UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016830
Receipt number R000019532
Scientific Title A phase II study of S-1 therapy for advanced/recurrent esophageal cancer resistant/intolerable to 5-FU, Platinum compounds, and Taxane (OGSG1404)
Date of disclosure of the study information 2015/03/17
Last modified on 2022/11/06 11:21:35

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Basic information

Public title

A phase II study of S-1 therapy for
advanced/recurrent esophageal cancer resistant/intolerable to 5-FU, Platinum compounds, and Taxane (OGSG1404)

Acronym

A phase II study of S-1 therapy for
advanced/recurrent esophageal cancer resistant/intolerable to 5-FU, Platinum compounds, and Taxane (OGSG1404)

Scientific Title

A phase II study of S-1 therapy for
advanced/recurrent esophageal cancer resistant/intolerable to 5-FU, Platinum compounds, and Taxane (OGSG1404)

Scientific Title:Acronym

A phase II study of S-1 therapy for
advanced/recurrent esophageal cancer resistant/intolerable to 5-FU, Platinum compounds, and Taxane (OGSG1404)

Region

Japan


Condition

Condition

Esophageal carcinoma

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To confirm the efficacy and safety of S-1 for advanced/recurrent esophageal carcinoma resistant/intolerable to 5-FU, platinum compounds, and Taxane.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Disease control rate (DCR)

Key secondary outcomes

Overall survival
Progression free surviva(PFS)
Time to Treatment Failure(TTF)
Response rate(RR)
Incidence of adverse events


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

S-1: twice a day oral intake on days 1-28, followed by14 days rest.

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) histologically proven esophageal squamous cell carcinoma or esophageal adenosquamous carcinoma
2) advanced/recurrent esophageal cancer resistant /intolerable to fluoropyrimydine (exclude S-1), platinum compounds, or Taxane
3) without prior use of TS-1
4) with/withnot measurable lesions by RESIST ver. 1.1
5) 20 years of age or older
6) Performance Status by Eastern Cooperative Oncology Group of 0 or 1
7) with an expected survival period longer than 3 months from the registration
8) with a rest longer than 14 days from the end of prior therapy
9) with good functions of important organs tested within 14 days before registration
1. Neutrophil: =>1,500/mm3
2. Hemoglobin: =>8.0 g/dl
3. Platelet: =>100,000/mm3
4. T.bil.: =<1.5 mg/dL
5. AST, ALT: =< 100 IU/L
6. cleatinine clearance : =>50mL/min
10) with HBs antigen negative within 1 year, or under administration of anti-nuclear analogues by a specialist for liver diseases when HSs is positive
11) with written Informed Consent

Key exclusion criteria

1) with active double cancers excluding carcinoma in situ and/or prior cancer cured with shorter than 5 year interval period
2) with uncontrollable DM
3) with a history of cardiac infarction and/or anxiety angina pectoris within 6 months
4) with uncontrolled arrhythmia
5) under continuous steroids medication
6) with liver cirrhosis
7) with active infectious disease
8) with pericardial fluid, pleural fluid and/or ascites which needs drainage except controlled pleural fluid or ascites
9) have a history of Grade 2-4 hypersensitivity (CTCAE ver.4.0)
10) with grade 2-4 peripheral neuropathy by CTCAE v4.0
11) with blood transfusion within 2 weeks and/or continuous bleeding
12) with a figure of interstitial pneumonitis except radiation pneumonitis
13) with metastatic lesions in the central nerve
14) patient with psychological disorder who cannot participate in this study
15) women pregnant and/or nursing or men who like to have children in future
16) Any patients judged by the investigator to be unfit to participate in the study

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takayuki Ki

Organization

Osaka Medical College

Division name

chemotherapy center

Zip code


Address

2-7,Daigakutyou,Takatsuk,City,Osaka, 569-8686

TEL

072-683-1221

Email

in2058@poh.osaka-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takayuki Ki

Organization

Osaka Medical College

Division name

chemotherapy center

Zip code


Address

2-7,Daigakutyou,Takatsuk,City,Osaka, 569-8686

TEL

072-683-1221

Homepage URL


Email

in2058@poh.osaka-med.ac.jp


Sponsor or person

Institute

Osaka Gastrointestinal Cancer Chemotherapy Study Group (OGSG)

Institute

Department

Personal name



Funding Source

Organization

Osaka Clinical Study Supporting Organization

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

大阪医科大学(大阪府)、京都大学(京都府)、市立貝塚病院(大阪府)、市立豊中病院(大阪府)、関西労災病院(兵庫県)、八尾市立病院(大阪府)


Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 17 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s10388-022-00931-8

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s10388-022-00931-8

Number of participants that the trial has enrolled

17

Results

The disease control rate(DCR) was 46.7%. The response rate was 13.3%. The median progression-free survival was 2.0 months. The median time to treatment failure was 1.9 months. The median overall survival was 8.4 months, and the 1-year overall survival rate was 30.5%.

Results date posted

2022 Year 11 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2022 Year 06 Month 20 Day

Baseline Characteristics

Patients with recurrent or metastatic (R/M) esophageal squamous cell carcinoma(ESCC); no prior S-1 use; were intolerant or refractory to prior FU, PT, and TAX therapy

Participant flow

Between October 2015 and December 2017, 17 patients were recruited, and the trial was terminated because of slow accrual.

Adverse events

.

Outcome measures

The primary endpoint was the disease control rate (DCR).
Secondary endpoints were overall survival, progression-free survival, time to treatment failure, response rate, and toxicity.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 02 Month 07 Day

Date of IRB

2015 Year 03 Month 02 Day

Anticipated trial start date

2015 Year 10 Month 29 Day

Last follow-up date

2018 Year 12 Month 26 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2019 Year 03 Month 25 Day


Other

Other related information



Management information

Registered date

2015 Year 03 Month 17 Day

Last modified on

2022 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019532