Paclitaxel and Capecitabine in Patients With Metastatic/Recurrence Esophageal Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00453323
Recruitment Status : Unknown
Verified July 2010 by National Cancer Center, Korea.
Recruitment status was:  Active, not recruiting
First Posted : March 28, 2007
Last Update Posted : July 12, 2010
Information provided by:
National Cancer Center, Korea

Brief Summary:
Capecitabine is an orally administered fluoropyrimidine that is converted by 5-FU by thymidine phosphorylase (TP), preferentially in tumor tissues and has demonstrated activity as single agent in patients with gastrointestinal cancer. Up-regulation of TP after taxane treatment in vitro suggested that there may be synergistic effects in combined treatment with taxane and capecitabine. The combination of taxane and capecitabine was reported to be highly active against non-small cell lung cancer, breast cancer, and stomach cancer.

Condition or disease Intervention/treatment Phase
Esophageal Cancer Drug: Paclitaxel Drug: Capecitabine Phase 2

Detailed Description:

Paclitaxel-80 mg/m2/IV D1 & D8 q 3 weeks Capecitabine-900 mg/m2/PO twice daily Days 1-14 q 3 weeks

Patients receive treatment every 3 weeks till disease progression.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 33 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Study of Weekly Paclitaxel and Capecitabine in Patients With Metastatic or Recurrent Esophageal Cancer
Study Start Date : June 2006
Actual Primary Completion Date : December 2009
Estimated Study Completion Date : December 2010

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: study arm Drug: Paclitaxel
paclitaxel 80mg/m2 iv on day 1 and 8, every 3 weeks
Drug: Capecitabine
capecitabine 900mg/m2 bid po on day 1~14, 1 weeks rest, until disease progression

Primary Outcome Measures :
  1. To evaluate the response rate [ Time Frame: the ratio between the number of responders and number of patients assessable for tumor response ]

Secondary Outcome Measures :
  1. To access the toxicity [ Time Frame: the first day of the treatment to 30 days after the last dose of study drug ]
  2. To estimate the time to progression and overall survival [ Time Frame: the first day of treatment to the date that disease progression is reported ]
  3. To evaluate the expression of TP in tumor tissues as a predictive marker for paclitaxel-capecitabine chemotherapy. [ Time Frame: before the first treatment ]
  4. To estimate the overall survival [ Time Frame: the first day of the treatment to death date ]

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Histologically or cytologically confirmed esophageal cancer with histology of squamous carcinoma or adenocarcinoma
  2. Clinically diagnosed metastatic or recurrent esophageal cancer according to Sixth Edition of the AJCC Cancer Staging Manual (Appendix V)
  3. At least 18 years old
  4. Disease status must be that of measurable disease defined as RECIST:Lesions that can be accurately measured in at least one dimension > 10 mm with chest x-ray, spiral CT scan or physical examination
  5. ECOG performance status 0-2
  6. No prior radiotherapy to measurable lesion(s) but previous surgery and/or chest radiotherapy for the primary lesion is allowed
  7. Adequate major organ function including the following:Hematologic function: WBC ≥ 3,500/mm3 or absolute neutrophil count (ANC) ≥ 1,500/mm3, platelet count ≥ 100,000/mm3Hepatic function: bilirubin ≤ 1.5 x UNL , AST/ALT levels ≤ 2.5 x UNLRenal function: serum creatinine ≤ 1.5mg/dL
  8. Patients should sign an informed consent
  9. If female: childbearing potential either terminated by surgery, radiation, or menopause, or attenuated by use of an approved contraceptive method (intrauterine device [IUD], birth control pills, or barrier device) during and for 3 months after trial. If male, use of an approved contraceptive method during the study and 3 months afterwards. Females with childbearing potential must have a urine negative hCG test within 7 days prior to the study enrollment.

Exclusion Criteria:

  1. MI within preceding 6 months or symptomatic heart disease including unstable angina, congestive heart failure, or uncontrolled arrhythmia
  2. Serious concurrent infection or nonmalignant illness that is uncontrolled or whose control may be jeopardized by complication of study therapy
  3. Pregnant or nursing women
  4. Other malignancy with the past 5 years except adequately treated cutaneous basal cell carcinoma or uterine cervix in situ cancer
  5. Psychiatric disorder that would preclude compliance.
  6. Major surgery other than biopsy within the past two weeks

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00453323

Korea, Republic of
National Cancer Center, Korea
Goyang-si, Gyeonggi-do, Korea, Republic of, 411-769
Sponsors and Collaborators
National Cancer Center, Korea
Principal Investigator: Heung Tae Kim, M.D. National Cancer Center, Korea

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Heung Tae Kim, National Cancer Center, Korea Identifier: NCT00453323     History of Changes
Other Study ID Numbers: NCCCTS-05-156
First Posted: March 28, 2007    Key Record Dates
Last Update Posted: July 12, 2010
Last Verified: July 2010

Keywords provided by National Cancer Center, Korea:
Esophageal Cancer
Phase II
Metastatic esophageal cancer
Recurrent esophageal cancer

Additional relevant MeSH terms:
Esophageal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Head and Neck Neoplasms
Digestive System Diseases
Esophageal Diseases
Gastrointestinal Diseases
Albumin-Bound Paclitaxel
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antimetabolites, Antineoplastic