Trial Outcomes & Findings for Chemotherapy & Erlotinib in Treating Patients w/ Esophageal or Gastroesophageal Cancer That Cannot Be Removed by Surgery (NCT NCT00539617)

NCT ID: NCT00539617

Last Updated: 2020-03-23

Results Overview

PFS is defined as the duration of time from enrollment into the run-in period of the study to objective tumor progression as determined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria. The proportion of patients with PFS will be reported and evaluated using Kaplan-Meier survival curves with median survival and 95% confidence interval.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

7 participants

Primary outcome timeframe

Up to 2 years

Results posted on

2020-03-23

Participant Flow

Recruitment is performed in the Helen Diller Family Comprehensive Cancer Center at University of California, San Francisco

This trial has a pre-enrollment phase in which patients have their tissue tested for Kras and EGFR mutations to determine eligibility for the treatment trial. There is also a run-in phase with Erlotinib followed by a post-treatment biopsy. After this, the main treatment phase begins.

Participant milestones

Participant milestones
Measure
FOLFOX and Erlotinib
Single arm study of FOLFOX6 plus Erlotinib
Pre-screening Period
STARTED
7
Pre-screening Period
COMPLETED
4
Pre-screening Period
NOT COMPLETED
3
Run-In Period
STARTED
4
Run-In Period
COMPLETED
3
Run-In Period
NOT COMPLETED
1
Treatment Period
STARTED
3
Treatment Period
COMPLETED
3
Treatment Period
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chemotherapy & Erlotinib in Treating Patients w/ Esophageal or Gastroesophageal Cancer That Cannot Be Removed by Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FOLFOX and Erlotinib
n=7 Participants
Single arm study of FOLFOX6 plus Erlotinib
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
54 years
STANDARD_DEVIATION 12 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 years

Population: No data was collected for progression free survival

PFS is defined as the duration of time from enrollment into the run-in period of the study to objective tumor progression as determined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria. The proportion of patients with PFS will be reported and evaluated using Kaplan-Meier survival curves with median survival and 95% confidence interval.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 2 years

Population: No data was collected for overall response rate

The best overall response is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for Progressive Disease (PD) the smallest measurements recorded since the treatment started). Best response assignment will depend on the achievement of both measurement and confirmation criteria using RECIST for both target and non-target lesions. For target lesions, response is defined as follows: Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): \>= 30% decrease in sum of the LD, taking as reference the baseline sum LD; PD: \>=20% increase in sum of the LD of target lesions, taking as reference smallest sum LD recorded since treatment started or appearance of one or more new lesions , Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 2 years

Population: No data was collected for time to progression

Patient with objective tumor response or stable disease will be treated with single agent Tarceva until tumor progression. For this study, time to progression will be determined as the number of days following the first day of single agent treatment with Tarceva following the last and completed cycle of Tarcerva/FOLFOX combination therapy. TTP will be calculated for the entire patient population as well as for patients that objectively responded to the combination therapy versus those that did not.

Outcome measures

Outcome data not reported

Adverse Events

FOLFOX and Erlotinib

Serious events: 4 serious events
Other events: 4 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
FOLFOX and Erlotinib
n=4 participants at risk
Single arm study of FOLFOX6 plus Erlotinib
Gastrointestinal disorders
Dehydration
50.0%
2/4 • Number of events 2 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Respiratory, thoracic and mediastinal disorders
Aspiration
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Cardiac disorders
Chest Pain
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Constipation
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Blood and lymphatic system disorders
Hemoglobin
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Infections and infestations
Pneumonia
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.

Other adverse events

Other adverse events
Measure
FOLFOX and Erlotinib
n=4 participants at risk
Single arm study of FOLFOX6 plus Erlotinib
Gastrointestinal disorders
Abdomimal distention
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Abdominal Pain
50.0%
2/4 • Number of events 2 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Skin and subcutaneous tissue disorders
Acne
75.0%
3/4 • Number of events 7 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Anorexia
50.0%
2/4 • Number of events 2 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Psychiatric disorders
Anxiety
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
General disorders
Confusion
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Constipation
50.0%
2/4 • Number of events 2 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Diarrhea
75.0%
3/4 • Number of events 5 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Skin and subcutaneous tissue disorders
Dry Skin
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Dyspepsia
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Dysphagia
50.0%
2/4 • Number of events 2 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Blood and lymphatic system disorders
Edema, limbs
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
General disorders
Fatigue
100.0%
4/4 • Number of events 6 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Endocrine disorders
Hypothroidism
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Infections and infestations
Pneumonia
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Nausea
75.0%
3/4 • Number of events 3 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Blood and lymphatic system disorders
Neutrophil
75.0%
3/4 • Number of events 3 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Oral Pain
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
General disorders
Pain, other
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Nervous system disorders
Peripheral sensory neuropathy
75.0%
3/4 • Number of events 4 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Skin and subcutaneous tissue disorders
Rash
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Taste Alteration
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Renal and urinary disorders
Ureteric obstruction
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Renal and urinary disorders
Urogenital disorder
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Vomiting
75.0%
3/4 • Number of events 3 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
General disorders
Weight loss
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.
Gastrointestinal disorders
Tongue Ulcer
25.0%
1/4 • Number of events 1 • Up to 2 years
Adverse events were collected from first dose to 30 days after last dose for the 4 patients who started treatment.

Additional Information

W. Michael Korn, MD

University of California, San Francisco

Phone: 415-502-2844

Results disclosure agreements

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