- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00917384
Study of IMC-1121B (Ramucirumab) With Best Supportive Care in Participants With Gastric Cancer and Adenocarcinoma
A Phase 3, Randomized, Double-Blinded Study of IMC-1121B and Best Supportive Care (BSC) Versus Placebo and BSC in the Treatment of Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Following Disease Progression on First-Line Platinum- or Fluoropyrimidine-Containing Combination Therapy
연구 개요
상세 설명
Placebo-controlled, multicenter Phase 3 study of participants with metastatic gastric cancer [including adenocarcinomas of the gastroesophageal junction (GEJ)] and disease progression on standard first-line chemotherapeutic regimens. Participants will be randomized on a 2:1 basis to receive best supportive care plus ramucirumab administered every 2 weeks or best supportive care plus placebo administered every 2 weeks, respectively. Participants will undergo radiographic assessment of disease status every 6 weeks. Participant will be treated until there is evidence of progressive disease, toxicity requiring cessation, withdrawal of consent, or until other withdrawal criteria are met.
Approximately 348 participants, with histologically- or cytologically-confirmed, metastatic gastric or GEJ adenocarcinoma, and radiographically measurable disease as defined by the Response Evaluation Criteria in Solid Tumors or evaluable, nonmeasurable disease, will be randomized. Participants will be enrolled from approximately 250 study centers in North America, South America, Central America, Asia, Australia, New Zealand, and Europe.
연구 유형
등록 (실제)
단계
- 3단계
연락처 및 위치
연구 장소
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Guatemala, 과테말라, 01010
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Guatemala, 과테말라
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Cape Town, 남아프리카, 7925
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Christchurch, 뉴질랜드, 8011
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Kaohsiung, 대만, 807
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Taichung County, 대만, 433
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Taipei, 대만, 111
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Taipei, 대만, 116
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Seoul, 대한민국, 120-752
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Seoul, 대한민국, 135-720
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Seoul, 대한민국, 136-705
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Seoul, 대한민국, 137-701
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Chelyabinsk, 러시아 연방, 454087
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Kursk, 러시아 연방, 305035
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Moscow, 러시아 연방, 115478
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Moscow, 러시아 연방, 125367
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Pyatigorsk, 러시아 연방, 357524
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St. Petersburg, 러시아 연방, 197022
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St. Petersburg, 러시아 연방, 197758
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St. Petersburg, 러시아 연방, 195067
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Beirut, 레바논
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Baia Mare, 루마니아, 430031
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Cluj Napoca, 루마니아, 400015
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Cluj Napoca, 루마니아, 400058
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Suceava, 루마니아, 720237
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Aguascelientes, 멕시코, 20217
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Floriana, 몰타, 1941
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Floriana, 몰타, FRN 1941
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California
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Bakersfield, California, 미국, 93309
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La Jolla, California, 미국, 92093
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Redlands, California, 미국, 92374
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Illinois
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Chicago, Illinois, 미국, 60612
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Louisiana
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New Orleans, Louisiana, 미국, 70112
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Massachusetts
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Boston, Massachusetts, 미국, 02115
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Nebraska
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Omaha, Nebraska, 미국, 68114
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New York
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New York, New York, 미국, 10003
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Pennsylvania
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West Reading, Pennsylvania, 미국, 19611
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Rhode Island
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Providence, Rhode Island, 미국, 02903
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South Carolina
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Charleston, South Carolina, 미국, 29425
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Tennessee
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Knoxville, Tennessee, 미국, 37920
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Memphis, Tennessee, 미국, 38119
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Texas
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Houston, Texas, 미국, 77030
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Sarajevo, 보스니아 헤르체고비나, 71000
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Barretos, 브라질, 14784-400
