A Study of Capecitabine [Xeloda] in Combination With Trastuzumab [Herceptin] and Oxaliplatine in Patients With Resectable Gastric Cancer
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Purpose
This study will evaluate the disease free survival rate of a combination of capecitabine [Xeloda] and oxaliplatin (XELOX) with trastuzumab [Herceptin] in patients with resectable gastric cancer. The combination of Xeloda (orally, 1000 mg/m2 on day 1-14 of every cycle) and Herceptin (intravenously, 8 mg/kg loading dose, then 6 mg/kg on days 1-14 of every cycle) will be administered for three cycles prior to surgery to resect the tumor. If complete resection, R0 or microscopic residual tumor R1 is achieved, patients will continue with three cycles of XELOX and Herceptin and then for completion of 12 months treatment with Herceptin alone. Oxaliplatin will be administered intravenously at a dose of 130 mg/m2 on day 1 in every cycle. The anticipated time on study drug will be 12 months.
| Condition | Intervention | Phase |
|---|---|---|
|
Gastric Cancer |
Drug: Trastuzumab [Herceptin] Drug: Capecitabine [Xeloda] Drug: Oxalipatin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-label, Multi-center Study to Evaluate the Disease Free Survival Rate of a Perioperative Combination of Capecitabine (Xeloda), Trastuzumab (Herceptin) and Oxaliplatin (XELOX- Trastuzumab) in Patients With Resectable Gastric or Gasro-esophageal Junction Adenocarcinoma |
- Disease free survival defined as 18 months disease free survival rate [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Pathological response according to Mandard criteria [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- R0 tumor resection rate [ Time Frame: Week 9 ] [ Designated as safety issue: No ]
- Objective reponse rates according to RECIST criteria [ Time Frame: Every 3 weeks ] [ Designated as safety issue: No ]
- Toxicity of treatment [ Time Frame: Every 3 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 36 |
| Study Start Date: | July 2010 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | March 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: Trastuzumab [Herceptin]
First dose 8 mg/kg, subsequent cycles 6 mg/kg, intravenously, day of every cycle for 15 cycles
Drug: Capecitabine [Xeloda]
1.000 mg/m2 orally every 12 hours from day 1 to day 14 of every cycle for 6 cycles
Drug: Oxalipatin
130 mg/m2 intravenous infusion day 1 of every cycle
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients over 18 years of age
- Locally advanced resectable HER2-positive gastric or esophagogastric junction adenocarcinoma (Sievert types I, II, III)
- Measurable (RECIST criteria) or assessable disease
- ECOG performance 0-2
- Life expectancy of 12 weeks or more
Exclusion Criteria:
- Immeasurable lesion as the only evidence of disease
- Previous chemotherapy or radiotherapy for gastric neoplasm or some kind of previous surgical resection of the tumor (except diagnostic laparoscopy)
- Concomitant heart disease
Contacts and Locations| Spain | |
| Elche, Alicante, Spain, 03203 | |
| Oviedo, Asturias, Spain, 33006 | |
| Santander, Cantabria, Spain, 39008 | |
| San Sebastian, Guipuzcoa, Spain, 20014 | |
| Palma de Mallorca, Islas Baleares, Spain, 07198 | |
| La Coruna, La Coruña, Spain, 15006 | |
| Vigo, Pontevedra, Spain, 36204 | |
| La Laguna, Tenerife, Spain, 38320 | |
| Barakaldo, Vizcaya, Spain, 48903 | |
| Barcelona, Spain, 08907 | |
| Barcelona, Spain, 08035 | |
| Barcelona, Spain, 08036 | |
| Barcelona, Spain, 08003 | |
| Barcelona, Spain, 08916 | |
| Burgos, Spain, 09005 | |
| Cordoba, Spain, 14004 | |
| Granada, Spain, 18014 | |
| Leon, Spain, 24071 | |
| Lerida, Spain, 25198 | |
| Lugo, Spain, 27003 | |
| Madrid, Spain, 28040 | |
| Madrid, Spain, 28041 | |
| Orense, Spain, 32005 | |
| Sevilla, Spain, 41013 | |
| Sevilla, Spain, 41014 | |
| Toledo, Spain, 45004 | |
| Valencia, Spain, 46014 | |
| Valencia, Spain, 46009 | |
| Zaragoza, Spain, 50009 | |
| Study Director: | Clinical Trials | Hoffmann-La Roche |
More Information
No publications provided
| Responsible Party: | Hoffmann-La Roche |
| ClinicalTrials.gov Identifier: | NCT01130337 History of Changes |
| Other Study ID Numbers: | ML25189 |
| Study First Received: | May 25, 2010 |
| Last Updated: | May 23, 2013 |
| Health Authority: | Spain: Agencia Española del Medicamento y Productos Sanitarios |
Additional relevant MeSH terms:
|
Stomach Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Stomach Diseases |
Trastuzumab Capecitabine Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 23, 2013