- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00290485
Gleevec Administered Preoperatively to Reduce Gastrointestinal Stromal Tumor (GIST)
6. april 2006 opdateret af: Maisonneuve-Rosemont Hospital
A Phase II Study on Preoperative Administration of Gleevec in Patients With Initially Non-Resectable Gastrointestinal Stromal Tumor
The aim of this study is to demonstrate that the use of Gleevec in initially non-resectable gastrointestinal stromal tumors can lead to allow complete resection in 20% of cases.
Studieoversigt
Status
Ukendt
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Gastrointestinal stromal tumor (GIST) is a specific, immunohistochemically KIT+ mesenchymal neoplasm of the gastrointestinal tract.
The identification of KIT+ tumor has become more important after introduction of target treatment with KIT tyrosine kinase inhibitor Imatinib mesylate (Gleevec).
Despite this progress, GIST patients presenting a tumor larger than 5 cm have a 10 year survival between 10% and 30%.
Indeed, the risk of microscopic spreading of the tumor during surgery is very high since intra-abdominal organs are in close relation to each others.
To improve survival, it seemed logical to use preoperative Gleevec to reduce tumor size and improve efficacy of the surgical procedure.
Undersøgelsestype
Interventionel
Tilmelding
50
Fase
- Fase 2
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
Quebec
-
Montreal, Quebec, Canada, H1T 2M4
- Rekruttering
- Maisonneuve-Rosemont Hospital
-
Kontakt:
- Pierre Dubé, MD
- Telefonnummer: (514) 252-3822
- E-mail: pierredube@videotron.qc.ca
-
Ledende efterforsker:
- Pierre Dubé, MD
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
GIST patient considered initially non-resectable as defined by one of the following:
- when the surgical team considers that the risk of incomplete resection (R1 or R2) of a GIST is higher than 20%
- when the resection of a GIST necessitates a highly morbid procedure
- when a GIST is attached to 3 or more major intra-abdominal structures or to a major intra-abdominal blood vessel
- when GIST is considered at very high risk of recurrence. This is the case when it is a recurrence or when the tumor is in very close contact with a structure that cannot be resected by surgery or when the patient has metastasis.
- Outpatient is 18 years old or more
- ECOG performance status 0, 1 or 2
- Immunohistochemical confirmation of KIT overexpression must exist at the study entry
- Measurable disease on CT-Scan or MRI (ultrasound and/or operative finding are not acceptable) and response to RECIST criteria
- Have a life expectancy of at least 6 months
- Be willing and able to comply with the protocol (and surgery if required) for the duration of the study
- Give written informed consent prior to study-specific screening procedure, with the understanding that the patient has the right to withdraw from the study at any time without prejudice
Exclusion Criteria:
- received Imatinib in the past
- received a full course of radiotherapy within 3 months of inclusion in the study. A short course of radiotherapy to control bleeding is allowed.
- received systemic chemotherapy within 4 weeks of inclusion in the study
- received steroids for less than 4 weeks of inclusion in the study
- pregnant or lactating women
- women of childbearing potential with either a positive or no pregnancy test at baseline. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential.
- sexually active males or females (of childbearing potential) unwilling to practice contraception during the study
- history of other malignancy within the past 5 years, except cured basal cell carcinoma of skin and cured carcinoma in-situ of uterine cervix
- clinical or other evidence of CNS metastases
- myocardial infarction within the last 3 months
- any medical condition that contraindicates potential surgery
- lack of physical integrity of the upper gastrointestinal tract, malabsorption syndrome or inability to take oral medication
- any serious uncontrolled concomitant disease
any of the following laboratory values:
- absolute neutrophil count < 1.5 E+09/L
- platelet count < 80000 E+09/L
- AST or ALT higher than 2 X normal
- major surgery within 4 weeks prior to start of study treatment, or lack of complete recovery from effects of major surgery
- patients with known or suspected hypersensitivity to one of the Gleevec components.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
---|
Patient response rate according to RECIST criteria
|
Sekundære resultatmål
Resultatmål |
---|
Evaluer den samlede overlevelse
|
Clinical response to treatment
|
Radiological response to treatment
|
Pathological response to treatment
|
Compare clinical with pathological response
|
Evaluate the impact of Gleevec on surgical morbidity
|
Evaluate disease-free survival
|
Evaluate whether the response rate can predict survival
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Studiestol: Pierre Dubé, MD, Maisonneuve-Rosemont Hospital
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Demetri GD, von Mehren M, Blanke CD, Van den Abbeele AD, Eisenberg B, Roberts PJ, Heinrich MC, Tuveson DA, Singer S, Janicek M, Fletcher JA, Silverman SG, Silberman SL, Capdeville R, Kiese B, Peng B, Dimitrijevic S, Druker BJ, Corless C, Fletcher CD, Joensuu H. Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumors. N Engl J Med. 2002 Aug 15;347(7):472-80. doi: 10.1056/NEJMoa020461.
