癌症試驗

TCOG癌症試驗

TCOG癌症試驗

1. 多中心癌症臨床試驗

TCOG針對國內主要癌症推動執行由研究人員發起之跨院際學術性臨床試驗,以期快速找出適合國人之癌症治療方法,提昇癌症治療水準。TCOG邀集全國各大醫院有興趣之相關科別醫師參與合作癌症研究計畫,執行個案篩檢、收案、計畫治療及追蹤存活狀態。目前已完成T1188乳癌、T1488淋巴癌、T1788軟組織肉瘤、T1592小細胞肺癌、T1394晚期鼻咽癌、T1495淋巴癌、T1296胃淋巴癌、胃腺癌病患表格登錄、T1297肝癌術後、T1899子宮頸抹片篩檢、T2201胃癌、T1E01子宮頸癌、T3202膽道癌、T1802攝護腺癌、T2399口腔癌、T1401淋巴癌、大腸直腸癌病患表格登錄、T1399口腔癌、T2202肝癌、T1202大腸直腸癌、T1204胰臟癌、T1303鼻咽癌、T1405 淋巴癌、T1406淋巴瘤、T1706軟組織惡性肉瘤、T1209肝癌、T1206肝癌、T2207大腸癌、T1309口腔癌、T1210膽臟癌、T1306口腔癌、T2209胰臟癌、T3211胃癌、T2211胃腸道基質瘤、T3207胰臟癌、T3206胃淋巴瘤、T1211胰臟癌、T1408淋巴癌、TG1308膽道癌、T1313鼻咽癌、T2312鼻咽癌、T3214膽道癌、T3212胰臟癌、T1Z14神經內分泌瘤、T2212胰臟癌、T1914白血病、T5217胰臟癌、T2214胃淋巴瘤、T1217胰臟癌、T1214胃腸道基質瘤暨神經內分泌腫瘤、T2317頭頸癌、T1317鼻咽癌、T3217膽道癌、T1216消化道癌、T1219膽道癌、TG1709胰臟癌、T2217肝癌、T1519肺癌等五十八個研究計畫之個案收錄,總計收錄9,287例個案,已發表34篇研究論文。目前持續執行收案中之計畫計有T2219肝癌、T1420淋巴癌、T2420淋巴癌、T1220食道癌、T2221胃腸胰神經內分泌腫瘤、T5221胰臟癌、T2220胃食道癌、T1421淋巴癌、T1222膽道癌、T2222胃腸胰神經內分泌癌等治療型,以及T1218胃腸道基質瘤、T6221胃腸道基質瘤、T1521肺癌、T1221胃腸道基質瘤、T3221膽道癌、T4221食道癌、T2322甲狀腺癌、T1322口咽癌、T4222肝癌、T3322腦癌、T1622黑色素瘤、T1822泌尿道癌等NGS登錄型,共計22個研究計畫,至2023年2月總計收案2,573例;含已結束的計畫尚有2,403例個案執行計畫治療中、持續追蹤168例個案存活狀況。2023年尚有T3222膽道癌、T1223胃癌等數個新計畫將開始送審執行。
TCOG歷年計畫癌別

TCOG歷年計畫癌別

參與癌症臨床試驗:

癌症藥物及治療方式日新月異,需通過嚴謹的各期臨床試驗後方得以證實其療效。癌症病患必須符合臨床試驗的篩選條件,方能加入該試驗參與計畫治療;由於病患之身體與疾病狀況可能有相當之差異,有意願參與癌症臨床試驗的病患應與您的主治醫師討論洽詢,選擇最符合病患利益之治療方式。

執行中研究計畫 (更新至Feb. 2023)

