UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056813
Receipt number R000064935
Scientific Title An observational / translational study to evaluate outcomes of fruquintinib in clinical practice for patients with metastatic colorectal cancer (FruBLOOM trial)
Date of disclosure of the study information 2025/01/25
Last modified on 2025/05/30 11:54:04

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Basic information

Public title

An observational / translational study to evaluate outcomes of fruquintinib in clinical practice for patients with metastatic colorectal cancer (FruBLOOM trial)

Acronym

JACCRO CC-19

Scientific Title

An observational / translational study to evaluate outcomes of fruquintinib in clinical practice for patients with metastatic colorectal cancer (FruBLOOM trial)

Scientific Title:Acronym

FruBLOOM trial: JACCRO CC-19

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The study will prospectively evaluate the efficacy and safety of fruquintinib monotherapy administered in clinical practice to treat metastatic colorectal cancer. Efficacy will be examined in the following patients: patients who have not received regorafenib and who receive fruquintinib monotherapy after receiving trifluridine-tipiracil (FTD/TPI) plus bevacizumab [cohort A] and patients who have not received either FTD/TPI +- bevacizumab or regorafenib and who receive fruquintinib monotherapy or patients who receive fruquintinib monotherapy after receiving both FTD/TPI +- bevacizumab and regorafenib (FTD/TPI +- bevacizumab => regorafenib) [cohort B]. In addition, factors related to the efficacy of fruquintinib monotherapy will be explored. Blood will be collected before and after the treatment, and the predictors of fruquintinib monotherapy effectiveness and mechanism of treatment resistance will be investigated.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Overall survival [cohort A]

Key secondary outcomes

Response rate, disease control rate, depth of response, time to response, time to treatment failure, progression-free survival, and safety [cohort A].
Response rate, disease control rate, depth of response, time to response, time to treatment failure, progression-free survival, safety, and overall survival [for cohort B as a whole, for each treatment line, and by previous treatment history].
Progression-free survival and overall survival for post-treatment.


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Colorectal cancer pathologically (biopsy or cytology) confirmed to be adenocarcinoma
(2) All of the following used in previous treatments: fluoropyrimidine, oxaliplatin, irinotecan*1, and angiogenesis inhibitors
However, if the patient has the RAS/BRAF wild type, a BRAF mutation, is HER2 positive, or is MSI-high, the following criteria must be satisfied.
If the RAS/BRAF wild type is present, the patient was previously treated with an anti-EGFR antibody drug.
If a BRAF mutation is present, the patient previously received concomitant BRAF inhibitor therapy.
If the patient is HER2 positive, the patient was previously treated with an anti-HER antibody.
If the patient is MSI-high, the patient was previously administered an immune checkpoint inhibitor.
*1 In cases such as an antibody-drug conjugate (ADC), irinotecan administration may be omitted if the payload is a topoisomerase I inhibitor.
*2 In the case of HER2 positive, anti-EGFR therapy is not required.
*3 In case the patient has the RAS/BRAF mutation, anti-HER2 antibody therapy is not required.
(3) Patients who satisfy any of 1) to 3) below.
1) Recently received FTD/TPI plus bevacizumab therapy and determined to be refractory to or intolerant of this therapy (=> corresponds to cohort A)
2) Previously administered neither regorafenib nor FTD/TPI (=> corresponds to cohort B)
3) Administered regorafenib monotherapy after FTD/TPI +- bevacizumab and determined to be refractory to or intolerant of regorafenib monotherapy (=> corresponds to cohort B)
(4) ECOG Performance Status of 0 to 2
(5) Aged 18 years or older at time of consent
(6) Measurable or evaluable lesions according to RECIST version 1.1
(7) Patients who have given their written consent.

Key exclusion criteria

(1) Has symptomatic or Grade2 or higher interstitial pneumonia or pulmonary fibrosis
(2) History of acute myocardial infarction or acute coronary syndrome (e.g., unstable angina, coronary artery bypass surgery, stent placement) within 6 months (180 days) before enrollment
(3) History of clinically significant congestive heart failure or cardiac arrhythmia within 6 months (180 days) before enrollment or current evidence of such a condition. However, non-symptomatic and/or rate-controlled atrial fibrillation and paroxysmal supraventricular tachycardia are exceptions.
(4) History of a clinically significant thrombotic or cerebrovascular event within 6 months (180 days) before enrollment
(5) Other malignancies
(6) Active infection requiring systemic treatment
(7) Positive for HBs antigen, HCV antibodies, or HIV antibodies
(8) The investigator or a sub-investigator determines that the patient is unsuitable to safely participate in the study.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Yu
Middle name
Last name Sunakawa

Organization

St. Marianna University School of Medicine

Division name

Department of Clinical Oncology

Zip code

216-8511

Address

2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa

TEL

044-977-8111

Email

y.sunakawa@marianna-u.ac.jp


Public contact

Name of contact person

1st name Yu
Middle name
Last name Sunakawa

Organization

St. Marianna University School of Medicine

Division name

Department of Clinical Oncology

Zip code

216-8511

Address

2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa

TEL

044-977-8111

Homepage URL


Email

y.sunakawa@marianna-u.ac.jp


Sponsor or person

Institute

Japan Clinical Cancer Research Organization (JACCRO)

Institute

Department

Personal name



Funding Source

Organization

Takeda Pharmaceutical Company Limited.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of St. Marianna University School of Medicine

Address

Sugao 2-16-1, Miyamae-ku, Kawasaki, Kanagawa

Tel

044-977-8111

Email

k-sienbu.mail@marianna-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

聖マリアンナ医科大学病院(神奈川県)他


Other administrative information

Date of disclosure of the study information

2025 Year 01 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

Open public recruiting

Date of protocol fixation

2024 Year 12 Month 24 Day

Date of IRB

2025 Year 01 Month 14 Day

Anticipated trial start date

2025 Year 02 Month 01 Day

Last follow-up date

2028 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study will examine the baseline characteristics, administration status, adverse events during the treatment period, and treatment efficacy in patients with metastatic colorectal cancer who receive fruquintinib monotherapy. In addition, blood samples will be prospectively collected before and after the treatment, and the analysis results and clinical information will be used to investigate biomarkers for fruquintinib monotherapy and the mechanism of resistance to the therapy.


Management information

Registered date

2025 Year 01 Month 25 Day

Last modified on

2025 Year 05 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064935