Phase II/III Trial of CPT-11/5-FU/l-LV Versus CPT-11/TS-1 as Second Line Chemotherapy of Unresectable Colorectal Cancer
1 other identifier
interventional
426
1 country
1
Brief Summary
This study is designed as Phase II/III. Phase II is aimed to evaluate safety and efficacy of IRIS, and feasibility of FOLFIRI. Phase III is aimed to verify inferiority of the progression free survival of IRIS in comparison with FOLFIRI.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 colorectal-cancer
Started Jan 2006
Typical duration for phase_2 colorectal-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
January 30, 2006
CompletedFirst Posted
Study publicly available on registry
January 31, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2010
CompletedNovember 2, 2012
November 1, 2012
4.5 years
January 30, 2006
November 1, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression free survival
every course for first three courses, then every other course
Secondary Outcomes (1)
Over all survival, Response rate, Adverse event, Medical economy
adverse events will be collected during treatment
Study Arms (2)
1
EXPERIMENTALCPT-11 and TS-1
2
ACTIVE COMPARATORCPT-11, 5-FU and l-LV
Interventions
TS-1 was administered orally at 40-60 mg twice daily for 14 days with a rest period of 14 days as one course. CPT-11 was administered intravenously 125 mg per square meter at day1 and day14 in 4 weeks as one course.
Patients were administered FOLFIRI every 2 weeks in one course. FOLFIRI:CPT-11 150 mg per square meter on day1 with l-LV 200 mg per square meter administered as a 2-hour infusion before 5-FU 400 mg per square meter administered as an intravenous bolus injection, and 5-FU 2400 mg per square meter as a 46-hour infusion immediately after 5-FU bolus injection on day1 in 2 weeks.
Eligibility Criteria
You may qualify if:
- Histologically confirmed colorectal cancer
- Locally advanced and/or metastatic colorectal cancer
- Have prior chemotherapy as first line treatment
- No prior irinotecan administration
- Able to take oral medication
- Age 20 to 75
- Performance status 0 or 1 (ECOG)
- WBC 3,000-12,000 / mm\^3
- Platelet ≥100,000 / mm\^3
- AST and ALT ≤ 100 IU/L
- Creatinine ≤ 1.2 mg/dL
- Bilirubin ≤ 1.5 mg/dL
You may not qualify if:
- Prior radio therapy for colorectal cancer
- Other malignancies in the past 5 years
- Serious illness or medical condition
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Taiho Pharmaceutical Co., Ltd.lead
- Daiichi Sankyo Co., Ltd.collaborator
Study Sites (1)
Saku Central Hospital
Saku, Nagano, 384-0301, Japan
Related Publications (2)
Muro K, Boku N, Shimada Y, Tsuji A, Sameshima S, Baba H, Satoh T, Denda T, Ina K, Nishina T, Yamaguchi K, Takiuchi H, Esaki T, Tokunaga S, Kuwano H, Komatsu Y, Watanabe M, Hyodo I, Morita S, Sugihara K. Irinotecan plus S-1 (IRIS) versus fluorouracil and folinic acid plus irinotecan (FOLFIRI) as second-line chemotherapy for metastatic colorectal cancer: a randomised phase 2/3 non-inferiority study (FIRIS study). Lancet Oncol. 2010 Sep;11(9):853-60. doi: 10.1016/S1470-2045(10)70181-9. Epub 2010 Aug 12.
PMID: 20708966RESULTYasui H, Muro K, Shimada Y, Tsuji A, Sameshima S, Baba H, Satoh T, Denda T, Ina K, Nishina T, Yamaguchi K, Esaki T, Tokunaga S, Kuwano H, Boku N, Komatsu Y, Watanabe M, Hyodo I, Morita S, Sugihara K. A phase 3 non-inferiority study of 5-FU/l-leucovorin/irinotecan (FOLFIRI) versus irinotecan/S-1 (IRIS) as second-line chemotherapy for metastatic colorectal cancer: updated results of the FIRIS study. J Cancer Res Clin Oncol. 2015 Jan;141(1):153-60. doi: 10.1007/s00432-014-1783-3. Epub 2014 Aug 9.
PMID: 25106731DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kenichi Sugihara, MD, PhD
Tokyo Medical and Dental University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 30, 2006
First Posted
January 31, 2006
Study Start
January 1, 2006
Primary Completion
July 1, 2010
Study Completion
August 1, 2010
Last Updated
November 2, 2012
Record last verified: 2012-11