Molecularly Tailored Therapy for Patients With Metastatic Cancer of the Esophagus and Stomach

NCT ID: NCT02358863

Last Updated: 2018-09-06

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

TERMINATED

Clinical Phase

NA

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2016-11-30

Brief Summary

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The purpose of this study is to determine whether molecular profile-directed therapy (otherwise known as personalized treatment) can improve the effectiveness of standard chemotherapy combinations for patients with esophagogastric adenocarcinoma. A series of tests will be performed on a sample of tumor; based on the results of these tests, a patient will be assigned to a chemotherapy treatment.

Detailed Description

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Conditions

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Esophageal Cancer Gastric Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Chemotherapy

Standard chemotherapy doublet based on molecular testing using one of the following interventions:

Modified FOLFOX6 Docetaxel/Capecitabine Cisplatin/Irinotecan Cisplatin/Docetaxel IRI/EPI EPI/Docetaxel Irinotecan/Docetaxel Docetaxel

Group Type EXPERIMENTAL

Modified FOLFOX6

Intervention Type DRUG

Oxaliplatin 85 mg/m2 IV Day 1 every 14 days Leucovorin 400 mg/m2 IV over 2 hours Day 1 5-FU 400 mg/m2 IV over 2 hours Day 1 5-FU 2400 mg/m2 IV over 46 hours Day 1

Docetaxel/Capecitabine

Intervention Type DRUG

Docetaxel 30 mg/m2 IV Days 1 and 8 Capecitabine 825 mg/m2 PO BID Days 1-14

Cisplatin/Irinotecan

Intervention Type DRUG

Cisplatin 30 mg/m2 IV Days 1 and 8 every 21 days Irinotecan 65 mg/m2 IV days 1 and 8 every 21 days

Cisplatin/Docetaxel

Intervention Type DRUG

Cisplatin 75 mg/m2 IV Day 1 every 21 days Docetaxel 75 mg/m2 IV Day 1

IRI/EPI

Intervention Type DRUG

Irinotecan IV over 90 minutes Days 1 and 8 every 28 days Epirubicin IV over 10-15 minutes Days 1 and 8 every 28 days

EPI/Docetaxel

Intervention Type DRUG

Docetaxel 75 mg/m2 Day 1 every 21 days Epirubicin 50 mg/m2 IV Day 2

Irinotecan/Docetaxel

Intervention Type DRUG

Irinotecan 120 mg/m2 Day 1 every 21 days Docetaxel 50 mg/m2 IV Day 1

Docetaxel

Intervention Type DRUG

Docetaxel 60-100 mg/m2 IV day 1 every 21 days

Interventions

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Modified FOLFOX6

Oxaliplatin 85 mg/m2 IV Day 1 every 14 days Leucovorin 400 mg/m2 IV over 2 hours Day 1 5-FU 400 mg/m2 IV over 2 hours Day 1 5-FU 2400 mg/m2 IV over 46 hours Day 1

Intervention Type DRUG

Docetaxel/Capecitabine

Docetaxel 30 mg/m2 IV Days 1 and 8 Capecitabine 825 mg/m2 PO BID Days 1-14

Intervention Type DRUG

Cisplatin/Irinotecan

Cisplatin 30 mg/m2 IV Days 1 and 8 every 21 days Irinotecan 65 mg/m2 IV days 1 and 8 every 21 days

Intervention Type DRUG

Cisplatin/Docetaxel

Cisplatin 75 mg/m2 IV Day 1 every 21 days Docetaxel 75 mg/m2 IV Day 1

Intervention Type DRUG

IRI/EPI

Irinotecan IV over 90 minutes Days 1 and 8 every 28 days Epirubicin IV over 10-15 minutes Days 1 and 8 every 28 days

Intervention Type DRUG

EPI/Docetaxel

Docetaxel 75 mg/m2 Day 1 every 21 days Epirubicin 50 mg/m2 IV Day 2

Intervention Type DRUG

Irinotecan/Docetaxel

Irinotecan 120 mg/m2 Day 1 every 21 days Docetaxel 50 mg/m2 IV Day 1

Intervention Type DRUG

Docetaxel

Docetaxel 60-100 mg/m2 IV day 1 every 21 days

Intervention Type DRUG

Other Intervention Names

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Oxaliplatin Eloxatin Leucovorin 5-FU 5-Flourouracil Taxotere Xeloda Platinum CPT-11 Camptosar Platinum Taxotere Irinotecan CPT-11 Epirubicin Camptosar Taxotere Epirubicin CPT-11 Camptosar Taxotere Taxotere

Eligibility Criteria

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Inclusion Criteria

* Advanced, measurable metastatic esophagogastric adenocarcinoma by RECIST criteria
* Patients who have had surgery or radiotherapy with or without neoadjuvant or adjuvant chemotherapy (the wash-out period will be at least 1 month)
* Patients who are not eligible for resection and are chemotherapy naïve
* Patients with HER2(-) status
* Patients who have tumor deposit(s) that are easily accessible by ultrasound or CT guidance
* Patients must have adequate organ function
* Patients must provide written informed consent

Exclusion Criteria

* Active concurrent malignancy, other than superficial, non-squamous cell carcinoma of the skin or uterine cervix, within the past three years
* ECOG performance status worse than 2
* Prior oral or intravenous chemotherapy for metastatic disease
* Patients with comorbidities that prevent them from being able to receive the chemotherapy regimen
* cardiac ejection fraction 45% or greater
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Georgetown University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John Marshall, MD

Role: PRINCIPAL_INVESTIGATOR

Georgetown University

Locations

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Georgetown University

Washington D.C., District of Columbia, United States

Site Status

Countries

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United States

Other Identifiers

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2013-0973

Identifier Type: -

Identifier Source: org_study_id

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