Trial Outcomes & Findings for Intraperitoneal and Intravenous Paclitaxel Chemotherapy With Oral Capecitabine for Gastric Adenocarcinoma With Peritoneal Carcinomatosis (NCT NCT04034251)
NCT ID: NCT04034251
Last Updated: 2025-02-03
Results Overview
PFS is the amount of time a participant survives without progression of disease after treatment with peritoneal metastases from gastric cancer after repeated intraperitoneal chemotherapeutic infusion (IPC) and systemic paclitaxel administration with concomitant capecitabine therapy. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI, new ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes.
COMPLETED
PHASE2
12 participants
From the first treatment to progression of disease, up to 2 years and 1 month
2025-02-03
Participant Flow
Participant milestones
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal & Intravenous Every 3 Weeks & Capecitabine Twice Daily
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Cohort B: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|---|
|
Overall Study
STARTED
|
5
|
7
|
0
|
|
Overall Study
COMPLETED
|
4
|
7
|
0
|
|
Overall Study
NOT COMPLETED
|
1
|
0
|
0
|
Reasons for withdrawal
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal & Intravenous Every 3 Weeks & Capecitabine Twice Daily
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Cohort B: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|---|
|
Overall Study
Screen failure due to development of solid organ mets in lung; no longer met eligibility criteria.
|
1
|
0
|
0
|
Baseline Characteristics
Intraperitoneal and Intravenous Paclitaxel Chemotherapy With Oral Capecitabine for Gastric Adenocarcinoma With Peritoneal Carcinomatosis
Baseline characteristics by cohort
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=5 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Total
n=12 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
5 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Continuous
|
48.28 years
STANDARD_DEVIATION 9.79 • n=5 Participants
|
50.39 years
STANDARD_DEVIATION 7.98 • n=7 Participants
|
49.51 years
STANDARD_DEVIATION 8.41 • n=5 Participants
|
|
Sex: Female, Male
Female
|
3 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
2 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
4 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
3 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
5 participants
n=5 Participants
|
7 participants
n=7 Participants
|
12 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: From the first treatment to progression of disease, up to 2 years and 1 monthPopulation: 4/5 participants are analyzed in the first group because one participant was deemed ineligible.
PFS is the amount of time a participant survives without progression of disease after treatment with peritoneal metastases from gastric cancer after repeated intraperitoneal chemotherapeutic infusion (IPC) and systemic paclitaxel administration with concomitant capecitabine therapy. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI, new ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Progression Free Survival (PFS) in Participants With Peritoneal Metastases From Gastric Cancer After Repeated Intraperitoneal Chemotherapeutic Infusion (IPC) and Systemic Paclitaxel Administration With Concomitant Capecitabine Therapy
|
4.2 Months
Interval 1.5 to
NA = It is not estimable because there are insufficient events after the median is identified for the upper bound of the confidence interval to be computed. This is mostly a situation when there are very few participants, or virtually all events take place before the median time.
|
13.3 Months
Interval 1.5 to 13.3
|
SECONDARY outcome
Timeframe: From first treatment until death, an average of 1.5 yearsPopulation: 4/5 participants are analyzed in the first group because one participant was deemed ineligible.
OS is the median amount of time a participant survives after treatment.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Overall Survival (OS)
|
10.6 Months
Interval 4.7 to 12.5
|
14.7 Months
Interval 4.0 to 17.7
|
SECONDARY outcome
Timeframe: Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.Population: 4/5 participants are analyzed in the first group because one participant was deemed ineligible.
Serious and/or non-serious adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 3 is severe. Grade 4 is life-threatening. Grade 5 is death.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Number of Grades 3-5 Serious and/or Non-serious Adverse Events Related to the Research Interventions
Serious Adverse Events Grade 4
|
0 adverse events
|
0 adverse events
|
|
Number of Grades 3-5 Serious and/or Non-serious Adverse Events Related to the Research Interventions
Serious Adverse Events Grade 5
|
0 adverse events
|
0 adverse events
|
|
Number of Grades 3-5 Serious and/or Non-serious Adverse Events Related to the Research Interventions
Non-Serious Adverse Events Grade 4
|
0 adverse events
|
1 adverse events
|
|
Number of Grades 3-5 Serious and/or Non-serious Adverse Events Related to the Research Interventions
Serious Adverse Events Grade 3
|
0 adverse events
|
1 adverse events
|
|
Number of Grades 3-5 Serious and/or Non-serious Adverse Events Related to the Research Interventions
Non-Serious Adverse Events Grade 3
|
8 adverse events
|
7 adverse events
|
SECONDARY outcome
Timeframe: From the first treatment to progression of disease, up to 2 years and 1 monthPopulation: 4/5 participants are analyzed in the first group because one participant was deemed ineligible.
iPFS is the median amount of time a participant survives without intra-peritoneal disease progression reported with an 80% confidence interval. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Intra-peritoneal Progression Free Survival (iPFS) Reported With an 80% Confidence Interval
|
4.2 Months
Interval 1.4 to
NA=It is not estimable because there are insufficient events after the median is identified for the upper bound of the confidence interval to be computed. This is mostly a situation when there are very few participants, or virtually all events take place before the median time.
|
13.3 Months
Interval 2.1 to 13.3
|
SECONDARY outcome
Timeframe: From the first treatment to progression of disease, up to 2 years and 1 monthPopulation: 4/5 participants are analyzed in the first group because one participant was deemed ineligible.
Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Intra-peritoneal Progression Free Survival (iPFS) Reported With an 95% Confidence Interval
|
4.2 Months
Interval 1.4 to
NA = It is not estimable because there are insufficient events after the median is identified for the upper bound of the confidence interval to be computed. This is mostly a situation when there are very few participants, or virtually all events take place before the median time.
|
13.3 Months
Interval 1.5 to 13.3
|
SECONDARY outcome
Timeframe: At end of each course (3 treatment cycles; 9 weeks)Population: No data was collected. The pathologists were not able to provide an objective measure for this information due to technical reasons.
Participants metastatic tumors are biopsied at the end of a course of therapy and graded according to standard pathologic technique.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: From start of treatment to until time of extra-peritoneal progression, an average of 1 yearPopulation: 4/5 participants are analyzed in the first group because one participant was deemed ineligible. This outcome measure was not reported with an 80% confidence interval as required by the protocol because only one participant ever experienced extra peritoneal progression and a median could not be calculated.
dDFS was determined based on identification of only distant sites of disease progression, such as lungs or intra-parenchymal liver. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Number of Participants With Distant Extra-peritoneal Disease-free Survival
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: At extra-peritoneal progression, an average of 1 yearPopulation: 4/5 participants are analyzed in the first group because one participant was deemed ineligible. This outcome measure was not reported with an 80% confidence interval as required by the protocol because only one participant ever experienced extra peritoneal progression and a median could not be calculated.
iPFS was determined based on identification of only intraperitoneal sites such as new, malignant ascites, peritoneal nodules, or ovarian metastases. Progression was measured by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Progression is defined as an increase in peritoneal cancer index (PCI) score of greater than 4 points from baseline PCI. New ascites requiring repeat (more than 1) therapeutic paracentesis, malignant bowel obstruction, new intraperitoneal nodules or masses concerning for peritoneal metastasis, and decline in performance status not attributable to other medical causes.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Number of Participants With Intra-peritoneal Progression Free Survival (iPFS)
|
1 Participants
|
0 Participants
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.Population: 4/5 participants are analyzed in the first group because one participant was deemed ineligible.
Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.
Outcome measures
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 Participants
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
|
4 Participants
|
7 Participants
|
Adverse Events
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
Serious adverse events
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 participants at risk
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 participants at risk
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Infections and infestations
Abdominal infection
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Abdominal pain
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
Other adverse events
| Measure |
Paclitaxel Intraperitoneal 20mg & Intravenous 80mg Every 3Weeks & Capecitabine 825mg/m^2 Twice Daily
n=4 participants at risk
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (20 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
Paclitaxel Intraperitoneal 60mg & Intravenous 80mg Every 3Weeks &Capecitabine 825mg/m^2 Twice Daily
n=7 participants at risk
Intraperitoneal and intravenous paclitaxel administration with concomitant oral capecitabine.
Intraperitoneal Paclitaxel (60 mg/m\^2) every 3 weeks (Q3WK), intravenous Paclitaxel (80 mg/m\^2) Q3WK, Capecitabine (825mg/m\^2 twice daily (BID) x 14 days of each cycle).
Cohort A: Participants with confirmed diagnosis of gastric adenocarcinoma or gastroesophageal junction (Siewert III) adenocarcinoma who have received prior systemic chemotherapy.
|
|---|---|---|
|
Infections and infestations
Abdominal infection
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Abdominal pain
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
28.6%
2/7 • Number of events 2 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
Alanine aminotransferase increased
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Anal fissure
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Blood and lymphatic system disorders
Anemia
|
50.0%
2/4 • Number of events 7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
Blood bilirubin increased
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Musculoskeletal and connective tissue disorders
Bone pain
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
Creatinine increased
|
25.0%
1/4 • Number of events 11 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Diarrhea
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
42.9%
3/7 • Number of events 3 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Nervous system disorders
Dizziness
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Dysphagia
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Infections and infestations
Enterocolitis infectious
|
25.0%
1/4 • Number of events 2 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Vascular disorders
Flushing
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Nervous system disorders
Headache
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Infections and infestations
Herpes simplex reactivation
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Vascular disorders
Hypertension
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Vascular disorders
Hypotension
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Infections and infestations
Infections and infestations - Other, Covid-19
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
28.6%
2/7 • Number of events 2 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Injury, poisoning and procedural complications
Infusion related reaction
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
Lymphocyte count decreased
|
25.0%
1/4 • Number of events 2 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
Lymphocyte count increased
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Mucositis oral
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Gastrointestinal disorders
Nausea
|
25.0%
1/4 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
Neutrophil count decreased
|
50.0%
2/4 • Number of events 6 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
71.4%
5/7 • Number of events 11 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
General disorders
Pain
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Nervous system disorders
Peripheral sensory neuropathy
|
50.0%
2/4 • Number of events 3 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 1 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Skin and subcutaneous tissue disorders
Rash maculo-papular
|
0.00%
0/4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
14.3%
1/7 • Number of events 2 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Cardiac disorders
Sinus tachycardia
|
25.0%
1/4 • Number of events 2 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
0.00%
0/7 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
|
Investigations
White blood cell decreased
|
50.0%
2/4 • Number of events 3 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
42.9%
3/7 • Number of events 4 • Date treatment consent signed to date off study, 18 months and 8 days; and 25 months and 10 days for the first and second group, respectively.
4/5 participants are analyzed in the first group because one participant was deemed ineligible.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place