UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043890
Receipt number R000050119
Scientific Title Biomarker study for patients with metastatic colorectal cancer treated with anti-angiogenic agent using liquid biopsy
Date of disclosure of the study information 2021/04/12
Last modified on 2022/04/13 19:16:51

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Basic information

Public title

Biomarker study for patients with metastatic colorectal cancer treated with anti-angiogenic agent using liquid biopsy

Acronym

AAA-liquid

Scientific Title

Biomarker study for patients with metastatic colorectal cancer treated with anti-angiogenic agent using liquid biopsy

Scientific Title:Acronym

AAA-liquid

Region

Japan


Condition

Condition

Colorectal cancer

Classification by specialty

Hematology and clinical oncology Adult

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To verify whether the presence or absence of mutations in RAS, BRAF, PIC3CA, EGFR, etc. in liquid biopsy before second-line chemotherapy for unresectable colorectal cancer is useful for predicting the efficacy of chemotherapy and the prognosis of colorectal cancer.

Basic objectives2

Others

Basic objectives -Others

Searching for biomarkers to predict the efficacy of anticancer chemotherapy

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Association of RAS, BRAF, PIC3CA, and EGFR gene mutations in liquid biopsy with chemotherapy efficacy and prognosis of colorectal cancer

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

Histologically diagnosed as colorectal cancer
Having distant metastases, at least one of which is unresectable
The longest axis of metastatic lesion is more than 2cm in diameter.
First line chemotherapy for distant metastases has been completed
Age between 20 and 80 years at the date of enrollment
ECOG PS 0-1
Having measurable metastatic lesion.
Oral intake is possible.
Expected to survive for at least 3 months
Preservation of major organ function with all of the following on examination within 2 weeks prior to enrollment
White blood cell count: 3,500/mm3or higher
Neutrophil count: 1,500/mm3 or higher
Platelet count: 75,000/mm3 or higher
Hemoglobin: 8.0g/dl or higher
AST and ALT: Less than 2.5 times the upper limit of the institutional standard
Total bilirubin: 1.5 mg/dl or less
Creatinine: 1.5mg/dl or less
Infection: No active infection suspected.
Diarrhea, other non-hematological toxicity: less than Grade 1(Excluding hair loss, dysgeusia, hyperpigmentation, and symptoms associated with the primary disease)
The patient's free written consent to participate in this study has been obtained after receiving sufficient explanation and understanding.

Key exclusion criteria

Having UGT1A1*6 homo, UGT1A1*28 homo, and UGT1A1*6*28 double hetero
Contraindicated for anti-VEGF inhibitor.
Previous treatment with irinotecan
Previous treatment with ramucirumab or aflibercept
History of severe drug hypersensitivity
Pregnant women or women who may become pregnant.
Men whose partners wish to become pregnant.
Patients with serious complications (interstitial pneumonia or pulmonary fibrosis, renal failure, hepatic failure, uncontrolled diabetes mellitus, uncontrolled hypertension)
Patients with pleural effusion or ascites requiring treatment
Patients with peritoneal dissemination that is considered likely to cause intestinal obstruction.
Active multiple cancers.
Significant ECG abnormalities or clinically problematic heart disease (heart failure, myocardial infarction, angina pectoris, etc.)
Having brain metastases.
Patients with active multiple cancers with a disease-free interval of less than 5 years (cured basal cell carcinoma of the skin and cervical cancer, or gastric cancer, esophageal cancer, and colorectal pM cancer confirmed to be cured by endoscopic mucosal resection may be enrolled.
FDG-PET scan is not necessary, but bone metastasis should not be detected.
The physician in charge considers the patient unsuitable for participation in this study.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Yamada

Organization

Nippon Medical School Hospital

Division name

Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery

Zip code

113-8603

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo

TEL

+81-3-3822-2131

Email

y-tak@nms.ac.jp


Public contact

Name of contact person

1st name Hiromichi
Middle name
Last name Sonoda

Organization

Nippon Medical School Hospital

Division name

Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery

Zip code

113-8603

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo

TEL

+81-3-3822-2131

Homepage URL


Email

hiromichi-sonoda@nms.ac.jp


Sponsor or person

Institute

Nippon Medical Scool

Institute

Department

Personal name



Funding Source

Organization

Self funding

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

Ethical Committee, Nippon Medical School

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo

Tel

+81-3-3822-2131

Email

hiromichi-sonoda@nms.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

2021 Year 04 Month 12 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

2021 Year 03 Month 26 Day

Date of IRB

2021 Year 03 Month 26 Day

Anticipated trial start date

2021 Year 07 Month 01 Day

Last follow-up date

2027 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Multicenter prospective observational study


Management information

Registered date

2021 Year 04 Month 11 Day

Last modified on

2022 Year 04 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050119


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name