Trial Outcomes & Findings for Study of Modified Docetaxel, Cisplatin, and Fluorouracil (mDCF) in Unresectable or Metastatic Gastric and Gastroesophageal Junction Adenocarcinoma (NCT NCT00515411)

NCT ID: NCT00515411

Last Updated: 2019-12-10

Results Overview

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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", or similar definition as accurate and appropriate

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

111 participants

Primary outcome timeframe

From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 6 months

Results posted on

2019-12-10

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A, - Modified DCF
Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Arm A is repeated every 2 weeks, and a cycle will be considered 6 weeks (eg 3 treatments). Docetaxel, Leucovorin, Fluorouracil, Cisplatin: Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 IVCI x 48 hours Cisplatin 40 Day 2 OR 3 IVPB (30 min)
ARM B - Parent DCF With G-CSF
Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Docetaxel, Cisplatin, Fluorouracil, Neulasta, or Neupogen: Drug Dose (mg/m2) Schedule Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Arm B is repeated every 3 weeks, and a cycle will be considered every 6 weeks (eg 2 treatments). Tumor assessments will be performed following the completion of every cycle for the first 6 cycles, and then every 2 cycles thereafter.
Arm C - Modified DCF+ Trastuzumab
Treatment for Her2 Positive Participants Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Trastuzumab Administered on an every 2 week dosing schedule. Initial loading dose of 6 mg/kg over 90 minutes, followed by trastuzumab 4 mg/kg every 2 weeks over 30 minutes.
Overall Study
STARTED
54
31
26
Overall Study
COMPLETED
54
31
26
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Modified Docetaxel, Cisplatin, and Fluorouracil (mDCF) in Unresectable or Metastatic Gastric and Gastroesophageal Junction Adenocarcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A, - Modified DCF
n=54 Participants
Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Arm A is repeated every 2 weeks, and a cycle will be considered 6 weeks (eg 3 treatments). Docetaxel, Leucovorin, Fluorouracil, Cisplatin: Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 IVCI x 48 hours Cisplatin 40 Day 2 OR 3 IVPB (30 min)
ARM B - Parent DCF With G-CSF
n=31 Participants
Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Docetaxel, Cisplatin, Fluorouracil, Neulasta, or Neupogen: Drug Dose (mg/m2) Schedule Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Arm B is repeated every 3 weeks, and a cycle will be considered every 6 weeks (eg 2 treatments). Tumor assessments will be performed following the completion of every cycle for the first 6 cycles, and then every 2 cycles thereafter.
Arm C - Modified DCF+ Trastuzumab
n=26 Participants
Treatment for Her2 Positive Participants Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Trastuzumab Administered on an every 2 week dosing schedule. Initial loading dose of 6 mg/kg over 90 minutes, followed by trastuzumab 4 mg/kg every 2 weeks over 30 minutes.
Total
n=111 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
40 Participants
n=5 Participants
23 Participants
n=7 Participants
24 Participants
n=5 Participants
87 Participants
n=4 Participants
Age, Categorical
>=65 years
14 Participants
n=5 Participants
8 Participants
n=7 Participants
2 Participants
n=5 Participants
24 Participants
n=4 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
9 Participants
n=7 Participants
3 Participants
n=5 Participants
26 Participants
n=4 Participants
Sex: Female, Male
Male
40 Participants
n=5 Participants
22 Participants
n=7 Participants
23 Participants
n=5 Participants
85 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
White
45 Participants
n=5 Participants
27 Participants
n=7 Participants
22 Participants
n=5 Participants
94 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Region of Enrollment
United States
54 Participants
n=5 Participants
31 Participants
n=7 Participants
26 Participants
n=5 Participants
111 Participants
n=4 Participants

PRIMARY outcome

Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 6 months

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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", or similar definition as accurate and appropriate

