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Study to Investigate the Chemotherapy-Induced Peripheral Neuropathy (CIPN) Onset-Suppressing Effect and Safety of ONO-2910 in Patients With Breast Cancer Receiving Weekly Paclitaxel

Phase 2
Completed
Conditions
CIPN - Chemotherapy-Induced Peripheral Neuropathy
Interventions
Drug: Placebo
Registration Number
NCT06538272
Lead Sponsor
Ono Pharmaceutical Co. Ltd
Brief Summary

To investigate the safety and CIPN onset-suppressing effect of ONO-2910 in participants receiving paclitaxel (PTX) weekly as chemotherapy for breast cancer in Japan.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
210
Inclusion Criteria
  1. Patients with ECOG Performance Status 0 or 1
  2. Patients scheduled to receive 12 consecutive weekly doses of PTX (80 mg/m2, intravenous infusion) as a perioperative treatment of clinical stage I-III breast cancer (concomitant use of trastuzumab and pertuzumab is allowed)
  3. Patients who meet the following organ functions according to the laboratory test results at the time of treatment registration.However, blood transfusions and measurements within 7 days after administration of granulocyte colony-stimulating factor (G-CSF) are excluded.

Neutrophil count >= 1,500/mm3, Platelet count >= 75,000/mm3, Hemoglobin >= 10.0 g/dL or >= 6.2 mmol/L, Serum creatinine <= 2.0 mg/dL, Total bilirubin <= 3.0 mg/dL, ALT and AST <= 100 IU/L or less than 2.5 times the facility's upper limit of clinical laboratory test values

Exclusion Criteria
  1. Patients with grade 1 or higher peripheral sensory neuropathy, peripheral motor neuropathy, or extremity edema in the upper or lower extremities.
  2. Patients with pain or numbness in the upper or lower extremities due to a history/complication, such as stroke, diabetic neuropathy, alcoholic neuropathy, carpal tunnel syndrome, tarsal tunnel syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, Guillain-Barre syndrome, Fisher syndrome, knee osteoarthritis, hernia, cervical spondylosis, lumbar spondylosis, spinal canal stenosis, peripheral circulatory disorders, hand-foot syndrome,etc.
  3. Patients who have difficulty in evaluating limb symptoms due to trauma/defects in the upper or lower limbs, or complications such as infectious or inflammatory diseases on the skin of the upper or lower limbs.
  4. Patients with concurrent multiple cancers.
  5. Patients who have not recovered from toxicity (Grade 1 or less) from prior treatment.
  6. Patients who have been administered platinum agents, bortezomib, vinca alkaloids, and taxanes including PTX in the past, and patients who are scheduled to be administered these drugs other than PTX during the study period.
  7. Prior treatment other than trastuzumab or pertuzumab (chemotherapy, molecular targeted drug therapy, antibody therapy, hormone therapy, immunotherapy, radiation therapy, etc.) within 7 days before the start of the treatment period (Visit 2) (including the start date of the treatment period) ) was performed.
  8. At the beginning of the treatment phase (Visit 2), Patients using peripheral neuropathic pain medications such as pregabalin, mirogabalin, duloxetine, tricyclic and tetracyclic antidepressants, gabapentin, analgesics such as loxoprofen and acetaminophen, vitamin B12 such as mecobalamin, chinese herbal medicines indicated for pain such as goshajinkigan, and opioids such as oxycodone.
  9. Patients who plan to receive preventive compression therapy (surgical gloves, elastic stockings, etc.) or preventive cooling therapy for chemotherapy-induced limb adverse events during the study period
  10. Patients scheduled for surgery during the study period

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ONO-2910ONO-2910-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
ECG QTcFUp to 87 days
Pregnancy testUp to 101 days
body temperatureUp to 87 days
Efficacy evaluation:Proportion of participants with peripheral sensory neuropathy (NP)# of Grade 2 or higher by 12 weeks after the start of intervention12 week
WeightUp to 87 days
pulse rateUp to 87 days
ECG RR intervalUp to 87 days
Number of Participants with AEUp to 101 days
ECG PR intervalUp to 87 days
HematologyUp to 87 days
UrinalysisUp to 87 days
ECG QRS complexUp to 87 days
ECG heart rateUp to 87 days
Clinical chemistryUp to 87 days
blood pressureUp to 87 days
ECG QT intervalUp to 87 days
Blood coagulationUp to 87 days
Viral testbaseline
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (30)

Nagoya City University Hospital

🇯🇵

Aichi, Japan

Nagoya University Hospital

🇯🇵

Aichi, Japan

Funabashi Municipal Medical Center

🇯🇵

Chiba, Japan

Medical Corporation Tesshokai Kameda Medical Center

🇯🇵

Chiba, Japan

National Cancer Center Hospital East

🇯🇵

Chiba, Japan

Kitakyushu City Hospital Organization Kitakyushu Municipal Medical Center

🇯🇵

Fukuoka, Japan

Gunma Prefectural Cancer Center

🇯🇵

Gunma, Japan

Social Medical Corporation Hakuaikai Sagara Hospital

🇯🇵

Kagoshima, Japan

Nippon Medical School Musashikosugi Hospital

🇯🇵

Kanagawa, Japan

Kumamoto Shinto General Hospital

🇯🇵

Kumamoto, Japan

Okayama University Hospital

🇯🇵

Okayama, Japan

Nahanishi Clinic

🇯🇵

Okinawa, Japan

Osaka Rosai Hospital

🇯🇵

Osaka, Japan

Osaka University Hospital

🇯🇵

Osaka, Japan

Japanese Saitama Red Cross Hospital

🇯🇵

Saitama, Japan

Yodogawa Christian Hospital

🇯🇵

Osaka, Japan

Shizuoka General Hospital

🇯🇵

Shizuoka, Japan

Center Hospital of the National Center for Global Health and Medicine

🇯🇵

Tokyo, Japan

National Cancer Center Hospital

🇯🇵

Tokyo, Japan

Saitama Medical University International Medical Center

🇯🇵

Saitama, Japan

Nippon Medical School Hospital

🇯🇵

Tokyo, Japan

St. Luke's International Hospital

🇯🇵

Tokyo, Japan

Toranomon Hospital

🇯🇵

Tokyo, Japan

Osaka Breast Clinic

🇯🇵

Osaka, Japan

Osaka Prefectural Hospital Organization Osaka International Cancer Institute

🇯🇵

Osaka, Japan

Tokyo Metropolitan Komagome Hospital

🇯🇵

Tokyo, Japan

Kumamoto University Hospital

🇯🇵

Kumamoto, Japan

Tokai University Hospital

🇯🇵

Kanagawa, Japan

Fujita Health University Hospital

🇯🇵

Aichi, Japan

University of Tsukuba Hospital

🇯🇵

Ibaraki, Japan

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