臨床研究・治験計画情報の詳細情報です。(Japic)
企業治験 | ||
主たる治験と拡大治験のいずれにも該当しない | ||
平成31年1月28日 | ||
令和7年1月10日 | ||
令和3年2月15日 | ||
切除不能進行・再発胃癌患者を対象としたTAS-102/ラムシルマブ併用療法の臨床第II相試験 | ||
TAS-102/ラムシルマブ併用臨床第II相試験 | ||
切除不能進行・再発胃癌患者を対象に、TAS-102/ラムシルマブ併用療法の有効性を評価する. | ||
2 | ||
進行(切除不能/再発)胃癌 | ||
参加募集終了 | ||
Trifluridine/Tipiracil Hydrochloride、- | ||
国立研究開発法人国立がん研究センター治験審査委員会 | ||
2025年01月10日 |
2021年02月15日 | ||
64 | ||
/ | 64名の患者が登録された. [Cohort A] 患者集団の年齢中央値は71歳で,約7割が男性だった. [Cohort B] 患者集団の年齢中央値は67歳で,約7割が男性だった. |
A total of 64 patients were enrolled. [Cohort A] The median age of the population was 71 years, and approximately 70% of the patients were male. [Cohort B] The median age of the population was 67 years, and approximately 70% of the patients were male. |
/ | [Cohort A] 登録例:33名 投与例:33名 完了例:33名 [Cohort B] 登録例:31名 投与例:31名 完了例:31名 |
[Cohort A] Enrolled: 33 Treated: 33 Completed: 33 [Cohort B] Enrolled: 31 Treated: 31 Completed: 31 |
/ | 解析対象集団:治験薬投与例 [Cohort A:33名] すべての患者で何らかの有害事象が発現し,ほとんどの患者でTAS-102に関連する有害事象が発現した.重篤な有害事象は33.3%に発現し,TAS-102の投与に関連する重篤な有害事象は6.1%,ラムシルマブの投与に関連する重篤な有害事象は9.1%であった. 【主な有害事象(40%以上)】 好中球数減少(90.9%) 食欲減退(63.6%) 血小板数減少(54.5%) 悪心及び下痢(各45.5%) 白血球数減少(42.4%) 【グレード3以上の主な有害事象(10%以上)】 好中球数減少(81.8%) 貧血,血小板数減少及び白血球数減少(各24.2%) 食欲減退(12.1%) 【TAS-102投与に関連した有害事象(30%以上)】 好中球数減少(90.9%) 食欲減退(57.6%) 血小板数減少(51.5%) 白血球数減少(42.4%) 下痢及び悪心(各39.4%) 貧血(33.3%) 倦怠感(30.3%) 【ラムシルマブ投与に関連した有害事象(30%以上)】 好中球数減少(51.5%) 白血球数減少(39.4%) 血小板数減少(36.4%) 転帰が死亡に至った有害事象は,胆汁うっ滞性黄疸,門脈塞栓症,呼吸不全で,いずれもTAS-102及びラムシルマブとの因果関係は否定された.このうち,1名(門脈塞栓症)は治験期間内に死亡し,残りの2名(胆汁うっ滞性黄疸,呼吸不全)は,治験期間終了後(安全性追跡期間後)に死亡した. 複数の患者に発現した重篤な有害事象はなかった.TAS-102の投与に関連すると判断された重篤な有害事象は,貧血,発熱性好中球減少症,疲労,好中球数減少,血小板数減少(各3.0%),ラムシルマブの投与に関連すると判断された重篤な有害事象は,発熱性好中球減少症,大腸穿孔,疲労,好中球数減少,血小板数減少(各3.0%)であった. [Cohort B:31名] すべての患者で何らかの有害事象及びTAS-102の投与に関連する有害事象が発現した.重篤な有害事象は6.5%に発現し,TAS-102又はラムシルマブのいずれかの投与に関連する重篤な有害事象は発現しなかった. 【主な有害事象(40%以上)】 好中球数減少(80.6%) 食欲減退(67.7%) 倦怠感(48.4%) 【グレード3以上の主な有害事象(10%以上)】 好中球数減少(77.4%) 貧血及び白血球数減少(各22.6%) 血小板数減少(16.1%) 【TAS-102投与に関連した有害事象(30%以上)】 好中球数減少(80.6%) 食欲減退(64.5%) 倦怠感及び白血球数減少(各38.7%) 血小板数減少(35.5%) 貧血及び悪心(各32.3%) 【ラムシルマブ投与に関連した有害事象(30%以上)】 倦怠感,好中球数減少及び白血球数減少(各32.3%) 転帰が死亡に至った有害事象は呼吸困難で,治験期間内に死亡した.当該事象は,TAS-102及びラムシルマブとの因果関係は否定された. 複数の患者に発現した重篤な有害事象はなく,発現した2件の事象(呼吸困難及び閉塞性膵炎)ともTAS-102及びラムシルマブとの因果関係は否定された. |
Analysis Population: As-treated population [Cohort A 33 patients] All patients experienced at least one TEAE, and most experienced TEAE related to TAS-102. The incidence of serious TEAEs was 33.3%, the incidence of serious TEAEs related to TAS-102 was 6.1%, and the incidence of serious TEAEs related to ramucirumab was 9.1%. Major TEAEs (=> 40%) - neutrophil count decreased (90.9%) - decreased appetite (63.6%) - platelet count decreased (54.5%) - nausea and diarrhoea (45.5% each) - white blood cell count decreased (42.4%) Grade 3 or higher major TEAEs (=> 10%) - neutrophil count decreased (81.8%) - anaemia, platelet count decreased and white blood cell count decreased (24.2% each) - decreased appetite (12.1%) TEAEs related to TAS-102 (=> 30%) - neutrophil countdecreased (90.9%) - decreased appetite (57.6%) - platelet count decreased (51.5%) - white blood cell count decreased (42.4%) - diarrhoea and nausea (39.4% each) - anaemia (33.3%) - malaise (30.3%) TEAEs related to ramucirumab (=> 30%) - neutrophil count decreased (51.5%) - white blood cell count decreased (39.4%) - platelet count decreased (36.4%) The TEAEs with fatal outcome were jaundice cholestatic, portal vein embolism, and respiratory failure, and for each TEAE, causal relationships with TAS-102 and ramucirumab were ruled out. Of the patients with these AEs, 1 patient (portal vein embolism) died during the study period and the other 2 patients (jaundice cholestatic and respiratory failure) died after the end of the study period (after the safety follow-up period). No serious TEAEs occurred in more than one patient. Serious TEAEs assessed as related to TAS-102 were anaemia, febrile neutropenia, fatigue, neutrophil count decreased, and platelet count decreased (3.0% each), and serious TEAEs assessed as related to ramucirumab were febrile neutropenia, large intestine perforation, fatigue, neutrophil count decreased, and platelet count decreased (3.0% each). [Cohort B 31 patients] All patients experienced at least one TEAE and a TEAE related to TAS-102. The incidence of serious TEAEs was 6.5%, and no serious TEAEs related to either TAS-102 or ramucirumab occurred. Major TEAEs (=> 40%) - neutrophil count decreased (80.6%) - decreased appetite (67.7%) - malaise (48.4%) Grade 3 or higher major TEAEs (=> 10%) - neutrophil count decreased (77.4%) - anaemia and white blood cell count decreased (22.6% each) - platelet count decreased (16.1%) TEAEs related to TAS-102 (=> 30%) - neutrophil count decreased (80.6%) - decreased appetite (64.5%) - malaise and white blood cell count decreased (38.7% each) - platelet count decreased (35.5%) - anaemia and nausea (32.3% each) TEAEs related to ramucirumab (=> 30%) - malaise, neutrophil count decreased and white blood cell count decreased (32.3% each) The TEAE with fatal outcome was dyspnoea, and the patient died during the study period. The causal relationship with TAS-102 and ramucirumab was ruled out for this event. No serious TEAEs occurred in more than one patient, and a causal relationship between TAS-102 and ramucirumab was ruled out for the two events that did occur (dyspnoea and obstructive pancreatitis). |
/ | 解析対象集団:FAS [Cohort A 33名] PR 3名,SD 25名 DCR 84.8%(95%CI:68.1,94.9) [Cohort B 31名] PR 5名,SD 19名 DCR 77.4%(95%CI:58.9,90.4) |
Analysis population: FAS [Cohort A 33 patients] - PR in 3 patients and SD in 25 patients - The DCR: 84.8% (95% CI: 68.1, 94.9) [Cohort B 31 patients] - PR in 5 patients and SD in 19 patients - The DCR: 77.4% (95% CI: 58.9, 90.4) |
副次的評価項目の解析結果 / Secondary Outcome Measures | 1. 有効性(解析対象集団:FAS) [Cohort A 33名] ORR 9.1%(95%CI:1.9,24.3) PFS中央値 5.9ヶ月(95%CI:4.2,7.9) TTF中央値 4.2ヶ月(95%CI:4.0,6.1) ECOG PSが2以上に悪化するまでの期間は,中央値に到達しなかった(95%CI:4.2,-). [Cohort B 31名] ORR 16.1%(95%CI:5.5,33.7) PFS中央値 5.3ヶ月(95%CI:2.8,6.0) TTF中央値 4.4ヶ月(95%CI:2.1,5.8) ECOG PSが2以上に悪化するまでの期間は,中央値に到達しなかった(95%CI:5.3,-) 2. 安全性(解析対象集団:治験薬投与例) 有害事象は疾病等の発生状況のまとめに記載した. | 1. Efficacy (Analysis population: FAS) [Cohort A 33 patients] - The ORR was 9.1% (95% CI: 1.9, 24.3) - The median PFS: 5.9 months (95% CI: 4.2, 7.9) - The median TTF: 4.2 months (95% CI: 4.0, 7.6) - The median time to deterioration of ECOG PS to a score of 2 or higher was not reached (95% CI: 4.2, -). [Cohort B 31 patients] - The ORR: 16.1% (95% CI: 5.5, 33.7) - The median PFS: 5.3 months (95% CI: 2.8, 6.0) - The median TTF: 4.4 months (95% CI: 2.1, 5.8) - The median time to deterioration of ECOG PS to a score of 2 or higher was not reached (95% CI: 5.3, -). 2. Safety (Analysis population: All Treated Patients) The incidence of adverse events is described in the Adverse events section. |
