Docetaxel+Oxali+/-Cetux Met Gastric/GEJ

NCT ID: NCT00517829

Last Updated: 2016-11-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2012-04-30

Brief Summary

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The purpose of this research study is to find out what effects (good and bad) docetaxel, oxaliplatin, and cetuximab have on gastric or GEJ cancer.

Detailed Description

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This is a Phase II, open- label, randomized, noncomparative study. Patients will be stratified at randomization by ECOG PS. There is no intent to have equal numbers of patients for each PS (ie, 0, 1, and 2), but rather stratification will be conducted to ensure that the 2 treatment arms are well-balanced for ECOG PS.

Patients will be randomly assigned to either Arm 1 - Taxotere 60 mg/m2 as an intravenous (IV) infusion over 1 hour, followed by Eloxatin 130 mg/m2 IV over 2 hours or Arm 2 - Taxotere 60 mg/m2 as an IV infusion over 1 ho ur, followed by Eloxatin 130mg/m2 IV over 2 hours, followed by ERBITUX 400 mg/m2 IV over 120 minutes (first dose only), all other doses are 250 mg/m2 over 60 minutes. Taxotere and Eloxatin will be given on Day 1 of each 21-day cycle; ERBITUX is given on Days 1, 8, and 15 of each cycle.

Treatment will continue until disease progression or intolerable toxicity. Patients who achieve a CR will receive an additional 2 cycles of treatment. Patients will be limited to 24 months of participation, counted from the date of the first dose of study drug.

Conditions

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Gastric Cancer Adenocarcinoma Metastatic

Keywords

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metastatic gastric or adenocarcinoma of the GE junction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1- Docetaxel plus Oxaliplatin

Docetaxel as an intravenous (IV) infusion over 1 hour, followed by oxaliplatin IV over 2 hours

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

Taxotere 60 mg/m2 as an intravenous (IV) infusion over 1 hour

oxaliplatin

Intervention Type DRUG

Eloxatin 130 mg/m2 IV over 2 hours

2- Docetaxel plus oxaliplatin plus cetuximab

Docetaxel 60 mg/m2 as an IV infusion over 1 ho ur, followed by oxaliplatin 130 mg/m2 IV over 2 hours, followed by cetuximab 400 mg/m2 IV over 120 minutes (first dose only), all other doses are 250 mg/m2 over 60 minutes.

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

Taxotere 60 mg/m2 as an intravenous (IV) infusion over 1 hour

cetuximab

Intervention Type DRUG

ERBITUX 400 mg/m2 IV over 120 minutes (first dose only), all other doses are 250 mg/m2 over 60 minutes.

oxaliplatin

Intervention Type DRUG

Eloxatin 130 mg/m2 IV over 2 hours

Interventions

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Docetaxel

Taxotere 60 mg/m2 as an intravenous (IV) infusion over 1 hour

Intervention Type DRUG

cetuximab

ERBITUX 400 mg/m2 IV over 120 minutes (first dose only), all other doses are 250 mg/m2 over 60 minutes.

Intervention Type DRUG

oxaliplatin

Eloxatin 130 mg/m2 IV over 2 hours

Intervention Type DRUG

Other Intervention Names

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Taxotere (docetaxel) ERBITUX (cetuximab) Eloxatin (oxaliplatin)

Eligibility Criteria

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Inclusion Criteria

* Patient has histologically confirmed Stage IV adenocarcinoma of the GEJ/stomach

Note: Adjuvant radiation plus treatment with 5-FU and leucovorin is permitted, but not required.

* Patients must have measurable disease
* Patient has an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-2
* Patient is greater than 18 years of age
* If present, any pre-existing (current) peripheral neuropathy must be ≤ Grade 1
* Patient's laboratory values must fall within the limits set forth in section 4.2 of the protocol
* Patient has a negative serum pregnancy test within 7 days prior to registration (female patients of childbearing potential)
* If fertile, patient (male or female) has agreed to use an acceptable method of birth control to avoid pregnancy for the duration of the study and for a 2 month period thereafter
* Patient (or guardian) has signed a Patient Informed Consent Form
* Patient (or guardian) has signed a Patient Authorization Form

Exclusion Criteria

* Patient has any metastatic disease other than that defined in section 4.2 (criterion #1)
* Patient has had prior treatment that included anything other than adjuvant radiation plus treatment with 5-FU and leucovorin. Prior treatment must have been completed \> 6 months prior to registration in current study. No other prior regimens are allowed.

Note: Adjuvant radiation plus treatment with 5-FU and leucovorin is permitted, but not required.

