UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014740
Receipt number R000017132
Scientific Title Phase 2 study of efficacy and safety of concurrent WBRT with erlotinib and followed by erlotinib plus bevacizumab in patients with newly diagnostic brain metastatisis stage IV non-sq NSCLC
Date of disclosure of the study information 2014/09/01
Last modified on 2015/02/04 19:25:33

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Basic information

Public title

Phase 2 study of efficacy and safety of concurrent WBRT with erlotinib and followed by erlotinib plus bevacizumab in patients with newly diagnostic brain metastatisis stage IV non-sq NSCLC

Acronym

Phase 2 study of concurrent WBRT with erlotinib and followed by erlotinib plus bevacizumab in patients with brain metastatisis stage IV non-sq NSCLC

Scientific Title

Phase 2 study of efficacy and safety of concurrent WBRT with erlotinib and followed by erlotinib plus bevacizumab in patients with newly diagnostic brain metastatisis stage IV non-sq NSCLC

Scientific Title:Acronym

Phase 2 study of concurrent WBRT with erlotinib and followed by erlotinib plus bevacizumab in patients with brain metastatisis stage IV non-sq NSCLC

Region

Japan


Condition

Condition

newly diagnostic brain metastatisis stage IV non-sq NSCLC

Classification by specialty

Hematology and clinical oncology Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Examination efficacy and safety of concurrent WBRT with erlotinib and followed by erlotinib plus bevacizumab in patients with newly diagnostic brain metastatisis stage IV non-sq NSCLC

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Intracranial Progression-free Survival ( iPFS)

Key secondary outcomes

Intracranial Objective Response Rate (iORR), Overall Response Rate (ORR), Progression-free Survival (PFS), Overall Survival (OS), maximal reduction ratio of brain metastasis, efficacy and safety according to EGFR mutation status


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

concurrent WBRT with erlotinib
WBRT 30 Gy / 10fxs / 2 weeks or
37.5 Gy / 15fxs / 3weeks
erlotinib 150 mg/day, day 1-14
followed by erlotinib plus bevacizumab
erlotinib 150 mg/day, everyday medication
bevacizumab 15 mg / kg, day 1, tri-weekly

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically diagnosed non-sq NSCLC patients
2) Patients with brain metastases confirmed by MRI
3) The presence of measureable brain metastasis by RECIST
4) Age moer than 20 and less than 80 years old
5) Performance status 0-2 (ECOG)
6) Adequate organ function
WBC more than 3000/mm3
Neutrophil more than 1500/mm3
Platelet more than 75000/mm3
Hemoglobin more than 9.0 g/dL
AST, ALT less than 2.5 times of the upper limits of normal level
Total bilirubin less than 1.5 mg/dL
Creatinine less than 1.2 mg/dL
SpO2(Room air) more than 93%
Proteinuria less than 2+
7) Interval
Palliative radiotherapy (exclude chest) >= 2weeks
Surgery >= 8weeks
Chest drainage>= 2weeks
8) Life expectancy more than 3 months
9) Written informed consent to participate

Key exclusion criteria

1) Current history of hemosputum within one month
2) Past given the radiation therapy for chest
3) Symptomatic meningeal dissemination
4) Patients who have previously treated with EGFR TKI within 6 months
5) Obvious interstitial pneumonia , fibroid lung confirmed by chest X-ray
6) Patients unable to be treated with oral medication
7) Therapeutic anticoagulation; regular use of aspirin (>325 mg/day)
8) Scleroderma, systemic lupus erythematosus, dermatomyositis, or polymyositis
9) Infectious disease that required systemic therapy
10) Fever over 38
11) Uncontrolled pleural effusion, ascites, or pericardial effusion
12) Active synchronous malignant neoplasm
13) History of drug allergy that may influenced with this treatment
14) Severe GI disease
15) Suspected of other severe clinical conditions or abnormal laboratory values
16) Uncontrolled psychotic disease
17) Pregnant, Lactating or possibility of pregnancy
18) Patients who were judged inappropriate to entry this study by physician

Target sample size

24


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tomonobu Koizumi

Organization

Shinshu University Hospital

Division name

Comprehensive Cancer Center

Zip code


Address

3-1-1 Asahi Matsumoto

TEL

0263-37-2554

Email

tomonobu@shinshu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shigeru Sasaki

Organization

Shinshu University Hospital

Division name

Comprehensive Cancer Center

Zip code


Address

3-1-1 Asahi Matsumoto

TEL

0263-37-2554

Homepage URL


Email

s_sasaki@shinshu-u.ac.jp


Sponsor or person

Institute

Shinshu University Hospital, Comprehensive Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Shinshu University Hospital

Organization

Division

Category of Funding Organization

Self funding

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



Other administrative information

Date of disclosure of the study information

2014 Year 09 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

Preinitiation

Date of protocol fixation

2014 Year 06 Month 16 Day

Date of IRB


Anticipated trial start date

2014 Year 09 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



Management information

Registered date

2014 Year 08 Month 01 Day

Last modified on

2015 Year 02 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017132


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name