- Kitamura Y, Hirota S, Nishida T. Gastrointestinal stromal tumors (GIST): a model for molecule-based diagnosis and treatment of solid tumors. Cancer Sci. 2003 Apr;94(4):315-20. doi: 10.1111/j.1349-7006.2003.tb01439.x. Erratum In: Cancer Sci. 2003 Oct;94(10):930.
- Judson I. Gastrointestinal stromal tumours (GIST): biology and treatment. Ann Oncol. 2002;13 Suppl 4:287-9. doi: 10.1093/annonc/mdf672. No abstract available.
- Greenson JK. Gastrointestinal stromal tumors and other mesenchymal lesions of the gut. Mod Pathol. 2003 Apr;16(4):366-75. doi: 10.1097/01.MP.0000062860.60390.C7.
- Rosai J. GIST: an update. Int J Surg Pathol. 2003 Jul;11(3):177-86. doi: 10.1177/106689690301100304. No abstract available.
- Bono P, Krause A, von Mehren M, Heinrich MC, Blanke CD, Dimitrijevic S, Demetri GD, Joensuu H. Serum KIT and KIT ligand levels in patients with gastrointestinal stromal tumors treated with imatinib. Blood. 2004 Apr 15;103(8):2929-35. doi: 10.1182/blood-2003-10-3443. Epub 2004 Jan 8.
- Schirru A, Cavaliere D, Cosce U, Scarimbolo M, Griseri G, Caristo I, Bianchi M, Ingravaglieri E, Aiello D, Venturino E. [Surgical treatment of gastrointestinal stromal tumors: personal cases]. Tumori. 2003 Jul-Aug;89(4 Suppl):141-2. Italian.
- Liberati G, Lucchetta MC, Petraccia L, Nocchi S, Rosentzwig R, De Matteis A, Grassi M. [Meta-analytical study of gastrointestinal stromal tumors (GIST)]. Clin Ter. 2003 Mar-Apr;154(2):85-91. Italian.
- Kanda T, Ohashi M, Makino S, Kaneko K, Matsuki A, Nakagawa S, Hatakeyama K. A successful case of oral molecularly targeted therapy with imatinib for peritoneal metastasis of a gastrointestinal stromal tumor. Int J Clin Oncol. 2003 Jun;8(3):180-3. doi: 10.1007/s10147-003-0321-0.
- Miettinen M, Lasota J. Gastrointestinal stromal tumors (GISTs): definition, occurrence, pathology, differential diagnosis and molecular genetics. Pol J Pathol. 2003;54(1):3-24.
- DeMatteo RP. The GIST of targeted cancer therapy: a tumor (gastrointestinal stromal tumor), a mutated gene (c-kit), and a molecular inhibitor (STI571). Ann Surg Oncol. 2002 Nov;9(9):831-9. doi: 10.1007/BF02557518.
- Tuveson DA, Willis NA, Jacks T, Griffin JD, Singer S, Fletcher CD, Fletcher JA, Demetri GD. STI571 inactivation of the gastrointestinal stromal tumor c-KIT oncoprotein: biological and clinical implications. Oncogene. 2001 Aug 16;20(36):5054-8. doi: 10.1038/sj.onc.1204704.
- Blanke CD, Eisenberg BL, Heinrich MC. Gastrointestinal stromal tumors. Curr Treat Options Oncol. 2001 Dec;2(6):485-91. doi: 10.1007/s11864-001-0070-0.
