Unique ID issued by UMIN | UMIN000036449 |
---|---|
Receipt number | R000041509 |
Scientific Title | Randomized Phase II study of adjuvant chemotherapy with GC versus GS in patients with BTC undergoing curative resection without major hepatectomy |
Date of disclosure of the study information | 2019/04/17 |
Last modified on | 2023/06/05 14:21:32 |
Randomized Phase II study of adjuvant chemotherapy with gemcitabine plus cisplatin versus gemcitabine plus S-1 in patients with biliary tract cancer undergoing curative resection without major hepatectomy(KHBO1901)
Randomized Phase II study of adjuvant chemotherapy with GC versus GS in patients with BTC undergoing curative resection without major hepatectomy
Randomized Phase II study of adjuvant chemotherapy with GC versus GS in patients with BTC undergoing curative resection without major hepatectomy
KHBO1901
Japan |
biliary tract cancer
Hepato-biliary-pancreatic medicine | Hematology and clinical oncology | Hepato-biliary-pancreatic surgery |
Malignancy
NO
Comparison of the efficacy for GC and GS as adjuvant chemotherapy in patients with BTC undergoing curative resection without major hepatectomy.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Recurrence-free survival (2-year recurrence-free survival rate)
1)Overall survival
2)Proportion of treatment completion
3)Relative dose intensity
4)Proportion of adverse events
5)Relapse-free survival rate and overall survival of lymph node positive/lymph node negative case
6)Relapse-free survival rate and overall survival of R0/R1 case
7)Relapse-free survival rate and overall survival of each primary site
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
Active
2
Treatment
Medicine |
Adjuvant GC chemotherapy consisted of
intravenous GEM(1000mg/mm2) and CDDP (25mg/m2) on days 1 and 8, with 1 week rest.
Adjuvant GS chemotherapy consisted of
intravenous GEM(800mg/mm2) on days 1 and 8, and oral S-1(50mg/mm2/day) administered
twice daily on days 1-14, with a 1 week rest.
20 | years-old | <= |
Not applicable |
Male and Female
1) Diagnosed as having biliary tract adenocarcinoma or adenosquamous carcinoma(IHBD, EHBD, GB or AV cancer) in resected specimen.
2) R0 or R1 residual disease.
3) Pathological disease stage according to the UICC classification, seventh Edition: T2-4, N0, M0 or T1-4, N1, M0 (for patients with EHBD, GB or AV cancer), or T1-4, N0-1, M0 (for patients with IHBD cancer).
4) Age over 20 years
5) ECOG performance status 0 or 1
6)No treatment other than surgery except of drainage
7) No distant metastasis according to the radiological findings after operation.
8) Adequate organ functions
a) Neutrophil count >=1,500/mm3
b) Platelet count >= 100,000/mm3
c) Serum aspartate transaminase <=150U/l
d) Serum alanine transaminase <=150U/l
e) Serum total bilirubin <=1.5 mg/dl
f) Serum creatinine <=1.2 mg/dl
g) Creatinine clearance >=60 ml/min
9) Adequate oral intake.
10) Between 3 and 12 weeks after resection.
11) Written informed consent.
1)Distant metastasis except of positive CY
2) Not performed lobectomy
3) Other concurrent active cancer (synchronous double cancer or heterochronous double cancer with a disease-free interval of 3 years or shorter, excluding lesions consistent with intraepithelial cancer, i.e., intramucosal cancer that are assessed as cured by endoscopical treatment.)
4) Patients with a history of severe drug hypersensitivity or drug allergy.
5) Serious complicating disorders (Interstitial pneumonia, pulmonary fibrosis or severe emphysema, hepatic cirrhosis, uncontrollable-diabetes, cardiac disease, renal failure, liver failure, hemorrhagic peptic ulcer etc).
6) Active infection requiring systemic therapy
7) Pregnant or lactating women, women with childbearing potential, males males who wish a pregnancy of his partner.
8) Severe psychiatric disease.
9) Inappropriate for this study judged by the attending physician
106
1st name | Hiroaki |
Middle name | |
Last name | Yanagimoto |
Kobe University Graduate School of Medicine
Division of Hepato-biliary-pancreatic surgery, Department of Surgery
650-0017
7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, Japan
078-382-6302
yanagimh@med.kobe-u.ac.jp
1st name | Tatsuya |
Middle name | |
Last name | Ioka |
Kansai Hepato-Biliary Oncology Group (KHBO)
Department of Cancer Survey and Gastrointestinal Oncology,Osaka International Cancer Institute
541-8567
3-1-69 Otemae, Chuo-ku, Osaka-shi, Osaka , Japan
06-6945-1181(6383)
ioka-ta@umin.ac.jp
Kansai Hepatobiliary Oncology Group (KHBO)
none
Other
Institutional Review Board of Osaka International Cancer Institute
3-1-69 Otemae, Chuo-ku, Osaka 541-8567, Japan.
06-6945-1181
rinri01@opho.jp
NO
2019 | Year | 04 | Month | 17 | Day |
Unpublished
No longer recruiting
2019 | Year | 02 | Month | 24 | Day |
2019 | Year | 05 | Month | 08 | Day |
2019 | Year | 08 | Month | 23 | Day |
2025 | Year | 05 | Month | 22 | Day |
2019 | Year | 04 | Month | 09 | Day |
2023 | Year | 06 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041509