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Belo Horizonte, 브라질, 30150-281
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Belo Horizonte, 브라질, 30110-090
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Brasilia, 브라질, 70390-150
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Curitiba, 브라질, 80730-130
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Curitiba, 브라질, 81520-060
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Florianopolis, 브라질, 88034-000
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Ijui, 브라질, 98700-000
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Lajeados, 브라질, 95900-000
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Londrina, 브라질, 86050-190
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Passo Fundo, 브라질, 99010-260
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Porto Alegre, 브라질, 90035-903
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Porto Alegre, 브라질, 90610-970
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Porto Alegre, 브라질, 90840-440
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Sao Paulo, 브라질, 01406-100
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Alcorcon, 스페인, 28922
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Barcelona, 스페인, 08036
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Barcelona, 스페인, 08035
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Elche, 스페인, 03203
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Madrid, 스페인, 28034
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Santander, 스페인, 39008
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Sevilla, 스페인, 41021
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Buenos Aires, 아르헨티나, 1425
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Capital Federal, 아르헨티나, 1264
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Ciudad Autonoma de Buenos Aires, 아르헨티나, C1437JCP
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Ciudada Autonoma, 아르헨티나, C1199ABD
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Cordoba, 아르헨티나, 5000
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Rosario, 아르헨티나, S2002KDS
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London, 영국, SE1 7EH
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Sutton, 영국, SM2 5PT
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Wolverhampton, 영국, WV10 0QP
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Wirral
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Bebington, Wirral, 영국, L83 4JY
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Alexandria, 이집트, 21131
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Cairo, 이집트, 11796
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Aviano, 이탈리아, 33081
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Bologna, 이탈리아, 40138
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Brescia, 이탈리아, 25123
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Cremona, 이탈리아, 26100
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Lido di Camaiore, 이탈리아, 55043
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Lucca, 이탈리아, 55043
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Meldola, 이탈리아, 47014
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Mirano, 이탈리아, 30035
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Noale, 이탈리아, 30033
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Potenza, 이탈리아, 85100
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Rimini, 이탈리아, 47900
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Udine, 이탈리아, 33100
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Bangalore, 인도, 560 029
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Chennai, 인도, 600010
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Hyderabad, 인도, 500 033
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Hyderabad, 인도, 500004
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Kolkata, 인도, 700053
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Mumbai, 인도, 400 012
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Mumbai, 인도, 400016
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Pune, 인도, 411001
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West Bengal, 인도, 700054
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Andh Prad
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Hyderabad, Andh Prad, 인도, 500004
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Hyderabad, Andh Prad, 인도, 500033
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Delhi
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New Delhi, Delhi, 인도, 110085
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Karna
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Bangalore, Karna, 인도, 560 025
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Bangalore, Karna, 인도, 560054
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Kerala
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Cochin, Kerala, 인도, 682304
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Thiruvananthapuram, Kerala, 인도, 695011
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Trivandrum, Kerala, 인도, 695011
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Kilpauk
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Chennai, Kilpauk, 인도, 600 010
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Madh Prad
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Bhopal, Madh Prad, 인도, 462001
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Indore, Madh Prad, 인도, 452008
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Mahara
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Mumbai, Mahara, 인도, 400016
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Nashik, Mahara, 인도, 422 004
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Pune, Mahara, 인도, 411001
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Tamilnadu
