Study of PEP02, Irinotecan or Docetaxel in Gastric or Gastroesophageal Junction Adenocarcinoma

March 1, 2012 updated by: PharmaEngine

A Randomized Phase II Study of PEP02, Irinotecan or Docetaxel as a Second Line Therapy in Patients With Locally Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma

The purpose of this study is to assess objective tumor response in the single agent treatment of PEP02, irinotecan, or docetaxel for locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Palliative chemotherapy has been shown to improve survival compared with best supportive care alone in patients with unresectable or recurrent gastric cancer. There is no standard second-line chemotherapy for advanced gastric cancer and no randomized-controlled trial data suggest a benefit of second-line chemotherapy compared with supportive care alone. Response rates of second-line therapy in phase II trials are similar to those seen for other cancers that are more commonly retreated. Combination therapy may achieve higher response rates than single agents, however, the survival outcome are the same. In addition, data suggest that patients may obtain symptomatic benefits from second-line therapy. In comparison to the toxicity profile of single agent with combination regimen, patients are more tolerable to single agent therapy than combination.

Based on the previous clinical experience in second line chemotherapy of advanced gastric cancer, the single agent of PEP02, irinotecan and docetaxel are selected as the regimens for this randomized phase II study. The efficacy and toxicity outcome of the three-arm design will be a valuable reference for future combination therapy or phase III study design.

Study Type

Interventional

Enrollment (Actual)

135

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Bosnia and Herzegovina
      • Mostar, Bosnia and Herzegovina, 36 000
        • Clinical hospital Mostar
      • Sarajevo, Bosnia and Herzegovina, 71 000
        • Clinical Centre University of Sarajevo
  • Croatia
      • Rijeka, Croatia, 51 000
        • University hospital centre Rijeka
      • Zagreb, Croatia, 10 000
        • University Hospital Centre Zagreb
      • Zagreb, Croatia, 10 000
        • University Hospital Centre Dubrava
  • Korea, Republic of
      • Seoul, Korea, Republic of, 135-710
        • Samsung Medical Center
      • Seoul, Korea, Republic of, 138-736
        • Asan Medical Center
      • Seoul, Korea, Republic of, 410-769
        • National Cancer Center
  • Spain
      • Barcelona, Spain, 08035
        • Hospital Universitario Vall D'Hebron
      • Elche, Spain, 03203
        • Hospital General Universitario de Elche
      • Madrid, Spain, 28040
        • Hospital Clinico San Carlos
      • Santander, Spain, 39008
        • Hospital Universitario Marqués de Valdecilla
  • Taiwan
      • Chiayi, Taiwan
        • Chang Gung Memorial Hospital - Chiayi
      • LinKou, Taiwan
        • Chang Gung Memorial Hospital - Linkou
      • Tainan, Taiwan, 704
        • National Cheng Kung University Hospital
      • Taipei, Taiwan, 112
        • Taipei Veterans General Hospital
      • Taipei, Taiwan, 25115
        • Mackay Memorial Hospital
  • United Kingdom
      • Cambridge, United Kingdom, CB2 2QQ
        • Addenbrookes Hospital Oncology Center
      • London, United Kingdom, SE19RT
        • Guy's & St Thomas' NHS Foundation Trust
      • Maidstone, United Kingdom, ME16 9QQ
        • Kent Oncology Centre, Maidstone Hospital
      • Southampton, United Kingdom, SO16 6YD
        • Southampton University Hospital
      • Surrey, United Kingdom, SM2 5PT
        • the Royal Marsden Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Histologically or cytologically confirmed locally advanced (unresectable) or metastatic adenocarcinoma of gastric or gastroesophageal junction
  • Failed to only one systemic chemotherapy for locally advanced or metastatic disease, including patients whose diseases recur within 6 months after (neo)adjuvant chemotherapy. Chemotherapy administered with concurrent radiotherapy is NOT considered as systemic chemotherapy.
  • Have at least one measurable lesion according to the RECIST criteria
  • Aged above or equal to 18 years, at the time of acquisition of informed consent
  • With ECOG performance status 0, 1, or 2
  • Life expectancy equal to or more than 3 months
  • With adequate organ and marrow function as defined below:
  • With ability to understand and the willingness to sign a written Informed Consent Form

Exclusion Criteria:

  • Had systemic chemotherapy within 3 weeks before the commencement of study treatment
  • Had radiotherapy within 4 weeks before the commencement of study treatment
  • With known brain metastasis
  • With active multiple cancers or had treatment for other carcinomas within the last five years, except cured non-melanoma skin and treated in-situ cervical cancer
  • With prior irinotecan or taxane (paclitaxel, docetaxel) treatment
  • Have received irradiation affecting > 30% of the active bone marrow
  • Had major surgery within 4 weeks of the start of study treatment (laparotomy, line placement is not considered major surgery)
  • Have not recovered from prior treatments
  • With preexisting peripheral neuropathy > grade 2
  • With history of allergic reaction to liposome product or other drugs formulated with polysorbate
  • With uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, active gastrointestinal bleeding, watery stools, central nervous system disorders or psychiatric illness/social situation that would limit compliance with study requirements or judged to be ineligible for the study by the investigator
  • Have received any investigational agents within 3 weeks preceding the start of study treatment
  • Pregnant or breastfeeding females (a pregnancy test must be performed on all female patients who are of child-bearing potential before entering the study, and the result must be negative)
  • With intestinal obstruction
  • Have received St. John's Wort, CYP3A4 inducing anticonvulsants (phenytoin, phenobarbital, and carbamazepine), rifampin and rifabutin within two weeks, or ketoconazole, itraconazole, troleandomycin, erythromycin, diltiazem and verapamil within one week before the administration of study medications

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 1. PEP02
liposome irinotecan
Drug: PEP02

120 mg/m2, IV infusion for 90 minutes on day 1 of each 21 day as a treatment cycle.

Number of Cycles: until progression or unacceptable toxicity develops.

Other Names:
  • liposome irinotecan
Active Comparator: 2. irinotecan
Drug: irinotecan
300 mg/m2, IV infusion on day 1 of each 21 day as a treatment cycle. Number of Cycles: until progression or unacceptable toxicity develops.
Other Names:
  • Campto
Active Comparator: 3. docetaxel
Drug: docetaxel

75 mg/m2, IV infusion for 60 minutes on day 1 of each 21 day as a treatment cycle.

Number of Cycles: until progression or unacceptable toxicity develops.

Other Names:
  • Taxetere

What is the study measuring?

Primary Outcome Measures

Outcome Measure
objective tumor response

Secondary Outcome Measures

Outcome Measure
progression-free survival, duration of tumor response, time to progression, time to treatment failure, disease control rate, 1-year survival rate,and overall survival; pharmacokinetics and pharmacogenetics of PEP02 and irinotecan

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

PharmaEngine

Investigators

  • Principal Investigator: David Cunningham, The Royal Marsden Hospital, London & Surrey, UK

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2007

Primary Completion (Actual)

July 1, 2010

Study Completion (Actual)

December 1, 2010

Study Registration Dates

First Submitted

December 18, 2008

First Submitted That Met QC Criteria

December 19, 2008

First Posted (Estimate)

December 22, 2008

Study Record Updates

Last Update Posted (Estimate)

March 2, 2012

Last Update Submitted That Met QC Criteria

March 1, 2012

Last Verified

March 1, 2012

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PEP0206
  • EudraCT number: 2006-006452-35

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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