Outcome measures

Outcome measures
Measure
Arm A, - Modified DCF
n=54 Participants
Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Arm A is repeated every 2 weeks, and a cycle will be considered 6 weeks (eg 3 treatments). Docetaxel, Leucovorin, Fluorouracil, Cisplatin: Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 IVCI x 48 hours Cisplatin 40 Day 2 OR 3 IVPB (30 min)
ARM B - Parent DCF With G-CSF
n=31 Participants
Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Docetaxel, Cisplatin, Fluorouracil, Neulasta, or Neupogen: Drug Dose (mg/m2) Schedule Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Arm B is repeated every 3 weeks, and a cycle will be considered every 6 weeks (eg 2 treatments). Tumor assessments will be performed following the completion of every cycle for the first 6 cycles, and then every 2 cycles thereafter.
Arm C - Modified DCF+ Trastuzumab
n=26 Participants
Treatment for Her2 Positive Participants Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Trastuzumab Administered on an every 2 week dosing schedule. Initial loading dose of 6 mg/kg over 90 minutes, followed by trastuzumab 4 mg/kg every 2 weeks over 30 minutes.
6 Month Progression Free Survival (PFS)
63 percentage of paticipants
Interval 48.0 to 75.0
53 percentage of paticipants
Interval 34.0 to 69.0
73 percentage of paticipants
Interval 51.0 to 86.0

SECONDARY outcome

Timeframe: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 43 months

Overall survival measured in months

Outcome measures

Outcome measures
Measure
Arm A, - Modified DCF
n=54 Participants
Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Arm A is repeated every 2 weeks, and a cycle will be considered 6 weeks (eg 3 treatments). Docetaxel, Leucovorin, Fluorouracil, Cisplatin: Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 IVCI x 48 hours Cisplatin 40 Day 2 OR 3 IVPB (30 min)
ARM B - Parent DCF With G-CSF
n=31 Participants
Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Docetaxel, Cisplatin, Fluorouracil, Neulasta, or Neupogen: Drug Dose (mg/m2) Schedule Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Arm B is repeated every 3 weeks, and a cycle will be considered every 6 weeks (eg 2 treatments). Tumor assessments will be performed following the completion of every cycle for the first 6 cycles, and then every 2 cycles thereafter.
Arm C - Modified DCF+ Trastuzumab
n=26 Participants
Treatment for Her2 Positive Participants Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Trastuzumab Administered on an every 2 week dosing schedule. Initial loading dose of 6 mg/kg over 90 minutes, followed by trastuzumab 4 mg/kg every 2 weeks over 30 minutes.
Overall Survival
18.8 months
Interval 14.9 to 24.5
12.6 months
Interval 6.7 to 16.0
24.9 months
Interval 14.4 to 42.5

Adverse Events

Arm A, - Modified DCF

Serious events: 26 serious events
Other events: 26 other events
Deaths: 37 deaths

ARM B - Parent DCF With G-CSF

Serious events: 23 serious events
Other events: 23 other events
Deaths: 30 deaths

Arm C - Modified DCF+ Trastuzumab

Serious events: 13 serious events
Other events: 13 other events
Deaths: 22 deaths

