Docetaxel and Epirubicin as First-Line Therapy in Treating Patients With Locally Advanced or Metastatic Adenocarcinoma of the Stomach

NCT ID: NCT00075465

Last Updated: 2008-07-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2001-04-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as docetaxel and epirubicin, work in different ways to stop tumor cells from dividing so they stop growing or die. Giving more than one drug may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving docetaxel together with epirubicin as first-line therapy works in treating patients with locally advanced or metastatic adenocarcinoma (cancer) of the stomach.

Detailed Description

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OBJECTIVES:

Primary

* Determine the objective tumor response rate and time to tumor progression in patients with locally advanced or metastatic adenocarcinoma of the stomach treated with docetaxel and epirubicin as first-line therapy.

Secondary

* Determine the survival without local relapse and overall survival of patients treated with this regimen.
* Determine the tolerance to this regimen in these patients.

OUTLINE: This is an open-label, multicenter study.

Patients receive epirubicin IV over 30 minutes and docetaxel IV over 1 hour on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A total of 39 patients will be accrued for this study.

Conditions

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Gastric Cancer

Keywords

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adenocarcinoma of the stomach stage III gastric cancer stage IV gastric cancer

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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docetaxel

Intervention Type DRUG

epirubicin hydrochloride

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed adenocarcinoma of the stomach

* Locally advanced or metastatic disease
* Measurable disease

* At least 1 unidimensionally measurable target lesion at least 2 cm in diameter
* No known symptomatic brain metastases
* No bone metastases

PATIENT CHARACTERISTICS:

Age

* 18 to 75

Performance status

* ECOG 0-2

Life expectancy

* At least 3 months

Hematopoietic

* Absolute neutrophil count at least 2,000/mm\^3
* Platelet count greater than 100,000/mm\^3

Hepatic

* Bilirubin less than 2 times normal
* AST and ALT no greater than 2.5 times normal
* Alkaline phosphatase no greater than 2.5 times normal

Renal

* Creatinine less than 1.6 mg/dL OR
* Creatinine clearance greater than 60 mL/min

Cardiovascular

* No serious cardiac failure within the past 12 months
* No myocardial infarction within the past 12 months
* No cardiac insufficiency
* No angina

Other

* Not pregnant or nursing
* Fertile patients must use effective contraception
* No uncontrolled serious infection
* No significant brain or psychiatric disorders
* No intolerance to cortisone or polysorbate 80
* No other prior malignancy except curatively treated basal cell skin cancer or carcinoma in situ of the cervix
* No other illness or medical condition that would preclude study participation
* No peripheral neuropathy greater than grade 2

PRIOR CONCURRENT THERAPY:

Biologic therapy

* Not specified

Chemotherapy

* No prior chemotherapy

Endocrine therapy

* Not specified

Radiotherapy

* Not specified

Surgery

* Not specified

Other

* More than 21 days since prior participation in another clinical study
* No other concurrent experimental medication
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GERCOR - Multidisciplinary Oncology Cooperative Group

OTHER

Sponsor Role lead

Principal Investigators

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Christophe Louvet, MD, PhD

Role:

Hopital Saint Antoine

Locations

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Centre Paul Papin

Angers, , France

Site Status

Centre Hospitalier Victor Dupouy

Argenteuil, , France

Site Status

Centre Hospital General Robert Ballanger

Aulnay-sous-Bois, , France

Site Status

C.H.G. Beauvais

Beauvais, , France

Site Status

Clinique Tivoli

Bordeaux, , France

Site Status

Hopital Louis Pasteur

Chartres, , France

Site Status

Hopital Drevon

Dijon, , France

Site Status

Clinique Sainte-Marguerite

Hyères, , France

Site Status

Clinique Victor Hugo

Le Mans, , France

Site Status

Centre Hospital Universitaire Hop Huriez

Lille, , France

Site Status

Clinique Saint Jean

Lyon, , France

Site Status

Hopital de la Croix Rousse

Lyon, , France

Site Status

CHU de la Timone

Marseille, , France

Site Status

Intercommunal Hospital

Montfermeil, , France

Site Status

American Hospital of Paris

Neuilly-sur-Seine, , France

Site Status

Hopital Saint Antoine

Paris, , France

Site Status

Hopital Saint Joseph

Paris, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

Maison Medicale Marzet

Pau, , France

Site Status

Hopital Rene Dubos

Pontoise, , France

Site Status

C.H. Senlis

Senlis, , France

Site Status

Hopital d'Instruction des Armes Sainte-Anne

Toulon, , France

Site Status

CHRU de Tours - Hopital Trousseau

Tours, , France

Site Status

Countries

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France

Other Identifiers

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FRE-GERCOR-EPITAXD00-1

Identifier Type: -

Identifier Source: secondary_id

EU-20326

Identifier Type: -

Identifier Source: secondary_id

CDR0000346617

Identifier Type: -

Identifier Source: org_study_id