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Chennai, Tamilnadu, 인도, 600010
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Chennai, Tamilnadu, 인도, 600035
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W Bengal
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Kolkata, W Bengal, 인도, 700053
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Kolkata, W Bengal, 인도, 700054
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Jakarta, 인도네시아, 10440
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Jakarta, 인도네시아, 11420
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Jakarta, 인도네시아, 14450
- ImClone Investigational Site
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Sumatera Utara, 인도네시아, 20136
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West Java, 인도네시아, 40161
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Brno, 체코, 656 53
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Hradec Kralove, 체코, 500 05
- ImClone Investigational Site
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Liberec, 체코, 460 63
- ImClone Investigational Site
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Nova Ves pod Plesi, 체코, 262 04
- ImClone Investigational Site
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Olomouc, 체코, 775 20
- ImClone Investigational Site
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Pardubice, 체코, 532 03
- ImClone Investigational Site
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Prague, 체코, 180 81
- ImClone Investigational Site
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Praha 10, 체코, 100 34
- ImClone Investigational Site
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Praha 2, 체코, 128 08
- ImClone Investigational Site
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Pribram, 체코, 261 95
- ImClone Investigational Site
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Concepcion, 칠레, 407-0038
- ImClone Investigational Site
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La Serena, 칠레
- ImClone Investigational Site
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Santiago, 칠레, 6570917
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Adana, 칠면조, 01330
- ImClone Investigational Site
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Gaziantep, 칠면조, 27310
- ImClone Investigational Site
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Istanbul, 칠면조, 34718
- ImClone Investigational Site
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Izmir, 칠면조, 35100
- ImClone Investigational Site
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Alberta
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Edmonton, Alberta, 캐나다, T6G 1Z2
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Quebec
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Montreal, Quebec, 캐나다, H2L 4M1
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Sherbrooke, Quebec, 캐나다, J1G 2E8
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Monteria, 콜롬비아
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Osijek, 크로아티아, 31 100
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Pula, 크로아티아, 52100
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Slavonski Brod, 크로아티아, 35 000
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Zagreb, 크로아티아, 10 000
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Bangkok, 태국, 10400
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Chiang Mai, 태국, 50002
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Rajathevee District, 태국, 10400
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Gdansk, 폴란드, 80-219
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Krakow, 폴란드, 31-108
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Olsztyn, 폴란드, 10-513
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Cebu City, 필리핀 제도, 6000
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Pasig City, 필리핀 제도, 1604
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Bedford Park, 호주, 5042
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St. Leonards, 호주, NSW 2065
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Woodville, 호주, 5011
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New South Wales
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Wodonga, New South Wales, 호주, 3690
- ImClone Investigational Site
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Tasmania
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Hobart, Tasmania, 호주, 7000
- ImClone Investigational Site
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Victoria
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East Melbourne, Victoria, 호주, 3002
- ImClone Investigational Site
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Western Australia
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Perth, Western Australia, 호주, 6000
- ImClone Investigational Site
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Histologically or cytologically confirmed gastric carcinoma, including gastric adenocarcinoma or GEJ adenocarcinoma
- Metastatic disease or locally recurrent, unresectable disease with measurable lymph node metastases
- Measurable disease and/or evaluable disease. Measurable disease is defined as at least one unidimensionally-measurable target lesion [≥ 2 centimeter (cm) with conventional techniques or ≥ 1 cm by spiral computed tomography (CT)], as defined by Response using Response Evaluation Criteria in Solid Tumors (RECIST).
Examples of evaluable, nonmeasurable disease include gastric, peritoneal, or mesenteric thickening in areas of known disease, or peritoneal nodules that are too small to be considered measurable by RECIST
- Experienced disease progression during or within 4 months after the last dose of first-line therapy for metastatic disease, or during or within 6 months after the last dose of adjuvant therapy