/ | TAS-102とラムシルマブの併用療法はラムシルマブの治療歴の有無に拘わらず,二次治療及び三次治療以降における胃癌治療の選択肢の一つになり得ると考えられた. | It is considered that the combination therapy of TAS-102/ramucirumab may be a treatment option for second-line, third-line and subsequent therapies for gastric cancer, regardless of whether the patient has a history of treatment with ramucirumab. |
出版物の掲載 / Posting of journal publication | 有 | presence |
2021年01月25日 | ||
https://www.sciencedirect.com/science/article/pii/S2468125320303964?via%3Dihub |
/ | 有 | Yes |
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/ | 大鵬グループ(大鵬)は、2018年1月15日以降に米国、欧州、又は日本の規制当局に承認された医薬品及び適応症について、大鵬がスポンサーである患者を対象とした治験の主要な結果がピアレビュージャーナルで公表された後、研究者の求めに応じてその論文のデータセット(個人を特定できない、患者レベルの、解析可能なデータセット)にアクセスできる環境を提供します。 臨床試験データへのアクセスには、研究者が提案する試験のプロトコールを独立審査委員会が承認し、データ共有に関する合意書を締結することが条件です。 参照先:https://www.taiho.co.jp/rd/policies_statements/clinicaltrial_disclosure/ |
Taiho Group (Taiho) provides a platform for accepting researchers requests for sharing anonymized, patient-level, analyzable datasets from articles published in peer-reviewed journals about the primary results from Taiho-sponsored interventional clinical trials in patients in which the medicine and the indication has received marketing approval from regulatory authorities in the United States, the European Union, and/or Japan on or after January 15, 2018. Access to the clinical trial data is contingent upon approval of a proposed study protocol by an independent review panel and the execution of a data-sharing agreement with the researcher. See: https://www.taiho.co.jp/en/science/policy/clinical_trial_information_disclosure_policy/index.html |
試験等の種別 | 企業治験 |
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主たる治験と拡大治験のいずれにも該当しない | |
登録日 | 2025年01月10日 |
jRCT番号 | jRCT2080224529 |
切除不能進行・再発胃癌患者を対象としたTAS-102/ラムシルマブ併用療法の臨床第II相試験 | A phase II study evaluating combination treatment of TAS-102 and Ramucirumab in patients with unresectable advanced or recurrent gastric cancer. | ||
TAS-102/ラムシルマブ併用臨床第II相試験 | A phase II study of TAS-102 and Ramucirumab |
大鵬薬品工業株式会社 | Taiho Pharmaceutical Co., Ltd. | ||
臨床開発部門 | Clinical Development Dept. | ||
東京都千代田区神田錦町1-27 | 1-27 Kandanishiki-cho, Chiyoda-ku, Tokyo | ||
03-3293-2113 | |||
toiawaseCD1@taiho.co.jp |
大鵬薬品工業株式会社 | Taiho Pharmaceutical Co., Ltd. | ||
臨床試験登録窓口 | Clinical Trial Registration Contact. | ||
東京都千代田区神田錦町1-27 | 1-27 Kandanishiki-cho, Chiyoda-ku, Tokyo | ||
03-3293-2113 | |||
toiawase@taiho.co.jp |
2019年03月20日 |
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切除不能進行・再発胃癌患者を対象に、TAS-102/ラムシルマブ併用療法の有効性を評価する. | To evaluate the efficacy of combination treatment of TAS-102 and Ramucirumab in patients with unresectable advanced or recurrent gastric cancer. | ||
