UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018968
Receipt number R000021872
Scientific Title Phase II dose titration study of regorafenib for patients with unresectable metastatic colorectal cancer who are progressed after standard chemotherapy
Date of disclosure of the study information 2015/09/10
Last modified on 2023/04/10 12:55:05

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Basic information

Public title

Phase II dose titration study of regorafenib for patients with unresectable metastatic colorectal cancer who are progressed after standard chemotherapy

Acronym

Phase II dose titration study of regorafenib for patients with unresectable metastatic colorectal cancer who are progressed after standard chemotherapy

Scientific Title

Phase II dose titration study of regorafenib for patients with unresectable metastatic colorectal cancer who are progressed after standard chemotherapy

Scientific Title:Acronym

Phase II dose titration study of regorafenib for patients with unresectable metastatic colorectal cancer who are progressed after standard chemotherapy

Region

Japan


Condition

Condition

unresectable metastatic colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of regorafenib 120mg as salvage-line treatment in patients with metastatic colorectal cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Disease control rate

Key secondary outcomes

Overall survival, Progression free survival, Response rate, Safety, Drug compliance (Dose intensity)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Regorafenib 40 mg tablets
Regorafenib 120 mg od po. 3weeks on/1 week off
Patients will continue study treatment until disease progression

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)Signed informed consent obtained before any study specific procedures. Patients must be able to understand and willing to sign a written informed consent.
2) Male or female patients >= 20
3) Historical or cytological documentation of adenocarcinoma of the colon or rectum
4) Progress during or within 3 month following the last administration of approved standard therapies which must include fluoropyrimidine, oxaliplatin, irinotecan, bevacizumab.
5) Patients must have measurable or non measurable disease according to RECIST version 1.1
6) Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
7) Life expectancy of at least 3 months.
8) Adequate bone marrow, liver and renal functions as assessed by the following laboratory requirements conducted within 14 days of starting study treatment:
1. Absolute neutrophil count >= 1500 /mm3
2. Hemoglobin >= 9.0 g/dl
3. Platelet >=100000 /mm3
4. Total bilirubin <=1.5 ml/dl
5. AST and ALT <=150 IU/l
6. Creatinine <= 1.5 mg/dl

Key exclusion criteria

1) Prior treatment with regorafenib.
2) Previous or concurrent cancer that is distinct in primary site or histology form colorectal cancer within 5 years prior to randomization EXCEPT for curatively treated cervicalcancer in situ, non-melanoma skin cancer and superficial bladder tumors [Ta, Tis and T1].
3) Major surgical procedure within 28 days before start of study medication.
4) Pregnant or breast-feeding patients. Woman of childbearing potential must have a pregnancy test performed a maximum of 7 days before start of treatment, and a negative result must be documented before start of treatment.
5)Congestive heart failure >=NYHA class 2.
6) Unstable angina, new-onset angina. Myocardial infarction less than 6 months before start of study medication.
7)Uncontrolled hypertension.
8) Pleural effusion or ascites with dyspnea higher than CTCAE v4.0 grade 2.
9) Arterial or venous thrombotic or embolic events such as cerebrovascular accident, deep vein thrombosis or pulmonary embolism within the 6 months before start of study medication.
10) Known history of HIV infection, or chronic hepatitis B or C.
12) Symptomatic metastatic brain or meningeal metastasis.
13) Patients with evidence or history of bleeding diathesis. Any hemorrhage or bleeding event >= CTCAE v4.0 Grade 3 within 4 weeks of start of study medication.
14) Interstitial lung disease with ongoing sings and symptoms at the time of informed consent.
15) Persistant proteinuria of CTCAE v4.0 Grade 3 or higher.
16) Patients unable to swallow oral medications.
17) Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation.
18) Non-healing wound, ulcer, or bone fracture.
19) Unsolved toxicity higher than CTCAE v4.0 Grade 1 attributed to any prior therapy/procedure excluding alopecia and oxaliplatin induced neurotoxicity <= Grade 2

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Toshihiro
Middle name
Last name Kudo

Organization

Graduate School of Medicine Osaka University

Division name

Department of Frontier Science for Cancer and Chemotherapy

Zip code

565-0871

Address

E21-19, 2-2 Yamadaoka Suita, Osaka Japan

TEL

06-6879-2641

Email

tkudo@cfs.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Toshihiro
Middle name
Last name Kudo

Organization

Graduate School of Medicine Osaka University

Division name

Department of Frontier Science for Cancer and Chemotherapy

Zip code

565-0871

Address

E21-19, 2-2 Yamadaoka Suita, Osaka Japan

TEL

06-6879-2641

Homepage URL


Email

tkudo@cfs.med.osaka-u.ac.jp


Sponsor or person

Institute

Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group

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

Independent Ethics Committee, Osaka University

Address

The Center of Medical Innovation and Translational Research 4F, 2-2 Yamadaoka Suita, Osaka Japan

Tel

06-6210-8290

Email

shiken@hp-crc.med.osaka-u.ac.jp


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

2015 Year 09 Month 10 Day


Related information

URL releasing protocol


Publication of results

Partially published


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

Main results already published

Date of protocol fixation

2015 Year 09 Month 09 Day

Date of IRB

2015 Year 09 Month 10 Day

Anticipated trial start date

2015 Year 09 Month 14 Day

Last follow-up date

2020 Year 01 Month 10 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 09 Month 10 Day

Last modified on

2023 Year 04 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021872