代號 計畫書 主持人 計畫執行期 預期收案數 實際收案數
T1218 The Observational Registry: Nationwide Data Collection on Gastrointestinal Stromal Tumors (GISTs) Patients (Taiwan GISTs Registry Chun-Nan Yeh,
Hui-Jen Tsai
2018.10 ~ now 3000 951
T2219 Atezolizumab plus bevacizumab for patients with advanced hepatocellular carcinoma (HCC) and chronic hepatitis B virus (HBV) infection Yung-Yeh Su,
Chiun Hsu
2020.03 ~ now 48 35
T2420 A Phase Ib Study of combining Rituximab, Acalabrutinib, and Durvalumab (RAD) in PCNSL. Shang-Ju Wu,
Kwang-Yu Chang
2021.02 ~ now 16-22 13
T1521 The Registry of Genetic Alterations of Taiwan Non-small Cell Lung Cancer Chih-Hsin Yang,
Nai-Jung Chiang
2021.06 ~ now 550 507
T1221 A Taiwanese Oncogenetic Panel and Integrated Clinical Data Registry Study for Wild Type Gastrointestinal Stromal Tumor Patients (TOPICS-GIST) Li-Tzong Chen,
Hui-Jen Tsai
2021.07 ~ now 50 18
T1220 BI-754091 and Afatinib for Refractory Esophageal squamous cell carcinoma (BEAR study): a single-arm, phase II study Ming-Huang Chen,
Nai-Jung Chiang
2021.08 ~ now 44 45
T2221 A Phase I/II Study Using Cabozantinib and Lanreotide as Treatment for Advanced Gastroenteropancreatic Neuroendocrine Tumors That Failed Molecular Targeted Therapies or Chemotherapy (SCALET) Hui-Jen Tsai 2021.10 ~ now  49 19
T3221 The Registry of Genetic Alterations of Taiwan Biliary Tract Cancer Ming-Huang Chen,
Nai-Jung Chiang
2021.10 ~ now 400 220
T4221 The Registry Study of Genetic Alterations of Esophageal Cancer in Taiwan Chih-Hung Hsu,
Shang-Hung Chen
2021.10 ~ now  400 243
T1420 A Phase I/II Study of Ruxolitinib, Paclitaxel, and Rituximab (RPR) in Patients with Relapse/Refractory Diffuse Large B-cell Lymphoma Chih-Cheng Chen,
Hui-Jen Tsai
2021.11 ~ now  74 1
T5221 A Phase II Randomized Study of Gemcitabine and Nab-paclitaxel in Combination with S- 1/LV (GASL) or Oxaliplatin (GAP) as First-line Treatment for Metastatic Pancreatic Cancer Yung-Yeh Su 2022.01 ~ now  86 50
T1421 A Single-arm Phase Ib/II Study of the Combination of Lenalidomide and Gemcitabine in Relapsed or Refractory Peripheral T-cell Lymphomas Wei-Li Ma,
Hui-Jen Tsai
2022.3 ~ now 36 4
T2220 Randomised Phase III Controlled Trials of Regorafenib containing regimens versus standard care in Refractory Advanced Gastro-Oesophageal Cancer (AGOC) Li-Tzong Chen 2022.3 ~ now 40 3
T1222 Phase II Trial of Lenvatinib plus Paclitaxel for Patients with Advanced Biliary Tract Cancer Who Failed to Gemcitabine-based Treatment Li -Yuan Bai,
Nai-Jung Chiang
2022.7 ~ now 52-55 6
T2222 A phase I/II study of nal-IRI (ONIVYDE®) and carboplatin in patients with advanced or metastatic gastroenteropancreatic poorly differentiated neuroendocrine carcinom Ming-Huang Chen,
Nai-Jung Chiang
2022.7 ~ now 52-61 6
T2322 A Taiwanese Oncogenetic Panel and Integrated Clinical Data
Registry Study for Advanced Thyroid Cancer Patients
Hui-Jen Tsai,
Li-Tzong Chen 
2022.8 ~ now 300 100
T1322 The Registry Study of Genetic Alterations of Oropharyngeal Cancer in Taiwan Pei-Jen Lou,
Shang-Hung Chen
2022.11 ~ now 300 63
T4222 Dissection of the molecular and immunological interaction in patients with hepatocellular carcinoma of viral and non-viral etiologies Yung-Yeh Su,
Chiun Hsu
2022.11 ~ now 600 192
T1622 The Registry Study of Genetic Alterations of Melanoma in Taiwan Chiao-En Wu,
Nai-Jung Chiang
2022.12 ~ now 250 9
T3322 A Taiwanese Oncogenetic Panel and Integrated Clinical Data Registry Study for Diffuse Glioma Yong-Kwang Tu,
Kwang-Yu Chang
2022.12 ~ now 275 20
T1822 The Registry of Genetic Expression of Taiwan Urologic Cancer Tai-Lung Cha,
Kwang-Yu Chang
2023.1 ~ now 500 68
已結束之研究計畫
代號 計畫書 主持人 計畫執行期 實際收案數
T1188 Phase II Study of Weekly CAF for Advanced Breast Cancer. Wei-Shou Hwang 1988.10 ~ 1994.12 107
T1488 Prospective Study of T and B Cell NHL by Using CHOP. Ann-Lii Cheng 1988.9 ~ 1994.12 213
