- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT02241720
Regorafenib Second Line Treatment of Metastatic or Advanced Upper GI Cancers
11. desember 2017 oppdatert av: University of Utah
Regorafenib as a Second Line Single Agent in the Treatment of Metastatic or Advanced Adenocarcinoma of the Esophagus, Gastroesophageal Junction or Stomach
Regorafenib as a Second Line Single Agent in the Treatment of Metastatic or Advanced Adenocarcinoma of the Esophagus, Gastroesophageal Junction or Stomach
Studieoversikt
Studietype
Intervensjonell
Registrering (Faktiske)
5
Fase
- Fase 2
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Utah
-
Salt Lake City, Utah, Forente stater, 84112
- Huntsman Cancer Institute
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Histological diagnosis of metastatic or locally advanced inoperable adenocarcinoma of the esophagus, gastroesophageal junction or stomach.
- Patients must show signs of progression during or less than 4 months after being treated with a first line therapy for their metastatic or locally advanced inoperable cancer.
- Patients must have measureable disease at screening by Response Evaluation Criteria for Solid Tumors 1.1 criteria
- Age greater than or equal to 18 years.
- Eastern Cooperative Oncology Group Performance Status 0-1
- Subjects must be able to understand and be willing to sign the written informed consent form. A signed informed consent form must be appropriately obtained prior to the conduct of any trial-specific procedure.
- All acute toxic effects of any prior treatment have resolved to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 Grade 1 or less at the time of signing the Informed Consent Form. Alopecia (any grade) and peripheral neuropathy less than grade 2 is allowed.
- Adequate bone marrow, liver and liver function as assessed by laboratory requirement
- Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of study drug. Post-menopausal women (defined as no menses for at least 1 year) and surgically sterilized women are not required to undergo a pregnancy test.
- Subjects (men and women) of childbearing potential must agree to use adequate contraception beginning at the signing of the informed consent form until at least 3 months after the last dose of study drug. Highly effective contraception must be used (male condom with spermicidal, diaphragm with spermicidal, intra-uterine device) by both sexes.
- Subject must be able to swallow and retain oral medication.
Exclusion Criteria:
- Prior use of regorafenib
- Uncontrolled hypertension (systolic pressure greater than 140 mm Hg or diastolic pressure greater than 90 mm Hg National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 on repeated measurement) despite optimal medical management.
- Active or clinically significant cardiac disease including:
- Congestive heart failure - New York Heart Association greater than Class 2.
- Cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers.
- Unstable angina (anginal symptoms at rest), new-onset angina within 3 months before randomization, or myocardial infarction within 6 months before randomization.
- Evidence or history of bleeding diathesis or coagulopathy.
- Any hemorrhage or bleeding event greater than or equal to National Cancer Institute Common Terminology Criteria for Adverse Events Grade 3 within 4 weeks prior to start of study medication.
- Subjects with thrombotic, embolic, venous, or arterial events, such as cerebrovascular accident (including transient ischemic attacks) deep vein thrombosis or pulmonary embolism within 6 months of start of study treatment
- Subjects with any previously untreated or concurrent cancer that is distinct in primary site or histology except cervical cancer in-situ, treated basal cell carcinoma, or superficial bladder tumor. Subjects surviving a cancer that was curatively treated and without evidence of disease for more than 3 years before randomization are allowed. All cancer treatments must be completed at least 3 years prior to start of study treatment.
- Patients with severe hepatic impairment (Child-Pugh Class C)
- Known history of human immunodeficiency virus infection or current chronic or active hepatitis B or C infection requiring treatment with antiviral therapy.
- Patients requiring intravenous antiviral or intravenous antibiotic treatment for ongoing infections
- Symptomatic metastatic brain or meningeal tumors.
- Presence of a non-healing wound, non-healing skin ulcer, or bone fracture.
- Patient's with a history of kidney disease or persistent proteinuria must have less than Grade 3 proteinuria per NCI CTCAE v4.0 at screening. If a patient has a history of kidney disease or persistent proteinuria, a urine protein test will be performed on a random urine sample. If the result is normal then no additional testing is required. If the result is abnormal, a 24 hour urine will be collected to determine if proteinuria is less than Grade 3.
- Interstitial lung disease with ongoing signs and symptoms at the time of informed consent.
- Pleural effusion or ascites that causes respiratory compromise (greater than or equal to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 Grade 2 dyspnea). Patients may undergo thoracentesis and paracentesis to improve symptoms prior to enrollment.
- History of organ allograft (including corneal transplant).
- Known or suspected grade 3 allergy or hypersensitivity to any of the study drugs, study drug classes, or excipients of the formulations given during the course of this trial.
