GEM/Cisplatin/S-1 vs GEM/Cisplatin for Biliary Tract Cancer

NCT ID: NCT02182778

Last Updated: 2019-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-09

Study Completion Date

2018-04-16

Brief Summary

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To validate the superiority of Gemcitabine/Cisplatin/S-1 over Gemcitabine/Cisplatin for unresectable biliary tract cancer.

Detailed Description

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Gemcitabine/cisplatin combination therapy (GC) has been the standard palliative chemotherapy for patients with advanced biliary tract cancer (BTC). Investigators have evaluated the efficacy and safety of gemcitabine/cisplatin/S-1 combination therapy (GCS) for patients with advanced BTC and observed the promising efficacy. In this randomized phase Ⅲ study, investigators aimed to compare GCS with GC in patients with advanced BTC.

Conditions

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Biliary Tract Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Gemcitabine/Cisplatin group

Gemcitabine and cisplatin are infused on day1, 8. The cycle is repeated every 3 weeks.

Group Type EXPERIMENTAL

Gemcitabine/Cisplatin /S-1

Intervention Type DRUG

S-1 is given daily for 7 consecutive days and gemcitabine and cisplatin are infused on day1. The cycle is repeated every 2 weeks.

Gemcitabine/Cisplatin /S-1 group

S-1 is given daily for 7 consecutive days and gemcitabine and cisplatin are infused on day1. The cycle is repeated every 2 weeks.

Group Type EXPERIMENTAL

Gemcitabine/Cisplatin

Intervention Type DRUG

Gemcitabine and cisplatin are infused on day1, 8. The cycle is repeated every 3 weeks.

Interventions

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Gemcitabine/Cisplatin

Gemcitabine and cisplatin are infused on day1, 8. The cycle is repeated every 3 weeks.

Intervention Type DRUG

Gemcitabine/Cisplatin /S-1

S-1 is given daily for 7 consecutive days and gemcitabine and cisplatin are infused on day1. The cycle is repeated every 2 weeks.

Intervention Type DRUG

Other Intervention Names

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Gemcitabine;gemzer, Cisplatin;Cispulan Gemcitabine;gemzer, Cisplatin;Cispulan S-1;TS-1,

Eligibility Criteria

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Inclusion Criteria

1. Patients with cytologically or histologically proved biliary tract cancer
2. age \>=20 years
3. Performance Status (PS) 0-2
4. No prior history of chemotherapy or radiotherapy.
5. Adequate bone marrow function (neutrophil count \>=1,500/mm3, and platelet count \>=100,000/mm3), liver function (total bilirubin \>=3 mg/dL and AST/ALT \>=150 IU/L), and renal function (creatinine clearance \>=45 mL/min)
6. Adequate oral intake
7. Provided written informed consent -

Exclusion Criteria

1. Patients with interstitial pneumonia or pulmonary fibrosis
2. Patients with uncontrollable diabetes mellitus, liver disease, angina pectoris or a new onset of myocardial infarction within 3 months
3. Patients with severe active infection
4. Patients with moderate or marked pleural effusion or ascites necessitating drainage
5. Patients with a history of severe drug allergy
6. Patients with other serious comorbid disease
7. Patients who are pregnant or lactating, or have an intention to get pregnant
8. Patients with mental disease
9. Patients who are judged inappropriate for the entry into the study by the principle doctor

\-
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kansai Hepatobiliary Oncology Group

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Masashi Kanai

Role: STUDY_DIRECTOR

Kyoto University

Locations

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Kyoto University Hospital

Kyoto, , Japan

Site Status

Countries

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Japan

References

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Ioka T, Kanai M, Kobayashi S, Sakai D, Eguchi H, Baba H, Seo S, Taketomi A, Takayama T, Yamaue H, Takahashi M, Sho M, Kamei K, Fujimoto J, Toyoda M, Shimizu J, Goto T, Shindo Y, Yoshimura K, Hatano E, Nagano H; Kansai Hepatobiliary Oncology Group (KHBO). Randomized phase III study of gemcitabine, cisplatin plus S-1 versus gemcitabine, cisplatin for advanced biliary tract cancer (KHBO1401- MITSUBA). J Hepatobiliary Pancreat Sci. 2023 Jan;30(1):102-110. doi: 10.1002/jhbp.1219. Epub 2022 Aug 9.

Reference Type DERIVED
PMID: 35900311 (View on PubMed)

Kanai M, Hatano E, Kobayashi S, Fujiwara Y, Marubashi S, Miyamoto A, Shiomi H, Kubo S, Ikuta S, Yanagimoto H, Terajima H, Ikoma H, Sakai D, Kodama Y, Seo S, Morita S, Ajiki T, Nagano H, Ioka T. A multi-institution phase II study of gemcitabine/cisplatin/S-1 (GCS) combination chemotherapy for patients with advanced biliary tract cancer (KHBO 1002). Cancer Chemother Pharmacol. 2015 Feb;75(2):293-300. doi: 10.1007/s00280-014-2648-9. Epub 2014 Dec 5.

Reference Type DERIVED
PMID: 25477010 (View on PubMed)

Other Identifiers

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UMIN 000014371

Identifier Type: REGISTRY

Identifier Source: secondary_id

KHBO1401

Identifier Type: -

Identifier Source: org_study_id

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