T1788 Phase II Trial of VIP in Advanced Soft Tissue Sarcoma. Wei-Shou Hwang 1988.7 ~ 1994.12 90
T1592 Evaluation of Dose Optimization of Carboplatin for SCLC. Jang-Yang Chang 1992.2 ~ 1995.5 40
T1394 Phase III Study of R/T vs. CCRT in Advanced NPC. Kwan-Hwa Chi 1994.11 ~ 1999.7 158
T1495 Phase III Study of Steroid-containing vs. Steroid-free Chemotherapy for HBV Carriers with Non-Hodgkin’s Lymphoma. Ann-Lii Cheng,
Pei-Jer Chen
1995.11 ~ 2000.5 50
T1296 Eradication of HP in the Management of Low-grade MALToma. Li-Tzong Chen 1996.3 ~ 1999.4 41
A1293 Gastric Adenocercinoma Registry in Surgery and Pathology. Chew-Wun Wu 1998.6 ~ 2000.12 1386
T1297 Phase III Adjuvant IFN vs Conservative Tx for Post OP HCC. Li-Tzong Chen,
Pei-Jer Chen
1997.10 ~ 2003.4 268
T1899 HPV Survey in CIN for LSIL Cases. Tang-Yaun Chu,
Chi-An Chen,
Tzer-Ming Chen
1999.8 ~ 2004.2 1331
T2201 Phase III Study in PostOP Adjuvant CCRT for Stage III & IVa Adeno- carcinoma of Stomach. Jang-Yang Chang 2001.4 ~ 2004.3 14
T1E01 PostOP Adjuvant Therapy for Stage Ib-IIa Cervical Carcinoma with Pelvic LN Meta. Chyong-Huey Lai 2002.2 ~ 2004.3 4
T1802 Phase II THADO for Prostate Cancer. Ruey-Kuen Hsieh 2002.10 ~ 2004.7 30
T3202 Phase II Palliative C/T for Biliary Tract Cancer. Chiun Hsu 2002.7 ~ 2004.9 50
T2399 Phase III Adjuvant CCRT for High-risk Oral Cavity Cancer. Mow-Ming Hsu,
Ruey-Long Hong
1999.8 ~ 2004.11 161
T1401 Phase III Oral Anti-HBV Prophylaxis for HBV Carrier with Non-Hodgkin’s Lymphoma. Ann-Lii Cheng,
Pei-Jer Chen
2001.10 ~ 2005.4 52
HNPCC Heritable Colorectal Cancer Registry. Reiping Tang 2002.5 ~ 2006.12 817
T1399 Phase III Chemoprevention Tx vs Placebo for Oral Cavity Cancer. Mow-Ming Hsu,
Ruey-Long Hong
1999.4 ~ 2005.7 342
T2202 Phase III Thado vs Placebo for Advanced HCC. Li-Tzong Chen 2003.2 ~ 2007.7 16
T1202 Phase II Adjuvant C/T for High-risk Colon Cancer. Tsai-Shen Yang 2002.4 ~ 2008.1 162
T1204 Phase II Induction C/T + CCRT for Locally Advanced Pancreatic Cancer. Hui-Ju Ch’ang,
Li-Tzong Chen
2004.11 ~ 2008.8 50
T1303 Phase III Induction C/T +CCRT vs CCRT for Stage IV NPC. Ruey-Long Hong,
Mow-Ming Hsu,
Cheng-Hsu Wang
2003.8 ~ 2009.8 480
T1405 Phase II CCRT for NK T-cell Lymphoma. Ming-Chih Chang 2006.5 ~ 2009.9 33
T1406 Phase II High Dose MTX + Steroid and Whole Brain R/T with Temozolomide for CNS Lymphoma. Ching-Hung Lin,
Ann-Lii Cheng
2006.11 ~ 2009.10 4
T1706 Phase II C/T with Gemcitabine & Docetaxel for Soft Tissue Sarcoma or GI Stromal Tumor. Chung-Huang Chan 2006.12 ~ 2010.1 58
T1209 Phase I/II sorafenib + thalidomide in HCC. Chung-Huang Chan 2009.8 ~ 2010.1 3
T1206 Phase III Adjuvant Oral Anti-HBV Tx for Post OP HCC. Li-Tzong Chen,
Pei-Jer Chen
2007.4 ~ 2010.8 117
T1309 Phase II Study of Neoadjuvant Bio-C/T with CPC Followed by Bio-R/T in High-risk OSCC. Jang-Yang Chang,
Sen-Tien Tsai
2009.9~2011.5 47
T2207 Phase II Trial Celecoxib with PreOP CCRT for Locally Advanced Rectal Cancer. Ling-Wei Wang 2007.7 ~ 2011.6 55
T1210 Randomized Phase II Study of GEMOX With or Without Cetuximab in BTC. Li-Tzong Chen 2010.12 ~ 2012.5 122
T1306 Phase II/III Adjuvant Anti-Angiogenesis Tx for High-risk Oral Cavity Cancer. Ruey-Long Hong 2007.5 ~ 2012.12 150
T2209 Phase II Randomized Study of C/T Followed by CCRT in Locally Advanced Pancreatic Cancer. Hui-Ju Ch’ang,
Yan-Shen Shan
2009.11 ~ 2013.1 15
T3211 Phase II Study Using Genetic Polymorphisms of Drug in Patients with Gastric Cancer. Yee Chao,
Ming-Huang Chen
2012.3 ~ 2014.11 51
T2211 Phase II Study of Weekly AUY922 for Advanced GIST. Li-Tzong Chen,
Nai-Jung Chiang
2011.10 ~ 2015.2 29
T3206 Phase II Triple-Treatment for Low & High Grade MALToma. Li-Tzong Chen 2006.10 ~ 2015.5 47
T3207 Phase III Adjuvant Gemcitabine vs. Gemcitabine + CCRT in Pancreatic Cancer. Tsann-Long Hwang,
Hui-Ju Ch’ang
2009.2 ~ 2015.7 147
T1408 Chemotherapy-Induced Hepatitis B Reactivation in Lymphoma Patients with Resolved HBV Infection: A Prospective Study. Chiun Hsu 2009.6 ~ 2011.12
