Gastrointestinal Stromal TumorPhase 2GISTsNCT00764595
Imatinib Mesylate in Treating Patients With Liver Metastasis From a Gastrointestinal Stromal Tumor
A Phase 2 study testing imatinib mesylate in people with Gastrointestinal Stromal Tumor and Metastatic Cancer, run by Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan at 36 sites in Japan.
Trial summary
RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase II trial is studying the side effects of imatinib mesylate and to see how well it works in treating patients with liver metastasis from a gastrointestinal stromal tumor. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Gastrointestinal Stromal Tumor, Metastatic Cancer
- What is being tested?
- imatinib mesylate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- 36 sitesJapan
- Study dates
- Oct 2008to Mar 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Diagnosis of gastrointestinal stromal tumor (GIST)
- Hepatic metastasis meeting the following criteria:
- No more than 3 hepatic metastases
- Clinically diagnosed as surgically resectable with no macroscopic residual tumor
- Synchronous hepatic metastasis allowed provided primary tumor is also resectable
- No metastatic tumor that requires radiofrequency ablation and/or microwave coagulation therapy to control the disease
- No extrahepatic metastasis
- No history of GIST recurrence
PATIENT CHARACTERISTICS:
- ECOG performance status 0-1
- Leukocyte count ≥ 3,000/μL
- Neutrophil count ≥ 1,500/μL
- Hemoglobin ≥ 8.0 g/dL
- Platelet count ≥ 75,000/μL
- Total bilirubin ≤ 2.0 mg/dL
- ALT and AST < 120 IU/L
- GTP < 210 IU/L
- Not pregnant
- No poorly controlled diabetes mellitus
- No NYHA class III-IV cardiac function
- No hepatitis B or hepatitis B carriers
- No other malignancy requiring treatment
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No prior imatinib mesylate
- No prior interventional radiology for metastatic disease
- No other concurrent treatment, including surgery or radiotherapy, for metastatic lesions
Trial locations and contacts
36 sites in 1 country.
36 sites in 1 country
Japan36 sites
University of Yamanashi Hospital
Chūō, Yamanashi, 409-3898
Kyushu University Hospital
Fukuoka, 812-8582
Fukushima Medical University Hospital
Fukushima, 960-1295
Hamamatsu University School of Medicine
Hamamatsu, Shizuoka, 431-3192
Saitama Medical University International Medical Center
Hidaka, Saitama, 350-1241
Hirosaki University, School of Medicine
Hirosaki, Aomori, 036-8562
Niigata Prefectural Central Hospital
Jōetsu, Niigata, 943-0192
Kagoshima University
Kagoshima, 890-8520
Kyoto Second Red Cross Hospital
Kanigyou-ku, Kyoto, 602-8026
Kimitsu Chuo Hospital
Kisarazu, 292-8535
University of Miyazaki Hospital
Kiyotake, Miyazaki, 889-1692
Kochi Health Sciences Center
Kochi, 781-8555
Kumamoto University Hospital
Kumamoto, 860-8556
Kawasaki Medical School
Kurashiki, Okayama-ken, 701-01
National Hospital Organization Kure Medical Center
Kure, Hiroshima, 737-0023
Nagaoka Chuo General Hospital
Nagaoka, Niigata, 940-8653
Aichi Cancer Center
Nagoya, Aichi-ken, 464-8681
Aichi Medical University
Nagoya, Aichi-ken, 480-1195
Kochi Medical School
Nankoku, Kochi, 783-8505
Niigata University Medical and Dental Hospital
Niigata, 951-8510
Niigata Cancer Center Hospital
Niigata, 951-8566
Ryukyu University Hospital
Nishiharacho, Okinawa, 903-0215
Okayama University Hospital
Okayama, 700-8558
Sakai Municipal Hospital
Sakai, Osaka, 590-0064
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Juntendo University Shizuoka Hospital
Shizuoka, 410-2295
Shizuoka Cancer Center
Shizuoka, 411-8777
Osaka University Hospital
Suita, Osaka, 565-0871
Tokushima University Hospital
Tokushima, 770-8503
Tokyo Metropolitan - Komagome Hospital
Tokyo, 113-0021
Keio University Hospital
Tokyo, 160-8582
Toyama University Hospital
Toyama, 930-0194
Toyonaka Municipal Hospital
Toyonaka, Osaka, 560-8565
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-0815
International Goodwill Hospital
Yokohama, Kanagawa, 245-0006
Oita University Hospital
Yufu, Oita Prefecture, 879-5593
About this study
Official title: Phase II Multicenter Clinical Trial on Imatinib Treatment for Patients With Resectable Hepatic Metastasis From Gastrointestinal Stromal Tumors (GISTs)
RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase II trial is studying the side effects of imatinib mesylate and to see how well it works in treating patients with liver metastasis from a gastrointestinal stromal tumor.
Read the detailed description
OBJECTIVES:
- To evaluate the safety and efficacy of imatinib mesylate in patients with resectable hepatic metastasis secondary to gastrointestinal stromal tumor.
