UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059172
Receipt number R000067679
Scientific Title Exploratory Single-Arm Interventional Study of Scheduled, Continued Loperamide for Abemaciclib-Induced Diarrhea: Evaluation of Diarrhea and Impact on Daily Activities
Date of disclosure of the study information 2025/09/24
Last modified on 2025/09/24 01:15:57

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Basic information

Public title

Exploratory Single-Arm Interventional Study of Scheduled, Continued Loperamide for Abemaciclib-Induced Diarrhea: Evaluation of Diarrhea and Impact on Daily Activities

Acronym

Exploratory Single-Arm Interventional Study of Scheduled, Continued Loperamide for Abemaciclib-Induced Diarrhea: Evaluation of Diarrhea and Impact on Daily Activities

Scientific Title

Exploratory Single-Arm Interventional Study of Scheduled, Continued Loperamide for Abemaciclib-Induced Diarrhea: Evaluation of Diarrhea and Impact on Daily Activities

Scientific Title:Acronym

Exploratory Single-Arm Interventional Study of Scheduled, Continued Loperamide for Abemaciclib-Induced Diarrhea: Evaluation of Diarrhea and Impact on Daily Activities

Region

Japan


Condition

Condition

Hormone Receptor-Positive, HER2-Negative Breast Cancer (Advanced/Recurrent or Adjuvant Setting)

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To exploratorily evaluate the efficacy and safety of scheduled, continued loperamide administration for abemaciclib-induced diarrhea

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Cumulative number of Bristol Stool Scale type 6 or 7 bowel movements per patient over 28 days

Key secondary outcomes

<Diarrhea-related>
- Weekly cumulative number of Bristol Stool Scale type 6 or 7 bowel movements per patient
- Number of days with diarrhea (Bristol Stool Scale type 6 or 7) per patient over 28 days
- Incidence of diarrhea (Bristol Stool Scale type 6 or 7)
- Incidence of diarrhea of Grade 2 or higher
- Incidence of constipation of Grade 2 or higher
- Loperamide adherence rate (number of days taken / planned dosing days)

<Daily activities / QOL-related>
- Interference with daily activities due to diarrhea (proportion of patients affected, number of weeks affected, and weekly interference rates)
- Proportion of patients experiencing interference with daily activities in association with maximum CTCAE Grade 1 diarrhea (weekly and over 28 days)
- Changes in EORTC QLQ-C30 scores (focusing on diarrhea, physical functioning, and global QOL)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

When loose stools (Bristol Stool Scale type 6 or 7) occur after initiation of abemaciclib, loperamide 1 mg twice daily will be administered and continued with the same dosing schedule until Day 28, even after improvement of diarrhea.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

- Patients with hormone receptor-positive, HER2-negative breast cancer who are scheduled to start abemaciclib treatment
- Patients aged 20 years or older
- Patients with an ECOG Performance Status (PS) of 0 to 2
- Patients with no prior treatment with abemaciclib
- Patients with adequate organ function, as assessed by the treating physician

Key exclusion criteria

- Patients receiving concomitant medications contraindicated with abemaciclib or loperamide
- Patients with active infections
- Patients with infectious or hemorrhagic enteritis, or pseudomembranous colitis
- Pregnant or lactating women, and women of childbearing potential who are unwilling to use effective contraception n
- Patients with a history of obstructive bowel disease
- Patients with inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis) or a history thereof
- Patients with diarrhea of CTCAE Grade 2 or higher at baseline
- Patients deemed inappropriate for study participation by the treating physician

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Shiro
Middle name
Last name Kawada

Organization

Yokohama Asahi Chuo General Hospital

Division name

Department of Pharmacy

Zip code

241-0801

Address

4-20-1 Wakabadai, Asahi-ku, Yokohama, Kanagawa, Japan

TEL

0459216111

Email

kawadashirokawada@gmail.com


Public contact

Name of contact person

1st name Shiro
Middle name
Last name Kawada

Organization

Yokohama Asahi Chuo General Hospital

Division name

Department of Pharmacy

Zip code

241-0801

Address

4-20-1 Wakabadai, Asahi-ku, Yokohama, Kanagawa, Japan

TEL

0459216111

Homepage URL


Email

kawadashirokawada@gmail.com


Sponsor or person

Institute

Yokohama Asahi Chuo General Hospital

Institute

Department

Personal name



Funding Source

Organization

None

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

Yokohama Asahi Chuo General Hospital

Address

4-20-1 Wakabadai, Asahi-ku, Yokohama, Kanagawa, Japan

Tel

0459216111

Email

cds122@crest.ocn.ne.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

2025 Year 09 Month 24 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

2025 Year 09 Month 18 Day

Date of IRB

2025 Year 09 Month 18 Day

Anticipated trial start date

2025 Year 09 Month 24 Day

Last follow-up date

2029 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 24 Day

Last modified on

2025 Year 09 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067679