2014.3 ~ 2015.12
154 + 48
T1211 Phase I/II Trial of SLOG Therapy in Metastatic Pancreatic Cancer. Li-Tzong Chen,
Kun-Chih Tsai
2012.4 ~ 2015.12 73
TG1308 S-1 in Combination with Gemcitabine for Patients with Advanced Biliary Tract Cancer. Li-Tzong Chen 2015.5 ~ 2016.6 51
T1313 Phase III Trial in NPC with Post- radiation Detectable Plasma EBV DNA. Jin-Ching Lin 2014.12 ~ 2016.12 10
T2312 The Effect of EGCG on Virus Reactivation in Post- radiation NPC Patients without Detectable EBV DNA. Jin-Ching Lin,
Jen-Yang Chen,
Sen-Tien Tsai
2013.4 ~ 2017.10 353
T3214 Phase II Trial of LDK378 as Therapy in ROS1 and /or ALK Over-expressed Advanced Intrahepatic or Hilar Cholangiocarcinoma. Li-Tzong Chen,
Hui-Ju Ch’ang
2015.9 ~ 2017.12 9
T3212 The Clinical Significance of Bio-markers in Pancreatic Cancer Patients. Hui-Ju Ch’ang,
Li-Tzong Chen
2012.12 ~2018.3 270
T1Z14 Phase II Study of TLC388 as Second-line Treatment for poorly-differentiated NET Patients. Yee Chao,
Ming-Huang Chen,
Hui-Jen Tsai
2015.7 ~ 2018.5 23
T2212 Randomized Two Arms Phase II Study of Induction Chemotherapy Followed by CCRT in Locally Advanced Pancreatic Cancer. Hui-Ju Ch’ang,
Yen-Shen Shen
2013.7 ~ 2019.1 55
T1914 Molecular Features Underlying Ethnic Differences in Survival of CLL Patients in Taiwan. Hwei-Fang Tien,
Shang-Ju Wu
2015.11 ~ 2019.1 255
T5217 A Phase II Randomized Study of SLOG vs mFOLFIRINOX as the First-line Treatment in Locally Advanced Unresectable or Metastatic Pancreatic Cancer Li-Tzong Chen,
Nai-Jung Chiang,
Yen-Shen Shen
2018.3 ~ 2019.11 130
T2214 First-line Antibiotic Therapy for Early-stage HP(+) Gastric Pure DLBCL. Sung-Hsin Kuo,
Li-Tzong Chen
2015.4 ~ 2020.3 17
T1217 Phase II Trial of Biweekly S-1, Leucovorin and Gemcitabine (GSL) in Elderly Patients with Locally Advanced or Metastatic Pancreatic Adenocarcinoma Li-Tzong Chen,
Li-Yuan Bai
2018.7 ~ 2020.3 49
T1214 Multi-center Registration Study for Gastroentero- Pancreatic NET in Taiwan Li-Tzong Chen,
Yen-Shen Shen,
Hui-Jen Tsai
2014.1 ~2020.4 600
T2317 Phase 2 Study of Nanoliposomal Irinotecan (nal-IRI, PEP02, MM-398, Onivyde®) with 5-FU and Leucovorin in Squamous Cell Carcinoma (SCC) of Head & Neck and Esophagus after Prior Platinum-based Chemotherapy or Chemoradiotherapy Li -Yuan Bai,
Nai-Jung Chiang
2018.12 ~ 2020.5 59
T1317 Pembrolizumab for Nasopharyngeal Carcinoma Patients with Detectable Plasma Epstein-Barr Virus DNA but Without Clinically Detectable Residual Diseases and/or Metastases After Curative Chemoradiation – A Single Arm Phase II Trial Hsiang-Fong Kao,
Kwang-Yu Chang
2019.1 ~ 2020.5 2
T3217 Phase II Randomized Trial of S-1, Leucovorin, Oxaliplatin and Gemcitabine (SLOG) vs Gemcitabine and Cisplatin (GC) in Locally Advanced or Metastatic Biliary Tract Cancer Li-Tzong Chen,
Nai-Jung Chiang
2018.4 ~ 2020.6 92
T1216 An Open-Label Phase I, Dose-Escalation Study of Biweekly Abraxane in Combination with Oxaliplatin and Oral S-1/LV, the SOLAR Regimen, as First-line Chemotherapy in Patients with Advanced Gastric, Pancreatic and Biliary Cancers Li-Tzong Chen 2018.2 ~ 2020.11 19
T1219 A Study of Nivolumab combination Gemcitabine and S1 as First Line Treatment in Patients with Advanced Biliary Tract Cancer Ming-Huang Chen,
Nai-Jung Chiang
2019.12 ~ 2020.12 48
TG1709 A phase II study of S-1 Adjuvant Chemotherapy in Patients with Resected Pancreatic Cancer in Taiwan Li-Tzong Chen 2019.07 ~ now 36
T2217 Nivolumab plus ipilimumab as neoadjuvant therapy for hepatocellular carcinoma (HCC) Chiun Hsu 2019.1 ~ 20022.4 47
T1519 A Phase 2 trial of durvalumab (MEDI4736) and tremelimumab with chemotherapy in metastatic EGFR mutant non-squamous non-small cell lung cancer (NSCLC) following progression on EGFR Tyrosine Kinase Inhibitors (TKIs) (ILLUMINATE) Chih-Hsin Yang,
Hui-Jen Tsai
2020.04 ~ 2022.12 50

