AMG 102 Plus ECX for Unresectable Locally Advanced or Metastatic Gastric or Esophagogastric Junction Cancer

NCT ID: NCT00719550

Last Updated: 2013-12-05

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

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2013-06-30

Brief Summary

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Study Phase: 1b/2 Indication: Previously untreated subjects with unresectable locally advanced or metastatic gastric or esophagogastric junction adenocarcinoma.

Primary Objective(s):

Part 1: To identify safe dose levels of AMG 102, up to 15 mg/kg Q3W, to combine with ECX.

Part 2 (phase 2-double-blind): To estimate with pre-specified precision the effect of the addition of AMG 102 to ECX on progression free survival (PFS).

Detailed Description

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Conditions

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Esophagogastric Junction Adenocarcinoma Gastric Cancer Esophageal Cancer

Keywords

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Locally Advanced Metastatic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Phase 2 Arm C

AMG 102 placebo plus ECX

Group Type PLACEBO_COMPARATOR

Capecitabine

Intervention Type DRUG

Administered at 625mg/m2 BID orally every day while on study.

Epirubicin

Intervention Type DRUG

Administered day 1 of each cycle at 50mg/m2 IV.

Cisplatin

Intervention Type DRUG

Administered day 1 of each cycle at 60mg/m2 IV.

Placebo

Intervention Type DRUG

AMG 102 placebo will be provided in similar vials as clear, colorless, sterile protein-free solution

Phase 1b

Phase 1b dose study with open-labe AMG 102 at 15mg/kg de-escalating to 7.5mg/kg and 5mg/kg if needed.

Group Type OTHER

Capecitabine

Intervention Type DRUG

Administered at 625mg/m2 BID orally every day while on study.

Epirubicin

Intervention Type DRUG

Administered day 1 of each cycle at 50mg/m2 IV.

AMG 102

Intervention Type DRUG

Investigation product to be given at 15mg/kg, 7.5mg/kg, or 5mg/kg depending on assignment.

Cisplatin

Intervention Type DRUG

Administered day 1 of each cycle at 60mg/m2 IV.

Phase 2 Arm B

AMG 102 at 7.5mg/kg plus ECX

Group Type ACTIVE_COMPARATOR

Capecitabine

Intervention Type DRUG

Administered at 625mg/m2 BID orally every day while on study.

Epirubicin

Intervention Type DRUG

Administered day 1 of each cycle at 50mg/m2 IV.

AMG 102

Intervention Type DRUG

Investigation product to be given at 15mg/kg, 7.5mg/kg, or 5mg/kg depending on assignment.

Cisplatin

Intervention Type DRUG

Administered day 1 of each cycle at 60mg/m2 IV.

Phase 2 Arm A

AMG 102 at 15mg/kg plus ECX

Group Type ACTIVE_COMPARATOR

Capecitabine

Intervention Type DRUG

Administered at 625mg/m2 BID orally every day while on study.

Epirubicin

Intervention Type DRUG

Administered day 1 of each cycle at 50mg/m2 IV.

AMG 102

Intervention Type DRUG

Investigation product to be given at 15mg/kg, 7.5mg/kg, or 5mg/kg depending on assignment.

Cisplatin

Intervention Type DRUG

Administered day 1 of each cycle at 60mg/m2 IV.

Interventions

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Capecitabine

Administered at 625mg/m2 BID orally every day while on study.

Intervention Type DRUG

Epirubicin

Administered day 1 of each cycle at 50mg/m2 IV.

Intervention Type DRUG

AMG 102

Investigation product to be given at 15mg/kg, 7.5mg/kg, or 5mg/kg depending on assignment.

Intervention Type DRUG

Cisplatin

Administered day 1 of each cycle at 60mg/m2 IV.

Intervention Type DRUG

Placebo

AMG 102 placebo will be provided in similar vials as clear, colorless, sterile protein-free solution

Intervention Type DRUG

Other Intervention Names

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Xeloda

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed unresectable locally advanced or metastatic gastric or esophagogastric junction (EGJ) adenocarcinoma; tumors of the distal esophagus within 5 cm of the EGJ are eligible
* ECOG performance status 0 or 1
* Male or female ≥ 18 years of age

Exclusion Criteria

* Previous systemic therapy (chemotherapy or biologic therapy) for locally advanced or metastatic gastric or esophagogastric adenocarcinoma
* Less than 6 months have elapsed from completion of prior neoadjuvant or adjuvant chemotherapy or chemoradiotherapy.
* Subjects with resectable disease or suitable for definitive chemoradiation
* Subjects with persistent gastric outlet obstruction, complete dysphagia or feeding jejunostomy
* Tumors of squamous cell histology
* Known central nervous system metastases
* Clinically significant upper gastro-intestinal bleeding ≤ 30 days prior to enrollment or randomization
* Serious or non-healing wound
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Countries

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Australia Belgium Canada Greece Hong Kong Hungary India Italy Poland Russia Singapore Spain United Kingdom United States

References

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Doshi S, Loh E, Oliner K, Gisleskog PO, Perez Ruixo JJ, Zhang Y, Zhu M.Exposure survival modeling.Journal-001088;

Reference Type BACKGROUND

Iveson T, Donehower RC, Davidenko I, Tjulandin S, Deptala A, Harrison M, Nirni S, Lakshmaiah K, Thomas A, Jiang Y, Zhu M, Tang R, Anderson A, Dubey S, Oliner KS, Loh E. Rilotumumab in combination with epirubicin, cisplatin, and capecitabine as first-line treatment for gastric or oesophagogastric junction adenocarcinoma: an open-label, dose de-escalation phase 1b study and a double-blind, randomised phase 2 study. Lancet Oncol. 2014 Aug;15(9):1007-18. doi: 10.1016/S1470-2045(14)70023-3. Epub 2014 Jun 22.

Reference Type BACKGROUND
PMID: 24965569 (View on PubMed)

Oliner K.BM Ph2 Gastric.Journal-004521;

Reference Type BACKGROUND

TBD.Ph2 Gastric Exposure Response.Journal-004521;

Reference Type BACKGROUND

TBD.Ph2 Gastric PRO.Journal-004521;

Reference Type BACKGROUND

Zhu.20060317 ER data.Journal-000728;

Reference Type BACKGROUND

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20060317

Identifier Type: -

Identifier Source: org_study_id