Serious adverse events

Serious adverse events
Measure
Arm A, - Modified DCF
n=54 participants at risk
Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Arm A is repeated every 2 weeks, and a cycle will be considered 6 weeks (eg 3 treatments). Docetaxel, Leucovorin, Fluorouracil, Cisplatin: Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 IVCI x 48 hours Cisplatin 40 Day 2 OR 3 IVPB (30 min)
ARM B - Parent DCF With G-CSF
n=31 participants at risk
Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Docetaxel, Cisplatin, Fluorouracil, Neulasta, or Neupogen: Drug Dose (mg/m2) Schedule Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Arm B is repeated every 3 weeks, and a cycle will be considered every 6 weeks (eg 2 treatments). Tumor assessments will be performed following the completion of every cycle for the first 6 cycles, and then every 2 cycles thereafter.
Arm C - Modified DCF+ Trastuzumab
n=26 participants at risk
Treatment for Her2 Positive Participants Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Trastuzumab Administered on an every 2 week dosing schedule. Initial loading dose of 6 mg/kg over 90 minutes, followed by trastuzumab 4 mg/kg every 2 weeks over 30 minutes.
Immune system disorders
Allerg react/hypersens (incl drug fever)
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Anorexia
3.7%
2/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Aspiration
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Cardiac disorders
Atrial Fibrillation
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Cardiac disorders
Atrial tachycardia/Paroxysmal Atrial Tachycardia
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Blood and lymphatic system disorders
Blood/Bone Marrow, other
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Calcium, low (hypocalcemia)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
Cardiac disorders
Cardiac General, other
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
3.8%
1/26 • 2 years
Hepatobiliary disorders
Cholecystitis
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Nervous system disorders
CNS cerebrovascular ischemia
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Colitis
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Colitis, infectious
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Constipation
5.6%
3/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Investigations
Creatinine
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Death not assoc w CTCAE term- Death NOS
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
General disorders
Death not assoc w CTCAE term-Disease prog NOS
1.9%
1/54 • 2 years
12.9%
4/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Dehydration
9.3%
5/54 • 2 years
22.6%
7/31 • 2 years
15.4%
4/26 • 2 years
Gastrointestinal disorders
Diarrhea
5.6%
3/54 • 2 years
12.9%
4/31 • 2 years
19.2%
5/26 • 2 years
Gastrointestinal disorders
Distension/bloating, abdominal
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Nervous system disorders
Dizziness
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Dysphagia (Difficulty swallowing)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
3.7%
2/54 • 2 years
9.7%
3/31 • 2 years
3.8%
1/26 • 2 years
General disorders
Localized Edema - trunk/genital
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Fatigue (asthenia, lethargy, malaise)
7.4%
4/54 • 2 years
12.9%
4/31 • 2 years
19.2%
5/26 • 2 years
Blood and lymphatic system disorders
Febrile neutropenia
7.4%
4/54 • 2 years
16.1%
5/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Fever (in the absence of neutropenia)
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
19.2%
5/26 • 2 years
Gastrointestinal disorders
Fistula, GI- Small bowel NOS
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Gastrointestinal, other
5.6%
3/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Glucose, high (hyperglycemia)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
Vascular disorders
Hematoma
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Blood and lymphatic system disorders
Hemoglobin
7.4%
4/54 • 2 years
6.5%
2/31 • 2 years
15.4%
4/26 • 2 years
Gastrointestinal disorders
Hemorrhage, Stoma (GI)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Hemorrhage, Stomach
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Hemorrhage, Upper GI NOS
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Blood and lymphatic system disorders
Hemorrhage/Bleeding, other
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Vascular disorders
Hypotension
3.7%
2/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Ileus, GI (func obstruction of bowel)
5.6%
3/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Inf norm ANC/gr1/2 neut-Catheter-related
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Inf norm ANC/gr1/2 neut-Urinary(bladder)
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Infections and infestations
Inf unknown ANC-Abdomen NOS
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Infection w/ Gr 3/4 neut, Lung (pneumonia)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Infection, other
3.7%
2/54 • 2 years
6.5%
2/31 • 2 years
7.7%
2/26 • 2 years
Investigations
INR
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Leak, GI- Leak NOS
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Cardiac disorders
Left ventricular systolic dysfunction
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Investigations
Leukocytes (total WBC)
3.7%
2/54 • 2 years
3.2%
1/31 • 2 years
7.7%
2/26 • 2 years
Investigations
Lymphopenia
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Investigations
Metabolic/Lab - Other (specify)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Mucositis (Clin exam)- Oral cavity
1.9%
1/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Mucositis (func/sympt)- Oral cavity
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Musculoskeletal and connective tissue disorders
Muscle weakness - Right-sided
1.9%
1/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Nausea
14.8%
8/54 • 2 years
29.0%
9/31 • 2 years
7.7%
2/26 • 2 years
Investigations
Neutrophils/granulocytes (ANC/AGC)
9.3%
5/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Obstruction, GI- Colon
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Obstruction, GI- Small bowel NOS
3.7%
2/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Obstruction, GI- Stomach
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Pain - Abdomen NOS
14.8%
8/54 • 2 years
19.4%
6/31 • 2 years
3.8%
1/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Back
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Cardiac disorders
Pain - Cardiac/heart
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Chest wall
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Chest/thorax NOS
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
3.8%
1/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Extremity-limb
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Nervous system disorders
Pain - Head/headache
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Neck
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Pain - Other (specify)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Pain - Stomach
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Pain - Throat/pharynx/larynx
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Perforation, GI- Cecum
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Phosphate, low (hypophosphatemia)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Metabolism and nutrition disorders
Potassium, low (hypokalemia)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Nervous system disorders
Seizure
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Sodium, low (hyponatremia)
7.4%
4/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Nervous system disorders
Syncope (fainting)
7.4%
4/54 • 2 years
3.2%
1/31 • 2 years
7.7%
2/26 • 2 years
Vascular disorders
Thrombosis/embolism (vascular access-related)
1.9%
1/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Vascular disorders
Thrombosis/thrombus/embolism
9.3%
5/54 • 2 years
6.5%
2/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Ulcer, Esophagus
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Vomiting
14.8%
8/54 • 2 years
32.3%
10/31 • 2 years
11.5%
3/26 • 2 years
Injury, poisoning and procedural complications
Wound complication, non-infectious
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years

