UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016782
Receipt number R000019475
Scientific Title An exploratory study of treatment sensitivity and prognostic factors in a Phase III, randomized, controlled study comparing the efficacy and safety of mFOLFOX6 + bevacizumab therapy vs. mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve wild-type RAS(KRAS/NRAS) unresectable advanced or recurrent colorectal cancer
Date of disclosure of the study information 2015/03/23
Last modified on 2025/05/07 13:40:28

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Basic information

Public title

An exploratory study of treatment sensitivity and prognostic factors in a Phase III, randomized, controlled study comparing the efficacy and safety of mFOLFOX6 + bevacizumab therapy vs. mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve wild-type RAS(KRAS/NRAS) unresectable advanced or recurrent colorectal cancer

Acronym

Exploratory analysis of biomarkers in PARADIGM study

Scientific Title

An exploratory study of treatment sensitivity and prognostic factors in a Phase III, randomized, controlled study comparing the efficacy and safety of mFOLFOX6 + bevacizumab therapy vs. mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve wild-type RAS(KRAS/NRAS) unresectable advanced or recurrent colorectal cancer

Scientific Title:Acronym

Exploratory analysis of biomarkers in PARADIGM study

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Hematology and clinical oncology Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

This study is exploratory analysis of biomarkers to estimate treatment effects of panitumumab and bevacizumab.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Evaluation of the relationship between overall survival (OS) of the main study and mutation of each gene in tumor samples from baseline of the main study

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

mFOLFOX6 + panitumumab

Interventions/Control_2

mFOLFOX6 + bevacizumab

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)Patients who are enrolled in the main study and personally provided written consent after adequately explained about the contents of the additional study

Key exclusion criteria

(1)Patients who are determined by the investigator or researchers to be not suitable for participating in the additional study

Target sample size

800


Research contact person

Name of lead principal investigator

1st name Takeda Pharmaceutical Company Limited
Middle name
Last name Takeda Pharmaceutical Company Limited

Organization

Takeda Pharmaceutical Company Limited

Division name

Japan Oncology Business Unit

Zip code

103 - 8668

Address

https://www.takeda.com/jp/who-we-are/contact-us/

TEL

06-6204-2111

Email

Japan.ONC.Evidence.Gen@takeda.com


Public contact

Name of contact person

1st name Clinical Trial Information
Middle name
Last name Contact for Clinical Trial Information

Organization

Takeda Pharmaceutical Company Limited

Division name

Contact for Clinical Trial Information

Zip code

103 - 8668

Address

12-10 Nihonbashi 2-chome Chuo-ku Tokyo Japan

TEL

03-6226-8880

Homepage URL


Email

Japan.ONC.Evidence.Gen@takeda.com


Sponsor or person

Institute

Takeda Pharmaceutical Company Limited

Institute

Department

Personal name



Funding Source

Organization

Takeda Pharmaceutical Company Limited

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

Non-Profit Organization MINS Institutional Review Board

Address

5-20-9-401 Mita, Minato-ku, Tokyo

Tel

03-6416-1868

Email

Japan.ONC.Evidence.Gen@takeda.com


Secondary IDs

Secondary IDs

YES

Study ID_1

JapicCTI-152837

Org. issuing International ID_1

JAPIC

Study ID_2

NCT02394795

Org. issuing International ID_2

clinicaltrials.gov

IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 23 Day


Related information

URL releasing protocol

https://www.nature.com/articles/s41591-023-02791-w

Publication of results

Published


Result

URL related to results and publications

https://www.nature.com/articles/s41591-023-02791-w

Number of participants that the trial has enrolled

757

Results

This prespecified exploratory biomarker analysis evaluated the association between ctDNA gene alterations and efficacy outcomes, focusing on a broad panel of gene alterations. OS was prolonged with panitumumab plus modified FOLFOX6 versus bevacizumab plus modified FOLFOX6 in patients with ctDNA that lacked gene alterations in the panel but was similar or inferior with panitumumab in patients with ctDNA that contained any gene alteration in the panel, regardless of tumor sidedness.

Results date posted

2023 Year 09 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

NA

Participant flow

NA

Adverse events

NA

Outcome measures

NA

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2015 Year 03 Month 20 Day

Date of IRB

2015 Year 02 Month 18 Day

Anticipated trial start date

2015 Year 04 Month 30 Day

Last follow-up date

2022 Year 02 Month 28 Day

Date of closure to data entry

2022 Year 03 Month 31 Day

Date trial data considered complete

2022 Year 03 Month 31 Day

Date analysis concluded

2026 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 03 Month 11 Day

Last modified on

2025 Year 05 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019475