2. 國際合作癌症臨床試驗

TCOG於2006年加入為國際乳癌組織 (Breast International Group, BIG) 會員,並參與其所推動之跨國際乳癌臨床試驗。歷年來TCOG代表台灣參與完成HERA、NeoA、LTTO、ALTTO、APHINITY、PALLAS、Olympia等六個乳癌國際研究計畫,總計全球收錄26,013例個案,其中台灣收錄742例。進行中之ALEXIMp030計畫台灣共計13家醫院參與,已進案70例;全球總進案2,199例。

BIG計畫歷年來已發表HERA、NeoALTTO、APHINITY、Olympia計畫共計8篇研究成果期刊論文。其中HERA計畫分別於2005年N Engl J Med期刊和2010年J Clin Oncol期刊、APHINITY計畫於2017年N Engl J Med期刊和2021年J Clin Oncol期刊和2023年ESMO Open期刊、Olympia計畫於2021年N Engl J Med期刊和2022年Ann Oncol期刊中台灣各有一位醫師列名共同作者;NeoALTTO計畫於2012年Lancet期刊中台灣有二位醫師列名共同作者。NeoALTTO計畫台灣是23個地區收案最多的國家、委員亦為收案最多的醫師之一;APHINITY計畫亞太區收案情形台灣排名第三,試驗單位部分北榮收案排名第五、台大第六位、中榮並列第十位。

A. On-going Clinical Protocols:

Protocol Date Activated Taiwan Sites Taiwan Cases Global Cases
ALEXIMp030 2018.7 ~ now 10 70 2,199

B. Finished Protocols:

Protocol Date Activated Taiwan Sites Taiwan Cases Global Cases
Olympia 2014.4 ~ 2019.5 11 10 1,824
PALLAS 2015.10 ~ 2018.11 5 31 5,552
APHINITY 2011.11 ~ 2013.8 7 170 4,805
ALTTO 2007.5 ~ 2011.6 8 374 8,283
NeoALTTO 2008.1 ~ 2009.11 7 57 450
HERA 2001.11 ~ 2005.3 4 100 5,099
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