Other adverse events

Other adverse events
Measure
Arm A, - Modified DCF
n=54 participants at risk
Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Arm A is repeated every 2 weeks, and a cycle will be considered 6 weeks (eg 3 treatments). Docetaxel, Leucovorin, Fluorouracil, Cisplatin: Drug Dose (mg/m2) Schedule Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 IVCI x 48 hours Cisplatin 40 Day 2 OR 3 IVPB (30 min)
ARM B - Parent DCF With G-CSF
n=31 participants at risk
Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Docetaxel, Cisplatin, Fluorouracil, Neulasta, or Neupogen: Drug Dose (mg/m2) Schedule Docetaxel 75 Day 1 IVPB (60 min) Cisplatin 75 Day 1 IVPB (60 min) Fluorouracil 750 IVCI daily x 5 days Neulasta 6 mg subcut on d 8, 9, or 10 or Neupogen 300 or 480 mcg\* subcut x 7 d 10-17 \* 300 mcg for weight \< 60 kg, 480 mcg for weight \> 60 kg Arm B is repeated every 3 weeks, and a cycle will be considered every 6 weeks (eg 2 treatments). Tumor assessments will be performed following the completion of every cycle for the first 6 cycles, and then every 2 cycles thereafter.
Arm C - Modified DCF+ Trastuzumab
n=26 participants at risk
Treatment for Her2 Positive Participants Docetaxel 40 Day 1 IVPB (60 min) Leucovorin 400 Day 1 IVPB (30 min) Fluorouracil 400 IVP day 1 Fluorouracil 1000 mg/m2/d daily x 2 days Cisplatin 40 Day 2 OR 3 IVPB (30 min) Trastuzumab Administered on an every 2 week dosing schedule. Initial loading dose of 6 mg/kg over 90 minutes, followed by trastuzumab 4 mg/kg every 2 weeks over 30 minutes.
Immune system disorders
Allerg react/hypersens (incl drug fever)
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Anorexia
3.7%
2/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Aspiration
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Cardiac disorders
Atrial fibrillation
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Cardiac disorders
Atrial tachycardia/Paroxysmal Atrial Tachycardia
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Blood and lymphatic system disorders
Blood/Bone Marrow, other
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Calcium, low (hypocalcemia)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
Cardiac disorders
Cardiac General, other
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Hepatobiliary disorders
Cholecystitis
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Nervous system disorders
CNS cerebrovascular ischemia
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Colitis
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Infections and infestations
Colitis, infectious
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Constipation
5.6%
3/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Investigations
Creatinine
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Death not assoc w CTCAE term- Death NOS
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
General disorders
Death not assoc w CTCAE term-Disease prog NOS
1.9%
1/54 • 2 years
12.9%
4/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Dehydration
9.3%
5/54 • 2 years
22.6%
7/31 • 2 years
15.4%
4/26 • 2 years
Gastrointestinal disorders
Diarrhea
5.6%
3/54 • 2 years
12.9%
4/31 • 2 years
19.2%
5/26 • 2 years
Gastrointestinal disorders
Distension/bloating, abdominal
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Nervous system disorders
Dizziness
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Dysphagia (Difficulty swallowing)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
3.7%
2/54 • 2 years
9.7%
3/31 • 2 years
3.8%
1/26 • 2 years
General disorders
Edema: trunk/genital
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Fatigue (asthenia, lethargy, malaise)
7.4%
4/54 • 2 years
12.9%
4/31 • 2 years
19.2%
5/26 • 2 years
Blood and lymphatic system disorders
Febrile neutropenia
7.4%
4/54 • 2 years
16.1%
5/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Fever (in the absence of neutropenia)
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
19.2%
5/26 • 2 years
Gastrointestinal disorders
Fistula, GI- Small bowel NOS
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Gastrointestinal, other
5.6%
3/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Glucose, high (hyperglycemia)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
7.7%
2/26 • 2 years
Vascular disorders
Hematoma
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Blood and lymphatic system disorders
Hemoglobin
7.4%
4/54 • 2 years
6.5%
2/31 • 2 years
15.4%
4/26 • 2 years
Gastrointestinal disorders
Hemorrhage, Stoma (GI)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Hemorrhage, Stomach