OUTLINE: This is a multicenter study.
Patients receive oral imatinib mesylate daily. Treatment continues in the absence of disease progression or unacceptable toxicity.
- Conditions
- Gastrointestinal Stromal Tumor, Metastatic Cancer
- Being tested
- imatinib mesylate
- Keywords
- gastrointestinal stromal tumor, liver metastases
- Medical subject headings
- Gastrointestinal Stromal Tumors, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
imatinib mesylateDrug
Imatinib mesylate is administered as oral dose of 400 mg/d once daily after meal until 3 years after enrollment of the last patient.
| Study group | Role | What they receive |
|---|---|---|
| imatinib mesylate | Experimental | All patients start imatinib mesylate as oral dose of 400 mg/d once daily after meal within 28 days after enrollment, and continue the treatment until 3 years after enrollment of the last patient. Receives: Drug: imatinib mesylate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
Progression-free survival is defined as time from date of starting protocol treatment until date of comfirmation of progressive disease (PD) by Response Evaluation Criteria in Solid Tumors (RECIST) v1.0 or death from any cause, whichever comes first.
Measured: 7.5 years
Secondary outcomes (3)
Tumor response
Tumor response is defined as best overall response by RECIST v1.0 from date of starting protocol treatment until 48 weeks after starting protocol treatment.
Measured: 48 weeks
Overall survival
Overall survival is defined as time from date of starting protocol treatment until date of death from any cause.
Measured: 7.5 years
Types and severities of adverse events
Types and severities of adverse events from date of starting protocol treatment until 30 days after date of finishing the treatment are evaluated according to Japanese version of the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) by Translational Research Informatics Center.
Measured: 7.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2008 (estimated)
- Study startOct 2008
- Primary completionMar 2016
- Study completionMar 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gastrointestinal Stromal TumorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 5 participants (actual)
Sponsor and investigators
- Lead sponsor
- Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan
- Sponsor type
- University, hospital or other
- Collaborators
- Niigata University Medical & Dental Hospital
- Responsible party
- Sponsor
- Investigators
- Tatsuo Kanda, MD, Principal investigator, Niigata University Medical & Dental Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00764595
- Sponsor's protocol ID
- CDR0000615628
- Other IDs
- NIIGATAU-TRIGIST0805
- Acronym
- GISTs
- Status last verified
- Jul 2023
- First submitted
- 1 Oct 2008
- Last updated
- 21 Jul 2023
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 21 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Multicenter Clinical Trial on Imatinib Treatment for Patients With Resectable Hepatic Metastasis From Gastrointestinal Stromal Tumors (GISTs)
- ClinicalTrials.gov ID
- NCT00764595
- Acronym / sponsor ID
- GISTs / CDR0000615628
- Conditions
- Gastrointestinal Stromal Tumor, Metastatic Cancer
- Keywords
- gastrointestinal stromal tumor, liver metastases
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5 participants (actual)
- Lead sponsor
- Translational Research Center for Medical Innovation, Kobe, Hyogo, JapanUniversity, hospital or other
- Collaborators
- Niigata University Medical & Dental Hospital
- Study start
- Oct 2008
- Primary completion
- Mar 2016 (actual)
- Study completion
- Mar 2016 (actual)
- First posted
- 2 Oct 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase II trial is studying the side effects of imatinib mesylate and to see how well it works in treating patients with liver metastasis from a gastrointestinal stromal tumor.
Detailed description
OBJECTIVES:
- To evaluate the safety and efficacy of imatinib mesylate in patients with resectable hepatic metastasis secondary to gastrointestinal stromal tumor.
OUTLINE: This is a multicenter study.
Patients receive oral imatinib mesylate daily. Treatment continues in the absence of disease progression or unacceptable toxicity.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| imatinib mesylate | Experimental | Drug: imatinib mesylateAll patients start imatinib mesylate as oral dose of 400 mg/d once daily after meal within 28 days after enrollment, and continue the treatment until 3 years after enrollment of the last patient. |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| imatinib mesylateImatinib mesylate is administered as oral dose of 400 mg/d once daily after meal until 3 years after enrollment of the last patient. | Drug | imatinib mesylate |
Primary outcome
Progression-free survival
Time frame: 7.5 years
Progression-free survival is defined as time from date of starting protocol treatment until date of comfirmation of progressive disease (PD) by Response Evaluation Criteria in Solid Tumors (RECIST) v1.0 or death from any cause, whichever comes first.
3 secondary outcomes
Tumor response
Time frame: 48 weeks
Overall survival
Time frame: 7.5 years
Types and severities of adverse events
Time frame: 7.5 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jul 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tatsuo Kanda, MD principal investigator
Niigata University Medical & Dental Hospital
36 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing imatinib mesylate in people with Gastrointestinal Stromal Tumor and Metastatic Cancer, run by Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan at 36 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 36 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (time frame: 7.5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2023.