- Disease is not amenable to potentially curative resection
- Participant is ≥ 18 years of age
- Participant has a life expectancy of ≥ 12 weeks
- Participant resolution to Grade ≤ 1 (or to Grade ≤ 2 in the case of neuropathy) by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 3.0, of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy (with the exception of alopecia)
- Eastern Cooperative Oncology Group Performance Status (ECOG-PS) score of 0-1
- The participant has adequate hepatic function as defined by a total bilirubin ≤ 1.5 milligrams/deciliter (mg/dL) [25.65 micromole/liter (µmol/L)], and aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3.0 x the upper limit of normal (ULN) [or 5.0 x the ULN in the setting of liver metastases]
- The participant has adequate renal function as defined by a serum creatinine ≤ 1.5 x the ULN, or creatinine clearance (measured via 24-hour urine collection) ≥ 40 milliliters/minute (mL/min) (that is, if serum creatinine is > 1.5 x the ULN, a 24-hour urine collection to calculate creatinine clearance must be performed)
- The participant's urinary protein is ≤ 1+ on dipstick or routine urinalysis ([UA]; if urine dipstick or routine analysis is ≥ 2+, a 24-hour urine collection for protein must demonstrate < 1000 milligrams (mg) of protein in 24 hours to allow participation in the study)
- The participant has adequate hematologic function, as evidenced by an absolute neutrophil count (ANC) ≥ 1000 microliters (µL), hemoglobin ≥ 9 grams/deciliter (g/dL) [5.58 millimoles/liter (mmol/L)], and platelets ≥ 100,000/µL
- The participant must have adequate coagulation function as defined by International Normalized Ratio (INR) ≤ 1.5 and a partial thromboplastin time (PTT) ≤ 5 seconds above the ULN (unless receiving anticoagulation therapy). Participant on anticoagulation therapy with unresected primary tumors or local tumor recurrence following resection are not eligible
- If the participant has received prior anthracycline therapy as part of his or her first-line regimen, the participant is able to engage in ordinary physical activity without significant fatigue or dyspnea
- Because the teratogenicity of IMC-1121B is not known, the participant, if sexually active, must be postmenopausal, surgically sterile, or using effective contraception (hormonal or barrier methods)
- Female participant of childbearing potential must have a negative serum pregnancy test within 7 days prior to randomization
- Able to provide informed written consent and is amenable to compliance with protocol schedules and testing
Exclusion Criteria:
- Documented and/or symptomatic brain or leptomeningeal metastases
- Experienced any Grade 3-4 gastrointestinal bleeding within 3 months prior to randomization
- Experienced any arterial thromboembolic events, including but not limited to myocardial infarction, transient ischemic attack, cerebrovascular accident, or unstable angina, within 6 months prior to randomization
- Ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, symptomatic or poorly controlled cardiac arrhythmia, uncontrolled thrombotic or hemorrhagic disorder, or any other serious uncontrolled medical disorders in the opinion of the investigator
- Ongoing or active psychiatric illness or social situation that would limit compliance with study requirements
- Uncontrolled or poorly-controlled hypertension despite standard medical management
- Participant has a serious or nonhealing wound, ulcer, or bone fracture
- Received chemotherapy, radiotherapy, immunotherapy, or targeted therapy for gastric cancer within 2 weeks prior to randomization
- Received any investigational therapy within 30 days prior to randomization
- Undergone major surgery within 28 days prior to randomization, or subcutaneous venous access device placement within 7 days prior to randomization
- Received prior therapy with an agent that directly inhibits vascular endothelial growth factor (VEGF) or VEGF receptor 2 (R-2) activity (including bevacizumab), or any antiangiogenic agent
- Receiving chronic antiplatelet therapy, including aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs, including ibuprofen, naproxen, and others), dipyridamole or clopidogrel, or similar agents. Once-daily aspirin use [maximum dose 325 milligram/day (mg/day)] is permitted
- Participant has elective or planned major surgery to be performed during the course of the clinical trial
- Participant has a known allergy to any of the treatment components
- Pregnant or lactating
- Known to be positive for infection with the human immunodeficiency virus
- Known alcohol or drug dependency
- Participant has a concurrent active malignancy other than adequately-treated nonmelanomatous skin cancer, other noninvasive carcinoma, or in situ neoplasm. A participant with previous history of malignancy is eligible, provided that he/she has been free of disease for > 3 years
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: ramucirumab
Participants receive ramucirumab, administered via intravenous infusion every 2 weeks at a dose of 8 milligrams/kilogram (mg/kg), and best supportive care (BSC) as determined appropriate by the investigator(s).
Treatment will continue until there is evidence of progressive disease (PD), the development of unacceptable toxicity, protocol noncompliance, or withdrawal of consent.
|
Administered via intravenous infusion every 2 weeks at a dose of 8 mg/kg
다른 이름들:
BSC as determined appropriate by the investigator(s).
BSC may include but are not limited to antiemetic agents, opiate and nonopiate analgesic agents, appetite stimulants, and granulocyte and erythroid growth factors.
|
|
위약 비교기: Placebo
Participants receive injection for intravenous infusion every 2 weeks plus BSC as determined appropriate by the investigator(s).
Because investigators and ancillary medical personnel will be blinded as to assignment to active therapy versus placebo, the volume of placebo to be administered will be calculated as if it were active product with a dose of 8 mg/kg.
Treatment will continue until there is evidence of PD, the development of unacceptable toxicity, protocol noncompliance, or withdrawal of consent.
|
BSC as determined appropriate by the investigator(s).
BSC may include but are not limited to antiemetic agents, opiate and nonopiate analgesic agents, appetite stimulants, and granulocyte and erythroid growth factors.
Placebo comparator for ramucirumab 8 mg/kg as intravenous infusion every 2 weeks
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Overall Survival (OS)
기간: Randomization up to 28 months post-randomization
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Overall survival is defined as the time from the date of randomization to the date of death from any cause.
Participants who were alive at the date of data cut-off or who were lost to follow-up were censored on the last date the participant was known to be alive
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Randomization up to 28 months post-randomization
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Progression-Free Survival (PFS)
기간: Randomization up to 17 months
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PFS is defined as the time from date of randomization until date of objectively determined progressive disease (PD) or death due to any cause, whichever is first.
Participants alive and without PD were censored at the time of last adequate objective tumor assessment (that is, response other than unevaluable).
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Randomization up to 17 months
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Percentage of Participants Who Are Progression-Free at Week 12 (PFS Rate)
기간: Week 12 post-randomization
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The percentage of participants alive and progression-free 12 weeks after randomization.
Progression-free survival (PFS) is defined as the time from the date of randomization until the date of objectively determined progressive disease (PD) or death due to any cause whichever comes first.
Participants alive and without PD were censored at the time of the last adequate objective tumor assessment.
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Week 12 post-randomization
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Percentage of Participants With Objective Response (Objective Response Rate [ORR])
기간: Randomization up to 17 months post-randomization
|
ORR is equal to the percentage of participants achieving a best overall response of complete response (CR) or partial response (PR).
CR and PR were defined using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0).
CR is defined as the disappearance of all target and non-target lesions, no appearance of new lesions and confirmed at the consecutive tumor assessment.
PR is defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, no appearance of new lesions and confirmed at a subsequent tumor assessment.
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Randomization up to 17 months post-randomization
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Duration of Response (DOR)
기간: Randomization up to 17 months post-randomization
|
DOR is the interval from date of initial documented response (complete response [CR] or partial response [PR]) to first documented date of disease progression (PD) or death as a result of any cause.
CR and PR were defined using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0).
CR is defined as the disappearance of all target and non-target lesions, no appearance of new lesions and confirmed at the consecutive tumor assessment.
PR is defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, no appearance of new lesions and confirmed at a subsequent tumor assessment.
Participants who did not relapse or die were censored at the time of the last adequate objective tumor assessment.
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Randomization up to 17 months post-randomization
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Change From Baseline in Quality of Life (QoL) as Measured by the European Organisation for Research and Treatment of Cancer Questionnaire (EORTC-QLQ-C30)
기간: Baseline up to Cycle 10 (18 weeks [1 cycle=2 weeks])
|
EORTC QLQ-C30 v3.0 is a self-administered questionnaire with multidimensional scales that measures 5 functional domains (physical, role, cognitive, emotional, and social), global health status, and symptom scales of fatigue, pain, nausea and vomiting, dyspnea, loss of appetite, insomnia, constipation and diarrhea, and financial difficulties.
A linear transformation is applied to standardize the raw scores to range between 0 and 100 per developer guidelines.
For functional domains and global health status, higher scores represent a better level of functioning.
For symptoms scales, higher scores represented a greater degree of symptoms.
Best change from baseline results determined by Least Square (LS) mean estimated with randomization stratification factors and baseline value as continuous covariate.
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Baseline up to Cycle 10 (18 weeks [1 cycle=2 weeks])
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Number of Participants With Adverse Events
기간: Randomization up to 18 months
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Clinically significant events were defined as serious adverse events (SAE) and other treatment-emergent non-serious adverse events (NSAE).