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Hemorrhage, Upper GI NOS
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Injury, poisoning and procedural complications
Hemorrhage/Bleeding, other
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Vascular disorders
Hypotension
3.7%
2/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Ileus, GI (func obstruction of bowel)
5.6%
3/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Inf norm ANC/gr1/2 neut-Catheter-related
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Inf norm ANC/gr1/2 neut-Urinary(bladder)
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Infections and infestations
Inf unknown ANC-Abdomen NOS
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Infection w/ Gr 3/4 neut, Lung (pneumonia)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Infections and infestations
Infection, other
3.7%
2/54 • 2 years
6.5%
2/31 • 2 years
7.7%
2/26 • 2 years
Investigations
INR
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Leak, GI- Leak NOS
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Cardiac disorders
Left ventricular systolic dysfunction
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Investigations
Leukocytes (total WBC)
3.7%
2/54 • 2 years
3.2%
1/31 • 2 years
7.7%
2/26 • 2 years
Investigations
Lymphopenia
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Investigations
Metabolic/Lab - Other (specify)
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Mucositis (Clin exam)- Oral cavity
1.9%
1/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Mucositis (func/sympt)- Oral cavity
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Musculoskeletal and connective tissue disorders
Muscle weakness - Right-sided
1.9%
1/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Nausea
14.8%
8/54 • 2 years
29.0%
9/31 • 2 years
7.7%
2/26 • 2 years
Investigations
Neutrophils/granulocytes (ANC/AGC)
9.3%
5/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Obstruction, GI- Colon
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Obstruction, GI- Small bowel NOS
3.7%
2/54 • 2 years
6.5%
2/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Obstruction, GI- Stomach
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Pain - Abdomen NOS
14.8%
8/54 • 2 years
19.4%
6/31 • 2 years
3.8%
1/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Back
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Cardiac disorders
Pain - Cardiac/heart
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Chest wall
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Chest/thorax NOS
0.00%
0/54 • 2 years
6.5%
2/31 • 2 years
3.8%
1/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Extremity-limb
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
3.8%
1/26 • 2 years
Nervous system disorders
Pain - Head/headache
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Musculoskeletal and connective tissue disorders
Pain - Neck
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
General disorders
Pain - Other (specify)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Pain - Stomach
3.7%
2/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Pain - Throat/pharynx/larynx
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Perforation, GI- Cecum
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Phosphate, low (hypophosphatemia)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Metabolism and nutrition disorders
Potassium, low (hypokalemia)
0.00%
0/54 • 2 years
0.00%
0/31 • 2 years
3.8%
1/26 • 2 years
Nervous system disorders
Seizure
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Metabolism and nutrition disorders
Sodium, low (hyponatremia)
7.4%
4/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years
Nervous system disorders
Syncope (fainting)
7.4%
4/54 • 2 years
3.2%
1/31 • 2 years
7.7%
2/26 • 2 years
Vascular disorders
Thrombosis/embolism (vascular access-related)
1.9%
1/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Vascular disorders
Thrombosis/thrombus/embolism
9.3%
5/54 • 2 years
6.5%
2/31 • 2 years
3.8%
1/26 • 2 years
Gastrointestinal disorders
Ulcer, Esophagus
0.00%
0/54 • 2 years
3.2%
1/31 • 2 years
0.00%
0/26 • 2 years
Gastrointestinal disorders
Vomiting
14.8%
8/54 • 2 years
32.3%
10/31 • 2 years
11.5%
3/26 • 2 years
Injury, poisoning and procedural complications
Wound complication, non-infectious
1.9%
1/54 • 2 years
0.00%
0/31 • 2 years
0.00%
0/26 • 2 years

Additional Information

Dr. Yelena Janjigian, MD

Memorial Sloan Kettering Cancer Center

Phone: 646-888-4186

Results disclosure agreements

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