Biweekly Docetaxel in Combination With Capecitabine as First-Line Treatment in Patients With Advanced Gastric Cancer

NCT ID: NCT00669370

Last Updated: 2008-04-30

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

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-06-30

Brief Summary

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To determine the quality of life in patients with gastric cancer who receive combination treatment with docetaxel and capecitabine. Secondary endpoints are time to progression, overall response rate and overall survival.

Study treatment will continue until disease progression or unacceptable toxicity.

Detailed Description

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GAST-TaxXel is an open, phase II, single arm, non-randomized, Finnish multicenter trial. At least 50 subjects will be enrolled.

Primary endpoint:

To determine the quality of life (EORTC QLQ-C30 and QLQ-STO22) in patients with gastric cancer who receive combination treatment with Taxotere and Xeloda.

Secondary endpoint:

To evaluate time to progression (TTP), overall response rate (ORR) and overall survival (OS).

Quality of life: to evaluate that QOL does not deteriorate from baseline. Quality of life is measured using EORTC QLQ-C30 and QLQ-STO22 with physical functioning score as the primary variable.

Efficacy: time to progression, overall response rate, overall survival Time to progression is defined as time elapsed from inclusion to first documented progression or death whatever the reason. Overall response rate is assessed according to the RECIST criteria. Overall survival is defined as time elapsed from inclusion to death.

Safety: clinical and laboratory toxicities or symptomatology will be graded according to NCI-CTC criteria.

Statistical considerations:

The primary variable, physical functioning score measured by the EORTC QLQ-C30 and QLQ-STO22 instrument, will be analyzed using a paired t-test (change from baseline after two treatment cycles). A 95% confidence interval will also be calculated for the primary variable. Median TTP and OS will be estimated using the Kaplan-Meier method. The ORR will be summarized. Safety variables will be summarized descriptively.

Conditions

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Stomach Neoplasms

Keywords

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advanced gastric cancer adenocarcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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docetaxel and capecitabine

biweekly docetaxel iv (50 mg/m2) on day 1 and 15 and capecitabine po 1250 mg/m2 x 2/day days 1-7 and 15-21, treatment cycle consisting of 21 days

Intervention Type DRUG

Other Intervention Names

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Taxotere Xeloda

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed advanced, inoperable gastric adenocarcinoma
* age ≥18 years
* WHO performance status ≤ 2
* Stage IV
* Measurable (according to RECIST criteria) or evaluable lesion
* No previous chemotherapy, except adjuvant chemotherapy ≥ 6 months ago
* Adequate hematological function (neutrophils ≥ 1.5 x 109/l and platelets ≥ 100 x 109/l, Hb ≥ 100 g/l (after transfusion when needed)
* Adequate renal function (serum creatinine ≤ 1.25 x upper normal limit)
* Adequate liver function (total serum bilirubin ≤ 1.25 x upper normal limit or ALAT ≤ 3 x upper normal limit; in case of liver metastasis: total serum bilirubin ≤ 1.5 x upper normal limit, ALAT ≤ 5 x upper normal limit)
* AFOS ≤ 2.5 x upper normal limit (unless bone metastases)
* Consent form signed and dated before inclusion
* Able to comply with the scheduled follow-up and with the management of toxicities.

Exclusion Criteria

* Pregnant or lactating women (or potentially fertile women not using adequate contraception)
* Presence of CNS metastases
* Unresolved bowel obstruction or subobstruction
* Chronic diarrhea
* Clinically significant malabsorption syndrome
* Inability to swallow tablets
* Known dihydropyrimidine dehydrogenase (DPD) deficiency
* Concurrent severe and/or uncontrolled co-morbid medical condition such as uncontrolled infection, hypertension, ischemic heart disease, myocardial infarction within previous 6 months, congestive heart failure
* History of previous or concurrent malignancy within the previous 5 years except curatively treated carcinoma in situ of the uterine cervix or basal cell carcinoma of the skin
* History of prior serious allergic reactions such as anaphylactic shock.
* Peripheral neuropathy ≥ grade 2, unless related to mechanical etiology
* Concurrent use of corticosteroids unless chronic treatment (i.e. initiated \> 6 months prior to study entry) at low doses (≥ 20 mg methylprednisolone or equivalent)
* History of allergy to drugs containing the excipient TWEEN 80® and/ or 5- fluorouracil.
* Lack of physical integrity of the upper gastrointestinal tract.
* Concomitant administration of any other experimental drug under investigation: concurrent treatment with any other anti-cancer therapy.
* Major surgery within 4 weeks prior to study treatment start, or lack of complete recovery from the effects of major surgery.
* Patients who cannot be regularly followed up for psychological, social, family or geographic reasons.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

University of Turku

OTHER

Sponsor Role lead

Responsible Party

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Department of Oncology and Radiotherapy, Turku University Hospital

Principal Investigators

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Raija Ristamäki, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Oncology and Radiotherapy, Turku University Hospital

Locations

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Kuopio University Hospital

Kuopio, , Finland

Site Status RECRUITING

Oulu Univerity Hospital

Oulu, , Finland

Site Status RECRUITING

Satakunta District Hospital

Pori, , Finland

Site Status NOT_YET_RECRUITING

University of Tampere

Tampere, , Finland

Site Status RECRUITING

Department of Oncology and Radiotherapy, turku University Hospital

Turku, , Finland

Site Status RECRUITING

Vaasa Distric Hospital

Vaasa, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Raija Ristamäki, MD, PhD

Role: CONTACT

Phone: 358-2-313-0520

Email: [email protected]

Seppo Pyrhönen, professor

Role: CONTACT

Phone: 358-2-313-2800

Email: [email protected]

Facility Contacts

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Päivi Auvinen, MD, PhD

Role: primary

Raija Kallio, Md, PhD

Role: primary

Maija-Leena Murashev, MD

Role: primary

Tapio Salminen, MD

Role: primary

Raija ristamäki, MD, PhD

Role: primary

Marjatta Mikkola, MD

Role: primary

References

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Korkeila EA, Salminen T, Kallio R, Mikkola M, Auvinen P, Pyrhonen S, Ristamaki R. Quality of life with biweekly docetaxel and capecitabine in advanced gastro-oesophageal cancer. Support Care Cancer. 2017 Sep;25(9):2771-2777. doi: 10.1007/s00520-017-3689-5. Epub 2017 Apr 20.

Reference Type DERIVED
PMID: 28424889 (View on PubMed)

Other Identifiers

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EudraCT no 2005-002484-87

Identifier Type: -

Identifier Source: secondary_id

2005-002484-87

Identifier Type: -

Identifier Source: org_study_id