UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021206
Receipt number R000024429
Scientific Title Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer
Date of disclosure of the study information 2016/02/25
Last modified on 2016/02/25 21:07:21

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Basic information

Public title

Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer

Acronym

Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer

Scientific Title

Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer

Scientific Title:Acronym

Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer

Region

Japan


Condition

Condition

Biliary tract cancer

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective is to evaluate the feasibility of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1, which is administered for patients with potentially resectable biliary tract cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Treatment completed rate

Key secondary outcomes



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

GEM+CDDP neoadjuvant chemotherapy is conducted. GEM 1000mg/m2/day and CDDP 25mg/m2/day are intravenously administered on day 1, 8, 22, and 29.
S-1 adjuvant chemotherapy is conducted. S-1 80mg/m2/day is orally administered twice daily for 1 year. Administration of S-1 from day 1 to 28 followed by rest from day 29 to 42 in one cycle.

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. presence of histological or cytological confirmed (adenocarcinoma or adenosquamous carcinoma), or clinically suspected biliary (intrahepatic, hilar/perihilar, or extrahepatic cholangiocarcinoma, gallbladder cancer, or ampullary cancer)
2. Stage II, III, or IVa biliary tract cancer in the seventh edition of UICC/AJCC staging system
3. with no prior chemotherapy or radiation to biliary tract cancer
4. evaluable lesion was confirmed with imaging studies within 28 day before registration
5. age>=20 years
6. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1
7. adequate oral intake
8. adequate bone marrow function
White blood cells (WBC)>=3,500/mm3
Neutrophils>=2,000/mm3
Platelet>=100,000/mm3
Hemoglobin>=9.0g/dL
AST<=100IU/L (or 150IU/L under biliary drainage)
ALT<=100IU/L (or 150IU/L under biliary drainage)
serum total bilirubin<=2.0mg/dL (or <=3.0mg/dL under biliary drainage)
serum creatinine<=upper limit of normal range
Alb>=3.0g/dL
9. no abnormal findings by cardiac electrogram within 28 days before registration
10. written informed consent

Key exclusion criteria

1. presence of active double cancer, excluding carcinoma in situ and mucosal carcinoma
2. presence of active infection requiring systemic therapy, excluding viral hepatitis
presence of other cancer except carcinoma in situ
3. accumulated pleural effusion or ascites confirmed in chest CT
4. presence of fever more than 38 degrees Celcius at registration
5. women who are pregnant or during the nursing, women who may be pregnant or are willing to get pregnant, or men who are willing to make thier partner pregnant
6. severe mental disorder
7. uncontrollable diabetes mellitus
8. uncontrollable hypertention
9. history of new-onset unstable angina within 3 weeks, progressive angina, or new-onset myocardial infarction within 6 months before registration
10. presence of severe organ dysfunction including postoperative complication (such as heart failure, renal failure, liver failure, and intestinal paralysis)
11. history of severe drug allegy
12. administered flucytosine, phenytoin, or warfarin potassium
13. uncontrollable diarrhea
14. unsuitable candidate to this study judged by a doctor

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Osamu Itano

Organization

Department of Surgery, Keio University School of Medicine

Division name

Department of Surgery

Zip code


Address

Shinanomachi 35, shinjuku-ku

TEL

03-3353-1211

Email

contact@keio-hbpts.jp


Public contact

Name of contact person

1st name
Middle name
Last name Osamu Itano

Organization

Department of Surgery, Keio University School of Medicine

Division name

Department of Surgery

Zip code


Address

Shinanomachi 35, shinjuku-ku

TEL

03-3353-1211

Homepage URL


Email

contact@keio-hbpts.jp


Sponsor or person

Institute

Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

non

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

2016 Year 02 Month 25 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

Enrolling by invitation

Date of protocol fixation

2015 Year 11 Month 24 Day

Date of IRB


Anticipated trial start date

2016 Year 02 Month 25 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

2016 Year 02 Month 25 Day

Last modified on

2016 Year 02 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024429