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Gefitinib in Treating Patients With Esophageal Cancer That is Progressing After Chemotherapy

Phase 3
Completed
Conditions
Adenocarcinoma of the Gastroesophageal Junction
Esophageal Cancer
Interventions
Procedure: quality-of-life assessment
Registration Number
NCT01243398
Lead Sponsor
University of Oxford
Brief Summary

RATIONALE: Gefitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. It is not yet known whether gefitinib is more effective than a placebo in treating esophageal cancer.

PURPOSE: This randomized phase III trial is studying gefitinib to see how well it works compared with a placebo in treating patients with esophageal cancer that is progressing after chemotherapy.

Detailed Description

OBJECTIVES:

Primary

* To assess whether gefitinib vs placebo will improve overall survival of patients with esophageal or gastroesophageal junction cancer.

Secondary

* To assess the toxicity of gefitinib monotherapy in these patients.

* To assess whether gefitinib vs placebo will have a significant positive or negative impact upon quality of life of these patients.

* To assess the impact gefitinib vs placebo will have on progression-free survival of these patients.

OUTLINE: This is a multicenter study.

* Arm A: Patients receive oral gefitinib once daily. Treatment continues in the absence of disease progression or unacceptable toxicity.

* Arm B: Patients receive oral placebo once daily. Treatment continues in the absence of disease progression or unacceptable toxicity.

Blood samples are collected for genetic and translational studies. Patient's quality of life is assessed at baseline and periodically during the study with completion of EORTC Quality of Life Questionnaire (QLQ-C30) version 3.0.

After completion of study treatment, patients are followed up every 8 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
450
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Gefitinib 500mg once dailyquality-of-life assessmentGefitinib 500mg once daily
Placeboquality-of-life assessmentGefitinib 500mg once daily
Primary Outcome Measures
NameTimeMethod
Overall survival4, 8, 12, 16 weeks then every 8 weeks
Secondary Outcome Measures
NameTimeMethod
Toxicity and safety4, 8, 12, 16 weeks then every 8 weeks
Quality of life4, 8 and 12 weeks
Progression-free survival4, 8, 12, 16 weeks then every 8 weeks

Trial Locations

Locations (1)

New Cross Hospital

🇬🇧

Wolverhampton, England, United Kingdom

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