* If present, any peripheral neuropathy is \> Grade 1
* Patient has a known hypersensitivity to Taxotere (or any drug formulated with Polysorbate-80), or Eloxatin
* Has had a prior severe infusion reaction (Grade 4) to a monoclonal antibody
* Has received prior therapy, at any time, which specifically and directly targets the EGFR pathway
* Patient is receiving concurrent immunotherapy or any other concurrent treatment for their cancer
* Has had prior stem cell or bone marrow transplant or any organ transplant with the exception of corneal transplant or cadaver bone graft
* Has a significant history of uncontrolled cardiac disease; ie, uncontrolled hypertension, unstable angina, recent myocardial infarction (within prior 6 months), uncontrolled congestive heart failure, or cardiomyopathy with decreased ejection fraction (LVEF\<50%)
* Has evidence of CNS involvement (CNS imaging is not required for study enrollment unless clinically suspected CNS disease is present.)
* Patient has a serious uncontrolled intercurrent medical or psychiatric illness, including serious infection
* Patient is known to be HIV positive or have a history of hepatitis B or C
* Patient has a history of other malignancy within the last 5 years (except for squamous or basal cell carcinoma of the skin, carcinoma in situ of the cervix , or superficial transitional cell carcinoma of the bladder), which could affect the diagnosis or assessment of current condition.
* Patient is a pregnant or lactating woman
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role collaborator

US Oncology Research

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Donald A Richards, MD

Role: PRINCIPAL_INVESTIGATOR

US Oncology Research

Locations

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Texas Cancer Center

Arlington, Texas, United States

Site Status

Texas Oncology Cancer Center

Austin, Texas, United States

Site Status

Mamie McFaddin Ward Cancer Center

Beaumont, Texas, United States

Site Status

Texas Oncology, P.A. - Bedford

Bedford, Texas, United States

Site Status

Birmingham Hematology and Oncology

Birmingham, Alabama, United States

Site Status

Hematology Oncology Associates

Phoenix, Arizona, United States

Site Status

Rocky Mountain Cancer Center - Midtown

Denver, Colorado, United States

Site Status

Florida Cancer Institute

New Port Richey, Florida, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Hematology Oncology Associates of Illinois

Chicago, Illinois, United States

Site Status

Cancer Care & Hematology Specialists of Chicagoland

Niles, Illinois, United States

Site Status

Central Indiana Cancer Centers

Indianapolis, Indiana, United States

Site Status

Hope Center

Terre Haute, Indiana, United States

Site Status

Kansas City Cancer Centers - Southwest

Overland Park, Kansas, United States

Site Status

Minnesota Oncology Hematology, P.A.

Minneapolis, Minnesota, United States

Site Status

Missouri Cancer Associates

Columbia, Missouri, United States

Site Status

New York Oncology Hematology, P.C.

Hudson, New York, United States

Site Status

Interlakes Oncology Hematology, PC

Rochester, New York, United States

Site Status

Cancer Centers of North Carolina

Raleigh, North Carolina, United States

Site Status

Mahoning Valley Hematology Oncology Associates

Boardman, Ohio, United States

Site Status

Greater Dayton Cancer Center

Kettering, Ohio, United States

Site Status

Medical Oncology Associates

Kingston, Pennsylvania, United States

Site Status

Texas Oncology, P.A. Amarillo

Amarillo, Texas, United States

Site Status

Texas Cancer Center at Medical City

Dallas, Texas, United States

Site Status

Texas Oncology, P.A.

Dallas, Texas, United States

Site Status

Methodist Charlton Cancer Ctr.

Dallas, Texas, United States

Site Status

Texas Oncology, P.A.

Dallas, Texas, United States

Site Status

Texas Cancer Center

Denton, Texas, United States

Site Status

El Paso Cancer Treatment Ctr

El Paso, Texas, United States

Site Status

Texas Oncology, P.A.

Fort Worth, Texas, United States

Site Status

Texas Oncology, P.A.

Garland, Texas, United States

Site Status

Lake Vista Cancer Center

Lewisville, Texas, United States

Site Status

Longview Cancer Center

Longview, Texas, United States

Site Status

Texas Cancer Center of Mesquite

Mesquite, Texas, United States

Site Status

Allison Cancer Center

Midland, Texas, United States

Site Status

Texas Oncology - Odessa

Odessa, Texas, United States

Site Status

Paris Regional Cancer Center

Paris, Texas, United States

Site Status

Tyler Cancer Center

Tyler, Texas, United States

Site Status

Texas Oncology Cancer and Research

Waco, Texas, United States

Site Status

Fairfax Northern VA Hem-Onc PC

Arlington, Virginia, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Onc and Hem Associates of SW VA, Inc.

Salem, Virginia, United States

Site Status

Puget Sound Cancer Center - Edmonds

Edmonds, Washington, United States

Site Status

Columbia Basin Hematology & Oncology

Kennewicke, Washington, United States

Site Status

Puget Sound Cancer Center - Seattle

Seattle, Washington, United States

Site Status

Cancer Care Northwest - South

Spokane, Washington, United States

Site Status

Northwest Cancer Specialist - Vancouver

Vancouver, Washington, United States

Site Status

Countries

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United States

References

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Richards D, Kocs DM, Spira AI, David McCollum A, Diab S, Hecker LI, Cohn A, Zhan F, Asmar L. Results of docetaxel plus oxaliplatin (DOCOX) +/- cetuximab in patients with metastatic gastric and/or gastroesophageal junction adenocarcinoma: results of a randomised Phase 2 study. Eur J Cancer. 2013 Sep;49(13):2823-31. doi: 10.1016/j.ejca.2013.04.022. Epub 2013 Jun 5.

Reference Type DERIVED
PMID: 23747051 (View on PubMed)

Other Identifiers

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06063

Identifier Type: -

Identifier Source: org_study_id