2 | 2 | ||
2019年04月08日 | |||
2019年01月01日 | |||
2021年05月30日 | |||
60 | |||
介入研究 | Interventional | ||
非盲検、非ランダム化、多施設共同試験 |
Open-label, non-randomized, multicenter trial |
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治療 |
treatment purpose |
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/ | 日本 | Japan | |
/ | 1. 文書同意した症例 |
1. Has provided written informed consent |
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/ | 1. TAS-102の治療を有する患者 |
1. Had previously received TAS-102 |
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/ | 20歳以上 |
20age old over |
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/ | 上限なし |
No limit |
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/ | 男性・女性 |
Both |
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/ | 進行(切除不能/再発)胃癌 | Unresectable, advanced or recurrent | |
/ | |||
/ | 試験対象薬剤等 一般的名称等:Trifluridine/Tipiracil Hydrochloride 薬剤・試験薬剤:Trifluridine/Tipiracil Hydrochloride 薬効分類コード:422 代謝拮抗剤 用法・用量、使用方法:TAS-102(初回投与量:35mg/m2)を1日2回,Day 1~5及びDay 8~12に連続経口投与し、Day 6~7及びDay13~28は休薬する 対象薬剤等 一般的名称等:- 薬剤・試験薬剤:- 薬効分類コード: 用法・用量、使用方法:- |
investigational material(s) Generic name etc : Trifluridine/Tipiracil Hydrochloride INN of investigational material : Trifluridine/Tipiracil Hydrochloride Therapeutic category code : 422 Antimetabolic agents Dosage and Administration for Investigational material : TAS-102(starting dose of 35mg/m2) will be orally administered BID, for 5 days a week within 2 days rest for 2 weeks, followed by a 14-days rest periods control material(s) Generic name etc : - INN of investigational material : - Therapeutic category code : Dosage and Administration for Investigational material : - |
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/ | |||
/ | 有効性 TAS-102とラムシルマブ併用療法の有効性を評価する. |
efficacy To evaluate efficacy of combination treatment of TAS-102 and Ramucirumab. |
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/ | 安全性 有効性 TAS-102とラムシルマブ併用療法のその他の有効性と安全性を評価する. |
safety efficacy To evaluate other efficacy and safety of combination treatment of TAS-102 and Ramucirumab. |
医薬品 | medicine | |||
Trifluridine/Tipiracil Hydrochloride | Trifluridine/Tipiracil Hydrochloride | |||
Trifluridine/Tipiracil Hydrochloride | Trifluridine/Tipiracil Hydrochloride | |||
422 代謝拮抗剤 | 422 Antimetabolic agents | |||
TAS-102(初回投与量:35mg/m2)を1日2回,Day 1~5及びDay 8~12に連続経口投与し、Day 6~7及びDay13~28は休薬する | TAS-102(starting dose of 35mg/m2) will be orally administered BID, for 5 days a week within 2 days rest for 2 weeks, followed by a 14-days rest periods | |||
- | - | |||
- | - | |||
- | - |
参加募集終了 | completed | |
/ | 試験完了 |
completed |
大鵬薬品工業株式会社 | ||
Taiho Pharmaceutical Co., Ltd. |
- | ||
- | ||
大鵬薬品工業株式会社 | Taiho Pharmaceutical Co., Ltd. | |
大鵬の企業治験 | Clinical Trial of Taiho |
国立研究開発法人国立がん研究センター治験審査委員会 | National Cancer Ctr IRB #2 - J | |
東京都中央区築地5-1-1 | 5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan | |
- | ||
- | ||
承認 | approved |
無 | absence | |
JapicCTI-194596 | ||
設定されていません |
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設定されていません |
protocol.pdf |
設定されていません |
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設定されていません |
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設定されていません |