Capecitabine/Tesetaxel Versus Capecitabine/Placebo as Second-line Therapy for Gastric Cancer

NCT ID: NCT01573468

Last Updated: 2012-07-24

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

580 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2014-08-31

Brief Summary

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This study is being performed to evaluate the efficacy and safety of capecitabine in combination with tesetaxel versus capecitabine in combination with placebo as second-line treatment for patients with gastric cancer.

Detailed Description

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Conditions

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Gastric Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Capecitabine-tesetaxel

21-day cycle; tesetaxel 27 mg/m2 orally once on Day 1; capecitabine 1750 mg/m2/day orally in 2 equally divided doses on Days 1-14

Group Type EXPERIMENTAL

Tesetaxel

Intervention Type DRUG

Tesetaxel 27 mg/m2 orally once on Day 1 of each cycle

Capecitabine

Intervention Type DRUG

Capecitabine 1750 mg/m2/day orally twice daily (in 2 equally divided doses) on Days 1-14 of each cycle

Capecitabine-placebo

21-day cycle; placebo orally once on Day 1; capecitabine 1750 mg/m2/day orally in 2 equally divided doses on Days 1-14

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

Placebo orally once on Day 1 of each cycle

Capecitabine

Intervention Type DRUG

Capecitabine 1750 mg/m2/day orally twice daily (in 2 equally divided doses) on Days 1-14 of each cycle

Interventions

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Tesetaxel

Tesetaxel 27 mg/m2 orally once on Day 1 of each cycle

Intervention Type DRUG

Placebo

Placebo orally once on Day 1 of each cycle

Intervention Type DRUG

Capecitabine

Capecitabine 1750 mg/m2/day orally twice daily (in 2 equally divided doses) on Days 1-14 of each cycle

Intervention Type DRUG

Other Intervention Names

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Xeloda

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically confirmed gastric adenocarcinoma, including gastric or gastroesophageal-junction adenocarcinoma (Histologically confirmed adenocarcinoma of the lower esophagus acceptable with radiographic or endoscopic documentation of gastroesophageal-junction or proximal-stomach involvement.)
2. Measurable disease (revised RECIST) based on computed tomography, or nonmeasurable disease
3. ECOG performance status 0 or 1
4. Treatment with only 1 prior regimen (as first-line therapy) that must have included a fluoropyrimidine and a platinum-containing agent (Prior adjuvant or neo-adjuvant chemotherapy acceptable provided 6 months elapsed between the end of this therapy and the start of first-line therapy.)
5. Disease progression after the start of the 1 prior regimen based on computed tomography
6. Adequate bone marrow, hepatic, and renal function
7. Ability to swallow an oral solid-dosage form of medication

Exclusion Criteria

1. Squamous cell gastric carcinoma
2. Bone-only metastatic disease
3. History or presence of brain metastasis or leptomeningeal disease
4. Operable gastric or gastroesophageal-junction cancer
5. HER2-positive disease if the patient has not previously been treated with an anti-HER2 agent
6. Uncontrolled diarrhea, nausea, or vomiting
7. Known malabsorptive disorder
8. Significant medical disease other than gastric cancer
9. Presence of neuropathy \> Grade 1 (NCI Common Toxicity Criteria)
10. Prior treatment (including adjuvant therapy) with a taxane or other tubulin-targeted agent (indibulin, eribulin, etc.)
11. Prior radiation therapy to more than 25% of the bone marrow
12. Need to continue any regularly-taken medication that is a potent inhibitor or inducer of the CYP3A pathway
13. Pregnancy or lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genta Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jaffer Ajani, MD

Role: STUDY_CHAIR

The University of Texas MD Anderson Cancer Center

Locations

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The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Krankenhaus Nordwest

Frankfurt, , Germany

Site Status RECRUITING

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status RECRUITING

Countries

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United States Germany Taiwan

Central Contacts

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Mansoor Ahmad, MD, PhD

Role: CONTACT

Phone: 908 286-3113

Email: [email protected]

Facility Contacts

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Jaffer Ajani, MD

Role: primary

Salah-Eddin Al-Batran, PD Dr. med

Role: primary

Chia-Jui Yen, MD

Role: primary

Other Identifiers

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2010-022164-12

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TOG301

Identifier Type: -

Identifier Source: org_study_id