tri-weekly XELIRI +/- Bevacizumab
(CPT-11: 200 mg/m2, Capecitabine: 1600 mg/m2/day x14 days)

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Histologically-confirmed inoperable colorectal adenocarcinoma excluding vermiform appendix cancer and anal canal cancer.
2) Age >=20 years at the time of informed consent
3) ECOG PS of 0-2
4) Written informed consent
5) Life expectancy of at least 90 days
6) Withdrawal from first-line chemotherapy(regardless of containing molecular-targeted drugs)for metastatic colorectal cancer due to intolerable toxicity or progressive disease, or relapse within 180 days after the last dose of adjuvant chemotherapy.
7) Adequate organ function according to following laboratory values obtained within 14 days before enrolment(excluding patients who received blood transfusions or hematopoietic growth factors within 14 days before the laboratory test)

Key exclusion criteria

1)Contraindications of each protocol drugs
2)History of other malignancy with a disease-free survival<5 years
3)Radiological evidence of brain tumor or brain metastases
4)Active infection including hepatitis
5)Previous treatment with irinotecan hydrochloride
6)Pregnant or lactating females, and males and females unwilling to use contraception
7)Requires continuous treatment with systemic steroids
8)Psychiatric disability that would preclude study compliance
9)Otherwise determined by the investigator to be unsuitable for participation in the study
<In case of combination with Bevacizumab>
10)Concurrent or recent (within 1 year before enrollment) gastrointestinal perforation
11)Unhealed wound, gastrointestinal ulcer, or traumatic fracture
12)Current or recent(within 1 year before enrollment)thromboembolism or cerebrovascular disease
13)Uncontrolled hypertension
14)Urine dipstick for proteinuria>+2

Target sample size

600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kei Muro

Organization

Aichi Cancer Centre Hospital, Japan

Division name

Gastrointestinal Medical Oncology Division

Zip code


Address

1-1 Kanokoden, Chikusa-ku Nagoya 464-8681, JapanJapan

TEL

+81-52-762-6111

Email

kmuro@aichi-cc.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yumi Miyashita

Organization

NPO Epidemiological and Clinical Research Information Network (ECRIN)

Division name

Aichi Branch

Zip code


Address

Sanshuya Builfing 3F,348 Kousei-cho,Okazaki City,Aichi Prefecture 444-0052,Japan

TEL

0564-66-1220

Homepage URL


Email

axept@ecrin.or.jp


Sponsor or person

Institute

NPO Epidemiological and Clinical Research Information Network (ECRIN)

Institute

Department

Personal name



Funding Source

Organization

CHUGAI PARMACEUTICAL CO., LTD

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


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

(日本)
愛知県がんセンター中央病院(愛知県)
独立行政法人 国立がん研究センター中央病院 (東京都)
国家公務員共済組合連合会 虎の門病院 (東京都)
横浜市立大学附属市民総合医療センター (神奈川県)
社会医療法人財団 慈泉会 相澤病院 (長野県)
公立学校共済組合 東海中央病院 (岐阜県)
松下記念病院 (大阪府)
大阪医科大学附属病院 (大阪府)
医療法人薫風会 佐野病院 (兵庫県)
九州厚生年金病院 (福岡県)
(韓国)
Asan Medical Centre, South Korea
Samsung Medical Centre, South Korea
(中国)
Sun Yat-Sen University Cancer Centre, China


Other administrative information

Date of disclosure of the study information

2013 Year 11 Month 11 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://dx.doi.org/10.1016/S1470-2045(18)30140-2

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

2013 Year 09 Month 03 Day

Date of IRB


Anticipated trial start date

2013 Year 12 Month 02 Day

Last follow-up date

2017 Year 05 Month 31 Day

Date of closure to data entry

2017 Year 09 Month 06 Day

Date trial data considered complete

2017 Year 09 Month 06 Day

Date analysis concluded

2017 Year 11 Month 16 Day


Other

Other related information



Management information

Registered date

2013 Year 11 Month 11 Day

Last modified on

2019 Year 02 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014333