Trial of Panitumumab Cisplatin, Fluourouracil and Docetaxel in Locally Advanced or Metastatic Gastric Cancer
Phase I/II, Multicenter, Single-Arm Clinical Trial of Panitumumab in Combination With Cisplatin, Fluourouracil and Docetaxel (DCF) in Locally Advanced or Metastatic Cancer of the Stomach and Gastro-oesophageal Junction.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Investigators propose a phase I/II study in order to evaluate the effect of panitumumab when combined with an active regimen, such as DCF (Docetaxel/Cisplatin/Fluourouracil), in chemotherapy - naive patients with advanced cancer of the stomach.
Investigators hypothesize that the addition of panitumumab to DCF regimen in advanced cancer of the stomach and gastroesophageal junction is feasible, well tolerated and could achieve an objective response rate of greater than 40%.
The 2-weekly schedule of DCF will be used as chemotherapy since a recently presented trial demonstrated a comparable efficacy but a more favourable toxicity profile comparable to the 3-weekly schedule.
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
- Phase 1
Kontakte und Standorte
Studienorte
-
-
-
Athens, Griechenland
- 401 Military Hospital of Athens
-
Athens, Griechenland
- Air Forces Military Hospital of Athens
-
Athens, Griechenland
- "IASO" General Hospital of Athens
-
Chania, Griechenland
- "Ag.Georgios" General Hospital of Chania
-
Heraklion, Griechenland
- University Hospital of Crete, Dep of Medical Oncology Heraklion, Greece
-
Larissa, Griechenland
- State General Hospital of Larissa
-
Piraeus, Griechenland
- "Metaxa's" Anticancer Hospital of Piraeus, 1st Dep of Medical Oncology
-
Thessaloniki, Griechenland
- "Theagenion" Anticancer Hospital of Thessaloniki, 2nd Dep of Medical Oncology
-
Thessaloniki, Griechenland
- Diabalkaniko General Hospital of Thessaloniki
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Histologically proven inoperable locally advanced or metastatic adenocarcinoma of the stomach (including adenocarcinoma of the gastrooesophageal junction)
- Patient's age between 20 and 70 years old
- Measurable disease defined by RECIST criteria
- Patients with non-measurable disease could be enrolled in the phase I part of the study
- ECOG performance status ≤ 1
- Hgb ≥ 8g/dL, WBC ≥ 3 x 109/L , neutrophils count ≥ 1.5 x 109/L , platelets ≥100 x 109/L, Creatinine clearance ≥50 mL/min, Total bilirubin ≤ 1.5 X UNL, AST, ALT and ALP ≤ 2.5 x UNL
- No prior chemotherapy or more than 6 months from adjuvant chemotherapy or chemo-radiation
- Estimated life expectancy more than 3 months
- Written informed consent
Exclusion Criteria:
- Gastrointestinal bleeding
- Clinically relevant, symptomatic excessive amounts of ascites resulting in patient's discomfort
- CNS metastases
- History of hypersensitivity to fluoropyrimidines, docetaxel or platinum compounds
- Any previous chemotherapy or radiotherapy for advanced disease
- Patient pregnant or breast feeding, or planning to become pregnant within 6 months after the end of treatment
- Patient (male or female) is not willing to use highly effective methods of contraception (per institutional standard) during treatment and for 6 months (male or female) after the end of treatment
- Known hypersensitivity reaction to the component of the treatment
- Active infection or malnutrition or bowel obstruction
- Legal incapacity or limited legal capacity
- Definite contraindications for the use of corticosteroids
- History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan
- Chronic inflammation of the bowel
- Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrollment
- Medical or psychological condition which in the opinion of the investigator would not permit the subject to complete the study or sign meaningful informed consent
- A second primary tumor other than non-melanoma skin cancer or in situ cervical cancer
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: 1
Panitumumab plus DCF
|
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Objective response rate
Zeitfenster: Every 8 weeks
|
Patients will be followed for disease evaluation every eight (8) weeks from the first day of chemotherapy until the first documentation of disease progression
|
Every 8 weeks
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Progression Free Survival
Zeitfenster: 1 year
|
Patients will be evaluated from the date of the first chemotherapy cycle until the date of first documented progression or date of death from any cause, whichever came first
|
1 year
|
|
Overall Survival
Zeitfenster: 1 year
|
Patients will be evaluated for overall survival from the date of the first chemotherapy cycle until the date of death from any cause
|
1 year
|
|
Maximum Tolerated Dose of the combination
Zeitfenster: Up to 4 weeks
|
Patients will be evaluated for toxicity profil on Day 1 of the first two chemotherapy cycle (cycle repeated every 2 weeks)
|
Up to 4 weeks
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CT/09.10
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