UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016115
Receipt number R000018716
Scientific Title Phase II trial of regorafenib in patients with imatinib resistrant gastrointestinal stromal tumor
Date of disclosure of the study information 2015/01/13
Last modified on 2019/01/07 09:25:50

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Basic information

Public title

Phase II trial of regorafenib in patients with imatinib resistrant gastrointestinal stromal tumor

Acronym

RESET for GIST

Scientific Title

Phase II trial of regorafenib in patients with imatinib resistrant gastrointestinal stromal tumor

Scientific Title:Acronym

RESET for GIST

Region

Japan


Condition

Condition

Gastrointestinal stromal tumor
(GIST)

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy and safety of regorafenib in patients with imatinib resistant GIST

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Progression free survival rate at 24weeks.

Key secondary outcomes

Progression free survival:PFS
Objective response rate:RR
Disease control rate:DCR
Clinical effective rate(Objective response or SD persists more than 22weeks.)
Adverse event:AE


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

Interventions/Control_1

Regorafenib(160mg)is administered orally once daily

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who have been fully informed about the study and have given written consent themselves
2) Patients aged 20 years or older at the time of consent
3) Patients with histologically confirmed metastatic and/or unresectable GIST.
4) Imatinib was discontinued due to disease progression or an adverse event.
5) No prior treatment with Regorafenib or Sunitinib.
6) ECOG Performance Status 0-1
7) Patients able to take oral medications.
8) With measurable lesion according to RECIST ver.1.1..
9) Adequate organ function
a. Hemoglobin >=8.0 g/dL
b. Absolute neutrophil count >=1,000 /mm3
c. Platelet count >=100,000 /mm3
d. Total bilirubin <=1.8 mg/dL
e. AST and ALT <=100 IU/L
f. Serum creatinine <=1.5mg/dL
10) Women of childbearing potential must have a negative pregnancy test within 7days prior to enrollment.Patients who do have intention that uses effective contraception method until 6 months after administering investigational drug.
11) Patient is willing or able to comply with the protocol.

Key exclusion criteria

1) Serious coexisting illness as follows.
a. Active double cancer(s)
b. CNS metastasis
c. Uncontrollable infectious disease
d. Uncontrollable pleural effusion, ascites, or cardiac effusion within 2weeks prior to enrollment
e. Ileus, renal failure, hepatic failure or cerebrovascular disorder within 6months prior to enrollment
f. Interstitial pneumonia or pulmonary fibrosis apparent on CT
g. Uncontrolled diabetes mellitus
h. Uncontrolled hypertension
i.Cardiac infarction, serious or unstable angina or New York Heart Association Class III or IV within 12 months prior to enrollment
j Needs antiarrhythmic treatment
k. Gastrointestinal bleeding within 4 weeks.
l. Positive HBs antigen or HIV antibody
m. Need immunosuppressive therapy
n. Uncontrolled mental disease or the psychotic manifestation
o. Pheochromocytoma
2) Receive the treatment as follows.
a.Major surgery therapy within 4 weeks prior to enrollment.
b.Chemotherapy (except Imatinib) within 3 weeks prior to enrollment.
c. Imatinib within 1 week prior to enrollment.
d.Wide field radiotherapy 4 weeks prior to enrollment
e.Other investigational drugs within 4 weeks prior to enrollment.
3) Unrecovered AEs related to prior treatment are Grade >= 2 according to CTCAE.
4) Blood transfusion or G-CSF within 14 days prior to enrollment.
5) Gastrointestinal malabsorption
6) Serious renal failure or proteinuria >= 2+ within 7days prior to enrollment
7) Thromboembolic event within 6 months prior to enrollment
8) Untrecovered wound or traumatic fracture
9) Need anticoaglation
10) Women during pregnancy or lactation ,
11) Known hypersensitivity to Regorafinib or Regorafinib's excipient
12) Tendency to hemorrhages or Grade >= 3 bleeding within 4 weeks.
13) Patient is judged by the investigator to be inappropriate for study participation for any reason.

Target sample size

38


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshihiko Doi

Organization

National Cancer Center East Hospital

Division name

Experimental Therapeutics

Zip code


Address

6-5-1, Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Email

tdoi@east.ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoichi Naito

Organization

National Cancer Center East Hospital

Division name

Experimental Therapeutics

Zip code


Address

6-5-1, Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Homepage URL


Email

ynaito@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center East Hospital

Institute

Department

Personal name



Funding Source

Organization

Bayer Yakuhin Ltd

Organization

Division

Category of Funding Organization

Profit organization

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

国立がん研究センター中央病院(東京都)
国立がん研究センター東病院(千葉県)
北海道大学病院(北海道)
大阪大学医学部附属病院(大阪府)
兵庫県立がんセンター(兵庫県)
九州大学病院(福岡県)


Other administrative information

Date of disclosure of the study information

2015 Year 01 Month 13 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

Completed

Date of protocol fixation

2014 Year 11 Month 04 Day

Date of IRB


Anticipated trial start date

2015 Year 01 Month 30 Day

Last follow-up date

2018 Year 12 Month 05 Day

Date of closure to data entry

2019 Year 02 Month 28 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 01 Month 05 Day

Last modified on

2019 Year 01 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018716