- Yan H, Marchettini P, Acherman YI, Gething SA, Brun E, Sugarbaker PH. Prognostic assessment of gastrointestinal stromal tumor. Am J Clin Oncol. 2003 Jun;26(3):221-8. doi: 10.1097/01.COC.0000018296.45892.CE.
- Noguchi T, Sato T, Takeno S, Uchida Y, Kashima K, Yokoyama S, Muller W. Biological analysis of gastrointestinal stromal tumors. Oncol Rep. 2002 Nov-Dec;9(6):1277-82.
- Kovac D, Petrovecki M, Jasic M, Dobi-Babic R, Ivanis N, Rubinic M, Krizanac S, Jonjic N, Rizzardi C, Melato M. Prognostic factors of gastrointestinal stromal tumors. Anticancer Res. 2002 May-Jun;22(3):1913-7.
- Connolly EM, Gaffney E, Reynolds JV. Gastrointestinal stromal tumours. Br J Surg. 2003 Oct;90(10):1178-86. doi: 10.1002/bjs.4352.
- Crosby JA, Catton CN, Davis A, Couture J, O'Sullivan B, Kandel R, Swallow CJ. Malignant gastrointestinal stromal tumors of the small intestine: a review of 50 cases from a prospective database. Ann Surg Oncol. 2001 Jan-Feb;8(1):50-9. doi: 10.1007/s10434-001-0050-4.
- Joensuu H. Treatment of inoperable gastrointestinal stromal tumor (GIST) with Imatinib (Glivec, Gleevec). Med Klin (Munich). 2002 Jan 15;97 Suppl 1:28-30.
- Rajput A, Kraybill WG. Clinical trials and soft tissue sarcomas. Surg Oncol Clin N Am. 2003 Apr;12(2):485-97. doi: 10.1016/s1055-3207(03)00002-4.
- Patel SR. Systemic therapy for advanced soft-tissue sarcomas. Curr Oncol Rep. 2002 Jul;4(4):299-304. doi: 10.1007/s11912-002-0005-3.
- Eisenberg BL. Imatinib mesylate: a molecularly targeted therapy for gastrointestinal stromal tumors. Oncology (Williston Park). 2003 Nov;17(11):1615-20; discussion 1620, 1623, 1626 passim.
- Rossi CR, Mocellin S, Mencarelli R, Foletto M, Pilati P, Nitti D, Lise M. Gastrointestinal stromal tumors: from a surgical to a molecular approach. Int J Cancer. 2003 Nov 1;107(2):171-6. doi: 10.1002/ijc.11374.
- Radford IR. Imatinib. Novartis. Curr Opin Investig Drugs. 2002 Mar;3(3):492-9.
- Frolov A, Chahwan S, Ochs M, Arnoletti JP, Pan ZZ, Favorova O, Fletcher J, von Mehren M, Eisenberg B, Godwin AK. Response markers and the molecular mechanisms of action of Gleevec in gastrointestinal stromal tumors. Mol Cancer Ther. 2003 Aug;2(8):699-709.
