UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032254
Receipt number R000036781
Scientific Title PhaseIII trial of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer
Date of disclosure of the study information 2018/08/01
Last modified on 2019/04/17 23:58:39

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Basic information

Public title

PhaseIII trial of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer

Acronym

NEXT trial

Scientific Title

PhaseIII trial of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer

Scientific Title:Acronym

NEXT trial

Region

Japan


Condition

Condition

Locally advanced rectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and efficacy of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II,III


Assessment

Primary outcomes

5-year relapse free survival

Key secondary outcomes

CRM positive rate, CRT rate, LLND rate, R0 rate, morbidity rate, response rate of neoadjuvant chemotherapy/chemoradiotherapy and completion rate, 5-year local recurrence rate, 5-year overall survival


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Preoperative chemoradiation (Capecitabine + Radiation 50.4Gy) + Surgery(optional LLND)

Interventions/Control_2

Neoadjuvant chemotherapy (CAPEOX 4 course)+optional preoperative chemoradiation + Srugery(optional LLND)

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) Age 20-80
2) Adenocarcinoma proven histologically
3) Lower edge of rectal cancer is less than 10cm from anal verge
4) ECOG Performance Status(PS)0-1
5) Clinical StageII/III (excluded cT4b)
6) Resectable rectal cancer.
7) No prior chemotherapy, radiotherapy and rectal surgery without local resection.
8) Adequate organ function to performed surgery.
1. WBC>=3,000/mm3
2. Neutrophils >=1,500/mm3
3. Hb>=8.0g/dl
4. Plt >=100,000/mm3
5. GOT <=100IU/L
6. GPT <=100IU/L
7. T-Bil <= 2.0mg/dl
8. Cr <= 1.5mg/dl
9) Written informed consent

Key exclusion criteria

1) Synchronous or metachronous (within 5 years)malignancies other than carcinoma in situ or mucosal carcinoma
2) Bowel obstruction
3) Uncontrollable diabetes mellitus (HbA1c>=8.0)
4) Unstable ungina pectoris
5) Liver cirrhosis,Liver failure
6) Interstitial pneumonia
7) Pregnant or possibly pregnant women
8) Past history of using 5-FU, oxaliplatin based chemotherapy
9) Past history of radiotherapy
10) Other conditions judged ineligible by physician

Target sample size

440


Research contact person

Name of lead principal investigator

1st name Atsushi
Middle name
Last name Ishibe

Organization

Yokohama City University

Division name

Dept. of Gastroenterological surgery

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan

TEL

045-787-2650

Email

aishibe@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Atsushi
Middle name
Last name Ishibe

Organization

Yokohama City University

Division name

Dept. of Gastroentelorogical Surgery

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan

TEL

045-787-2650

Homepage URL


Email

aishibe@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name



Funding Source

Organization

Yokohama Clinical Oncology Group(YCOG)

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University

Address

1-1-1 Fukuura, Kanazawa-ku

Tel

045-370-7627

Email

onodera@yokohama-cu.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

2018 Year 08 Month 01 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

Preinitiation

Date of protocol fixation

2018 Year 04 Month 05 Day

Date of IRB


Anticipated trial start date

2019 Year 08 Month 01 Day

Last follow-up date

2027 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 04 Month 15 Day

Last modified on

2019 Year 04 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036781