Trial Outcomes & Findings for Cetuximab, Cisplatin, and Irinotecan in Treating Patients With Metastatic Esophageal Cancer, Gastroesophageal Junction Cancer, or Gastric Cancer That Did Not Respond to Previous Irinotecan and Cisplatin (NCT NCT00397904)

NCT ID: NCT00397904

Last Updated: 2015-11-25

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

2 years

Results posted on

2015-11-25

Participant Flow

Participant milestones

Participant milestones
Measure
Cetuximab, Cisplatin, and Irinotecan
Cetuximab will be combined with weekly irinotecan and cisplatin. Patients will receive cetuximab 400 mg/m2 on day 1, week 1. Following this loading dose, patients will receive weekly cetuximab 250 mg/m2 (day 8, 15, 22, etc.) until disease progression or unacceptable toxicity. Patients will continue to receive irinotecan and cisplatin weekly on day 1 and day 8, on an every 21 day cycle. The standard maximum doses are irinotecan 65 mg/m2 and cisplatin 30 mg/m2.
Overall Study
STARTED
16
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cetuximab, Cisplatin, and Irinotecan in Treating Patients With Metastatic Esophageal Cancer, Gastroesophageal Junction Cancer, or Gastric Cancer That Did Not Respond to Previous Irinotecan and Cisplatin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cetuximab, Cisplatin, and Irinotecan
n=16 Participants
Cetuximab will be combined with weekly irinotecan and cisplatin. Patients will receive cetuximab 400 mg/m2 on day 1, week 1. Following this loading dose, patients will receive weekly cetuximab 250 mg/m2 (day 8, 15, 22, etc.) until disease progression or unacceptable toxicity. Patients will continue to receive irinotecan and cisplatin weekly on day 1 and day 8, on an every 21 day cycle. The standard maximum doses are irinotecan 65 mg/m2 and cisplatin 30 mg/m2.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Outcome measures

Outcome measures
Measure
Cetuximab, Cisplatin, and Irinotecan
n=16 Participants
Cetuximab will be combined with weekly irinotecan and cisplatin. Patients will receive cetuximab 400 mg/m2 on day 1, week 1. Following this loading dose, patients will receive weekly cetuximab 250 mg/m2 (day 8, 15, 22, etc.) until disease progression or unacceptable toxicity. Patients will continue to receive irinotecan and cisplatin weekly on day 1 and day 8, on an every 21 day cycle. The standard maximum doses are irinotecan 65 mg/m2 and cisplatin 30 mg/m2.
Complete and Partial Response Rate
Complete Response
0 participants
Complete and Partial Response Rate
Partial Response
1 participants
Complete and Partial Response Rate
Stable Disease
4 participants
Complete and Partial Response Rate
Progression of Disease
11 participants

Adverse Events

Cetuximab, Cisplatin, and Irinotecan

Serious events: 7 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cetuximab, Cisplatin, and Irinotecan
n=16 participants at risk
Cetuximab will be combined with weekly irinotecan and cisplatin. Patients will receive cetuximab 400 mg/m2 on day 1, week 1. Following this loading dose, patients will receive weekly cetuximab 250 mg/m2 (day 8, 15, 22, etc.) until disease progression or unacceptable toxicity. Patients will continue to receive irinotecan and cisplatin weekly on day 1 and day 8, on an every 21 day cycle. The standard maximum doses are irinotecan 65 mg/m2 and cisplatin 30 mg/m2.
Investigations
Blood bilirubin increased
6.2%
1/16 • Number of events 1
Metabolism and nutrition disorders
Hypocalcemia
6.2%
1/16 • Number of events 1
Investigations
Cardiac troponin I increased
6.2%
1/16 • Number of events 1
General disorders
Sudden death NOS
6.2%
1/16 • Number of events 1
General disorders
Death-Disease Progression NOS
6.2%
1/16 • Number of events 1
Metabolism and nutrition disorders
Dehydration
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Diarrhea
6.2%
1/16 • Number of events 1
Blood and lymphatic system disorders
Febrile Neutropenia
6.2%
1/16 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
6.2%
1/16 • Number of events 1
Blood and lymphatic system disorders
Anemia
12.5%
2/16 • Number of events 2
Musculoskeletal and connective tissue disorders
Myositis
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Mucositis oral
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Nausea
6.2%
1/16 • Number of events 1
Investigations
Platelet count decreased
6.2%
1/16 • Number of events 1
Metabolism and nutrition disorders
Hypokalemia
6.2%
1/16 • Number of events 1
Vascular disorders
Thrombosis
12.5%
2/16 • Number of events 2
Gastrointestinal disorders
Vomiting
6.2%
1/16 • Number of events 1

Other adverse events

Other adverse events
Measure
Cetuximab, Cisplatin, and Irinotecan
n=16 participants at risk
Cetuximab will be combined with weekly irinotecan and cisplatin. Patients will receive cetuximab 400 mg/m2 on day 1, week 1. Following this loading dose, patients will receive weekly cetuximab 250 mg/m2 (day 8, 15, 22, etc.) until disease progression or unacceptable toxicity. Patients will continue to receive irinotecan and cisplatin weekly on day 1 and day 8, on an every 21 day cycle. The standard maximum doses are irinotecan 65 mg/m2 and cisplatin 30 mg/m2.
Metabolism and nutrition disorders
Hypoalbuminemia
37.5%
6/16 • Number of events 22
Investigations
Alkaline phosphatase increase
18.8%
3/16 • Number of events 10
Investigations
Cardiac troponin I increased
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Constipation
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Diarrhea
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Dysphagia
6.2%
1/16 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.2%
1/16 • Number of events 2
General disorders
Fatigue
37.5%
6/16 • Number of events 6
Metabolism and nutrition disorders
Hyperglycemia
25.0%
4/16 • Number of events 12
Skin and subcutaneous tissue disorders
Alopecia
6.2%
1/16 • Number of events 1
Blood and lymphatic system disorders
Anemia
43.8%
7/16 • Number of events 34
Investigations
INR increased
12.5%
2/16 • Number of events 10
Investigations
White blood cell decreased
18.8%
3/16 • Number of events 5
Investigations
Lymphocyte count decreased
43.8%
7/16 • Number of events 13
Metabolism and nutrition disorders
Hypomagnesemia
37.5%
6/16 • Number of events 32
Investigations
Neutrophil count decreased
12.5%
2/16 • Number of events 3
Metabolism and nutrition disorders
Hypophosphatemia
6.2%
1/16 • Number of events 6
Metabolism and nutrition disorders
Hyperkalemia
6.2%
1/16 • Number of events 1
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
25.0%
4/16 • Number of events 8
Gastrointestinal disorders
Vomiting
6.2%
1/16 • Number of events 1
Investigations
Weight loss
6.2%
1/16 • Number of events 1

Additional Information

Dr. David Ilson

Memorial Sloan Kettering Cancer Center

Phone: 646-888-4183

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place