A summary of SAEs and all other NSAEs is located in the Reported Adverse Event module.
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Randomization up to 18 months
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Maximum Concentration (Cmax) of IMC-1121B
기간: 6 weeks post-randomization
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Cmax was not analyzed as only pre-dose samples were collected.
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6 weeks post-randomization
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Number of Participants Who Developed Antibodies Against IMC-1121B
기간: Baseline, 12 Weeks
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The number of participants who developed treatment emergent antibody responses to IMC-1121B after baseline.
|
Baseline, 12 Weeks
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공동 작업자 및 조사자
간행물 및 유용한 링크
일반 간행물
- Chau I, Fuchs CS, Ohtsu A, Barzi A, Liepa AM, Cui ZL, Hsu Y, Al-Batran SE. Association of quality of life with disease characteristics and treatment outcomes in patients with advanced gastric cancer: Exploratory analysis of RAINBOW and REGARD phase III trials. Eur J Cancer. 2019 Jan;107:115-123. doi: 10.1016/j.ejca.2018.11.013. Epub 2018 Dec 14.
- Tabernero J, Ohtsu A, Muro K, Van Cutsem E, Oh SC, Bodoky G, Shimada Y, Hironaka S, Ajani JA, Tomasek J, Safran H, Chandrawansa K, Hsu Y, Heathman M, Khan A, Ni L, Melemed AS, Gao L, Ferry D, Fuchs CS. Exposure-Response Analyses of Ramucirumab from Two Randomized, Phase III Trials of Second-line Treatment for Advanced Gastric or Gastroesophageal Junction Cancer. Mol Cancer Ther. 2017 Oct;16(10):2215-2222. doi: 10.1158/1535-7163.MCT-16-0895. Epub 2017 Jul 17.
- Fuchs CS, Tomasek J, Yong CJ, Dumitru F, Passalacqua R, Goswami C, Safran H, Dos Santos LV, Aprile G, Ferry DR, Melichar B, Tehfe M, Topuzov E, Zalcberg JR, Chau I, Campbell W, Sivanandan C, Pikiel J, Koshiji M, Hsu Y, Liepa AM, Gao L, Schwartz JD, Tabernero J; REGARD Trial Investigators. Ramucirumab monotherapy for previously treated advanced gastric or gastro-oesophageal junction adenocarcinoma (REGARD): an international, randomised, multicentre, placebo-controlled, phase 3 trial. Lancet. 2014 Jan 4;383(9911):31-39. doi: 10.1016/S0140-6736(13)61719-5. Epub 2013 Oct 3.
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
- 13893
- 2008-005964-15 (레지스트리 식별자: MHRA)
- CP12-0715 (기타 식별자: ImClone Systems)
- I4T-IE-JVBD (기타 식별자: Eli Lilly and Company)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
IPD 공유 기간
IPD 공유 액세스 기준
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- CSR
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
선암종에 대한 임상 시험
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UNICANCERCanadian Cancer Trials Group완전한
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Weill Medical College of Cornell UniversityMillennium Pharmaceuticals, Inc.완전한신경내분비성 전립선암 | 소세포 전립선암 | Prostate Adenocarcinoma Plus > 신경내분비 표지자에 대한 50% 면역조직화학적 염색미국
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Shanghai Zhongshan HospitalShenzhen University General Hospital; Tianjin Cancer Hospital Airport Hospital완전한유방암 | 췌장 선암종(Ductal Adenocarcinoma) | 담도암(담관암종, 담낭암)중국
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Zhejiang UniversityUTC Therapeutics Inc.모병
ramucirumab에 대한 임상 시험
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Elevation OncologyEli Lilly and Company; GlaxoSmithKline; CSPC Pharmaceutical Group Limited종료됨신생물 | 부위별 신생물 | 위장관 신생물 | 소화기계 신생물 | 위 신생물미국, 일본, 대한민국