- Any malabsorption condition that in the opinion of the investigator would significantly impact drug absorption.
- Women who are pregnant or breast-feeding.
- Any condition which, in the investigator's opinion, makes the subject unsuitable for trial participation.
- Substance abuse, medical, psychological or social conditions that in the opinion of the investigator may interfere with the subject's participation in the study or evaluation of the study results.
- Concurrent anti-cancer therapy (chemotherapy, radiation therapy, surgery, immunotherapy, biologic therapy, or tumor embolization) within 28 days of starting study treatment. Palliative radiation is allowed.
- Concurrent use of another investigational drug or device during, or within 3 weeks of starting study treatment.
- Concurrent use of strong CYP3A4 inducers (e.g. rifampin, phenytoin, carbamazepine, phenobarbital, and St. John's Wort)
- Concurrent use with strong inhibitors of CYP3A4 (e.g. clarithromycin, grapefruit juice, itraconazole, ketoconazole, nefazadone, posaconazole, telithromycin, and voriconazole)
- Major surgical procedure, open biopsy, or significant traumatic injury within 3 weeks before start of study medication.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: Regorafenib treatment
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Number of Participants With Stable Disease at Eight Weeks Post-Treatment
Tidsramme: 5 months - 3 months treatment and 8 weeks post end of treatment visit
|
Patients had disease assessed by CT scans.
Stable Disease is defined by any response better than Progression as defined by RECIST 1.1.
Progression is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
|
5 months - 3 months treatment and 8 weeks post end of treatment visit
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. mai 2014
Primær fullføring (Faktiske)
1. september 2016
Studiet fullført (Faktiske)
1. september 2016
Datoer for studieregistrering
Først innsendt
21. november 2013
Først innsendt som oppfylte QC-kriteriene
12. september 2014
Først lagt ut (Anslag)
16. september 2014
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
11. januar 2018
Siste oppdatering sendt inn som oppfylte QC-kriteriene
11. desember 2017
Sist bekreftet
1. desember 2017
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- HCI68135
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
Kliniske studier på Øvre GI-kreft
-
Ethicon Endo-SurgeryFullførtØvre GI; Lavere GI; GynekologiskStorbritannia, Forente stater, Italia
-
University of FloridaSchwabe North AmericaFullførtOverlevelse av probiotika under GI-transit | GI-symptomerForente stater
-
University of North Carolina, Chapel HillNovartis PharmaceuticalsFullført
-
McGill University Health Centre/Research Institute...Unity Health Toronto; Jewish General HospitalRekruttering
-
Nextrast, Inc.National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Fullført
-
Duke UniversityTilbaketrukket
-
B. Braun Melsungen AGB.Braun Taiwan Co., Ltd.Fullført
-
University of PennsylvaniaFullførtThoraxkreft | GI-kreftForente stater
-
University of ArkansasTilbaketrukketSolide masselesjoner i GI-kanalen
-
Oregon Health and Science UniversityAvsluttetGI-kolonisering av Vancomycin-resistente EnterococcusForente stater
Kliniske studier på regorafenib
-
Second Affiliated Hospital of Guangzhou Medical...Cancer Institute and Hospital, Chinese Academy of Medical Sciences; Shenzhen... og andre samarbeidspartnereAktiv, ikke rekrutterendeHepatocellulært karsinom Ikke-resektabeltKina
-
Zhongda HospitalSun Yat-sen University; Jiangsu Cancer Institute & Hospital; Zhejiang University og andre samarbeidspartnereHar ikke rekruttert ennåHepatocellulært karsinom
-
Spanish Cooperative Group for the Treatment of...BayerFullførtKolorektale neoplasmer | Metastatisk sykdomSpania
-
Rennes University HospitalRekruttering
-
Taipei Veterans General Hospital, TaiwanChang Gung Memorial Hospital; Koo Foundation Sun Yat-Sen Cancer CenterFullførtMetastatisk tykktarmskreftTaiwan
-
Spanish Cooperative Group for the Treatment of...BayerFullførtMetastatisk tykktarmskreftSpania
-
BayerFullførtNeoplasmaForente stater
-
Tianjin Medical University Cancer Institute and...Har ikke rekruttert ennåAvansert/metastatisk tykktarmskreftKina
-
Gustave Roussy, Cancer Campus, Grand ParisBayerRekruttering
-
Institute of Mother and Child, Warsaw, PolandMaria Sklodowska-Curie National Research Institute of OncologyRekrutteringOsteosarkom | Ewing Sarcoma of BonePolen