- Bumming P, Andersson J, Meis-Kindblom JM, Klingenstierna H, Engstrom K, Stierner U, Wangberg B, Jansson S, Ahlman H, Kindblom LG, Nilsson B. Neoadjuvant, adjuvant and palliative treatment of gastrointestinal stromal tumours (GIST) with imatinib: a centre-based study of 17 patients. Br J Cancer. 2003 Aug 4;89(3):460-4. doi: 10.1038/sj.bjc.6600965.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. august 2005
Datoer for studieregistrering
Først indsendt
9. februar 2006
Først indsendt, der opfyldte QC-kriterier
9. februar 2006
Først opslået (Skøn)
13. februar 2006
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
7. april 2006
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
6. april 2006
Sidst verificeret
1. april 2006
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Neoplasmer, bindevæv og blødt væv
- Neoplasmer efter histologisk type
- Neoplasmer
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Gastrointestinale sygdomme
- Neoplasmer, bindevæv
- Gastrointestinale stromale tumorer
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antineoplastiske midler
- Proteinkinasehæmmere
- Imatinib mesylat
Andre undersøgelses-id-numre
- Q-CTG-01-V7.0-A1
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Gastrointestinale stromale tumorer
-
Hospital Universitario Virgen de la ArrixacaIkke rekrutterer endnuLeversygdomme | Levertransplantation | Neoplasmer i leveren | Gastrointestinale stromale tumorer | Metastase | Levermetastaser | Levertransplantation; Komplikationer | Leverkræft | Levertransplantationslidelse | Leverkarcinom | GIST, ondartet | GIST | Metastaser | Metastatisk leverkræft | Gastrointestinal stromal tumor i... og andre forholdSpanien
-
Centre Leon BerardRekrutteringMetastatisk gastrointestinal stromal tumor | Ikke-operabel gastrointestinal stromal tumor (GIST) | Lokalt avanceret gastrointestinal stromal tumor (GIST)Frankrig
-
National Cancer Institute (NCI)Aktiv, ikke rekrutterendeMetastatisk gastrointestinal stromal tumor | Metastatisk sarkom | Lokalt avanceret sarkom | Lokalt avanceret gastrointestinal stromal tumor | Fase III gastrisk og omental gastrointestinal stromal tumor AJCC v8 | Stadie III tyndtarm, esophageal, kolorektal, mesenterisk og peritoneal gastrointestinal... og andre forholdForenede Stater
-
Centre Leon BerardRekrutteringC-KIT mutation | Metastatisk gastrointestinal stromal tumor (GIST) | Avanceret gastrointestinal stromal tumor (GIST)Frankrig
-
ARCAGY/ GINECO GROUPRoche Pharma AGAfsluttet
-
National Cancer Institute (NCI)RekrutteringMavekræft | Mave-neoplasma | Gastrointestinal stromal tumor (GIST) | Gastrointestinal stromal sarkom | Gastrointestinal stromal neoplasmaForenede Stater
-
Ascentage Pharma Group Inc.HealthQuest Pharma Inc.RekrutteringSolid tumor, voksen | Gastrointestinal stromal tumor (GIST)Kina
-
Assaf-Harofeh Medical CenterUkendtBlødt vævssarkom | Osteosarkom | Kondrosarkom | Knoglesarkom | Desmoplastisk lille rundcellet tumor | Gastrointestinal stromal sarkom | Ewings tumor metastatisk | Ewings tilbagevendende tumor
-
Australasian Gastro-Intestinal Trials GroupEuropean Organisation for Research and Treatment of Cancer - EORTC; Scandinavian...Aktiv, ikke rekrutterendeGastrointestinal stromal tumorSingapore, Norge, Finland, Australien, Sverige, Frankrig, Det Forenede Kongerige, Spanien, Holland, Slovakiet
-
Jonsson Comprehensive Cancer CenterBristol-Myers SquibbAfsluttetGastrointestinal stromal tumorForenede Stater
Kliniske forsøg med Imatinibmesylat
-
Peking University Cancer Hospital & InstituteRekrutteringAvanceret melanomKina
-
M.D. Anderson Cancer CenterJohnson & Johnson Pharmaceutical Research & Development, L.L.C.AfsluttetLeukæmi, Myeloid, KroniskForenede Stater
-
Goethe UniversityAfsluttetBlinatumomab hos voksne patienter med minimal restsygdom (MRD) af B-precursor akut lymfatisk leukæmiALLE, tilbagevendende, voksenTyskland
-
Goethe UniversityRekruttering
-
Oslo University HospitalUniversity Hospital of North Norway; Helse Stavanger HF; Haukeland University... og andre samarbejdspartnereIkke rekrutterer endnuSjælden malign neoplasma
-
PETHEMA FoundationRekrutteringAkut lymfatisk leukæmi Ph positivSpanien
-
Yonsei UniversityAfsluttetFibromatoseKorea, Republikken
-
St. Justine's HospitalAfsluttetPlexiforme neurofibromerCanada
-
NovartisAfsluttetKronisk myelogen leukæmi i kronisk fase
-
NovartisAfsluttetSæsonbestemt allergisk rhinitisDet Forenede Kongerige