A Study of Herceptin (Trastuzumab) in Patients With Metastatic or Advanced Gastric Cancer With Disease Progression
23 juli 2014 uppdaterad av: Hoffmann-La Roche
An Open-label Pilot Study of Herceptin Monotherapy on Objective Treatment Response in Patients With Metastatic or Locally Advanced Gastric Cancer Who Had Disease Progression During Platinum-based or 5-fluoropyrimidine-based Chemotherapy
This study will evaluate the efficacy and safety of Herceptin in patients with metastatic or advanced gastric cancer with disease progression during platinum-based or 5-fluoropyrimidine-based chemotherapy.
The anticipated time on study treatment is until disease progression.
Studieöversikt
Studietyp
Interventionell
Inskrivning (Faktisk)
6
Fas
- Fas 2
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Dresden, Tyskland, 01307
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Erlangen, Tyskland, 91054
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Essen, Tyskland, 45122
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Grenzach-wyhlen, Tyskland, 79639
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Halle, Tyskland, 06120
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Kassel, Tyskland, 34125
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Kiel, Tyskland, 24105
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Mannheim, Tyskland, 68167
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München, Tyskland, 81675
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München, Tyskland, 81377
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Oldenburg, Tyskland, 26133
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Wien, Österrike, 1090
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år till 75 år (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- adult patients 18-75 years of age;
- metastatic or advanced gastric cancer;
- disease progression under or after 1 prior platinum-based or 5-fluoropyrimidine-based chemotherapy for metastatic disease;
- >=4 weeks from last platinum-based or fluoropyrimidine-based chemotherapy;
- >=1 measurable lesion;
- HER2 overexpression (IHC [2+] or [3+]).
Exclusion Criteria:
- concurrent chemotherapy or immunotherapy;
- brain or meningeal metastases;
- clinically significant cardiac disease, advanced pulmonary disease or severe dyspnoea;
- co-existing malignancies or malignancies diagnosed within last 5 years, except basal cell cancer or cervical cancer in situ;
- women who are pregnant or breastfeeding.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: Trastuzumab Monotherapy
Initial dose of 4 milligrams (mg) per (/) kilogram (kg) by body weight (BW), followed by 2 mg/kg BW at each subsequent visit
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4 mg/kg initial dose, followed by 2 mg/kg
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Percentage of Participants With a Response by Response Evaluation Criteria In Solid Tumors (RECIST) Category
Tidsram: Weekly throughout study
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Tumor response assessed according to RECIST.
Complete response (CR): complete disappearance of all target and non-target lesions, with exception of nodal disease.
All nodes, both target and non-target, must decrease to normal (short axis less than [<]10 millimeters [mm]); no new lesions.
Partial response (PR): greater than or equal to (≥)30 percent (%) decrease under baseline of sum of diameters of all target lesions.
Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions.
Stable disease (SD): not qualifying for CR, PR, or progressive disease (PD).
Participants who could not be classified per RECIST were allocated as follows: early death from malignant disease (death due to cancer), early death because of other cause (death not related to toxicity or cancer disease), and unknown (for not fitting into the above categories).
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Weekly throughout study
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Percentage of Participants With Clinical Benefit
Tidsram: Weekly throughout the study
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Participants were classified as having a clinical benefit if they had a best overall tumor response of CR, PR, or SD.
Tumor response assessed according to RECIST.
CR: complete disappearance of all target and non-target lesions, with exception of nodal disease.
All nodes, both target and non-target, must decrease to normal (short axis <10 mm); no new lesions.
PR: ≥30% decrease under baseline of sum of diameters of all target lesions.
Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions.
Stable SD: not qualifying for CR, PR, or PD.
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Weekly throughout the study
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Percentage of Participants With a Best Overall Response of CR or PR
Tidsram: Weekly throughout the study
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Tumor response assessed according to RECIST.
CR: complete disappearance of all target and non-target lesions, with exception of nodal disease.
All nodes, both target and non-target, must decrease to normal (short axis <10 mm); no new lesions.
PR: ≥30% decrease under baseline of sum of diameters of all target lesions.
Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions.
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Weekly throughout the study
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Overall Survival - Number of Participants Who Died
Tidsram: Weekly throughout the study
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OS was defined as the time, in months, from the date of study entry to the date of the death due to any cause.
If a participant's date of death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.
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Weekly throughout the study
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Overall Survival
Tidsram: Weekly throughout the study
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Overall survival (OS) was defined as the time, in months, from the date of study entry to the date of the death due to any cause.
If a participant's date of death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.
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Weekly throughout the study
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Time to Progression - Number of Participants With an Event
Tidsram: Weekly throughout the study
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Time to progression was defined as the time, in months, from the date of study entry to the date of disease progression or death due to any cause.
If a participant's date of disease progression or death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.
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Weekly throughout the study
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Time to Progression
Tidsram: Weekly throughout the study
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Time to progression was defined as the time, in months, from the date of study entry to the date of disease progression or death due to any cause.
If a participant's date of disease progression or death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.
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Weekly throughout the study
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 januari 2004
Primärt slutförande (Faktisk)
1 februari 2008
Avslutad studie (Faktisk)
1 februari 2008
Studieregistreringsdatum
Först inskickad
4 december 2013
Först inskickad som uppfyllde QC-kriterierna
4 december 2013
Första postat (Uppskatta)
9 december 2013
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
11 augusti 2014
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
23 juli 2014
Senast verifierad
1 juli 2014
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
- Matsmältningssystemets sjukdomar
- Patologiska processer
- Neoplasmer
- Neoplasmer efter plats
- Sjukdomsegenskaper
- Gastrointestinala neoplasmer
- Neoplasmer i matsmältningssystemet
- Gastrointestinala sjukdomar
- Magsjukdomar
- Sjukdomsprogression
- Neoplasmer i magen
- Antineoplastiska medel
- Antineoplastiska medel, immunologiska
- Trastuzumab
Andra studie-ID-nummer
- ML17263
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .