Study Protocols : Study Protocol of Regorafenib Escalation for Colorectal Cancer (RECC) : A Phase Ⅱ Multicenter Clinical Trial of the Efficacy and Safety of Regorafenib Dose Escalation Therapy as the Third or Fourth Line Therapy for Unresectable/Recurrent Colorectal Cancer

  • SUGIMOTO KIICHI
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • YAMADA TAKESHI
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
  • ISHIYAMA SHUN
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
  • NAKAMURA MASATO
    Aizawa Comprehensive Cancer Center, Aizawa Hospital
  • YOSHIDA YOICHIRO
    Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine
  • HASEGAWA SUGURU
    Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine
  • YOKOMIZO HAJIME
    Department of Surgery, Tokyo Women’s Medical University, Medical Center East
  • NARITAKA YOSHIHIKO
    Department of Surgery, Tokyo Women’s Medical University, Medical Center East
  • SAKUYAMA NAOKI
    Department of Surgery, Tobu Chiiki Hospital, Metropolitan Health and Medical Treatment Corporation
  • OCHIAI TAKUMI
    Department of Surgery, Tobu Chiiki Hospital, Metropolitan Health and Medical Treatment Corporation
  • SONODA HIROMICHI
    Department of Surgery, Shiga University of Medical Science
  • TANI MASAJI
    Department of Surgery, Shiga University of Medical Science
  • ENOMOTO MASANOBU
    Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University
  • KATSUMATA KENJI
    Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University
  • YAMAGUCHI TATSURO
    Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
  • OHTA RYO
    Department of Surgery, Institute of Gastroenterology, Kawasaki Saiwai Hospital
  • ISHIMARU KEI
    Department of Gastrointestinal Surgery and Surgical Oncology, Ehime University Graduate School of Medicine
  • WATANABE YUJI
    Department of Gastrointestinal Surgery and Surgical Oncology, Ehime University Graduate School of Medicine
  • KODA KEIJI
    Department of Surgery, Teikyo University Chiba Medical Center
  • SAKAMOTO KAZUHIRO
    Department of Coloproctological Surgery, Juntendo University Faculty of Medicine

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  • Study Protocol of Regorafenib Escalation for Colorectal Cancer (RECC): A Phase II Multicenter Clinical Trial of the Efficacy and Safety of Regorafenib Dose Escalation Therapy as the Third or Fourth Line Therapy for Unresectable/Recurrent Colorectal Cancer

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<p>Objective: Regorafenib (BAY 73-4506) is an oral multikinase inhibitor that has been shown to inhibit various oncogenic stromal receptor tyrosine kinases and intracellular signaling kinase. The aim of the study is to confirm the safety and effectiveness of dose escalation therapy of regorafenib for the third- or fourth- treatments of patients with unresectable and recurrent colorectal cancer.</p><p>Design: This study is designed as a single-arm, prospective, non-randomized, multi-centered open label phase II trial in Japan. The study regimen consists of 28-day cycles with escalated doses of regorafenib (80-160 mg/body on days 1 to 21). This study is a dose-escalation study using a starting dose of 80 mg/day during the first seven days. In case of no adverse events related to the administration after the first seven days of the starting dose, the administration dose will be increased to 120 mg/day on days 8 to 14. The administration dose will then be increased to 160 mg/day on days 15 to 21. Primary end point is progression free survival (PFS); secondary end points include time to treatment failure, response rate, overall survival, the interval between the initial of drug administration and performance status 2, the transition rate to the following line of treatment, the cumulative dose and the incidence of adverse events of grade 3 or higher, and genetic alterations (KRAS mutation/BRAF mutation) in circulating cell-free DNA.</p><p>Conclusions: This study may contribute to determining the efficacy of the escalation of the administration dose in patients with metastatic colorectal cancer.</p>

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