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A Study of Regorafenib in Refractory Advanced Gastro-Oesophageal Cancer

Phase 3
Conditions
Gastro-Oesophageal Cancer
Interventions
Other: Placebo
Registration Number
NCT02773524
Lead Sponsor
Australasian Gastro-Intestinal Trials Group
Brief Summary

A randomised phase III, double-blind, placebo-controlled trial with 2:1 (regorafenib : placebo)

Detailed Description

Purpose:

The purpose of this Phase III study is to determine if regorafenib improves overall survival in patients with Advanced Gastro-Oesophageal Carcinoma.

Who is it for:

You may be eligible to join this study if you are aged 18 years or above and have been diagnosed with advanced (metastatic or locally recurrent) Gastro-Oesophageal Carcinoma which has not responded to a minimum of 2 lines of prior anti-cancer therapy.

Trial Details:

Participants will be randomly (by chance) allocated to one of two groups: regorafenib or placebo in 2:1 ratio respectively and will not be aware of their group allocation. Regorafenib or matching placebo will be self-administered by participants orally once daily on days 1-21 of each 28 days cycle. Treatment will continue until disease progression or prohibitive toxicity. Participants will be followed up every 2-4 weeks in order to evaluate their progress on the study.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
250
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo 160mg (4 x 40 mg tablets) orally, once daily on days 1-21 of each 28 day cycle + best supportive care until progression
RegorafenibRegorafenibRegorafenib 160mg (4 x 40 mg tablets) orally, once daily on days 1-21 of each 28 day cycle + best supportive care until progression
Primary Outcome Measures
NameTimeMethod
Overall SurvivalFrom time of patient randomisation until date last known alive (up to 12 months following end of treatment).

The interval from the date of randomisation to date of death from any cause, or the date last known alive.

Secondary Outcome Measures
NameTimeMethod
Progression Free SurvivalFrom time of patient randomisation until first evidence of disease progression or death (up to 12 months following randomisation).

The interval from the date of randomisation to the date of first evidence of disease progression or death, whichever occurs first.

Evaluation of health states experienced by participantsFrom time of commencement of treatment until first evidence of disease progression (up to 12 months following commencement of treatment).

Questionnaire used to assess quality of life

Objective Tumour Response RateFrom time of patient randomisation until evidence of complete or partial response (up to 12 months following randomisation).

The OTRR will be calculated by summing the number of participants in a given arm that are assessed as having a complete or partial response (as per RECIST criteria), and dividing this by the total number of participants in the corresponding arm of the analysis set.

Rates of Adverse EventsFrom time dose of study treatment until 30 days after last dose of study treatment

A descriptive analysis of the adverse events (AE) data will be prepared for participants in the safety population. The number and percentage of participants who experience AEs will be tabulated according to CTCAE term/category, grade, and seriousness.

Trial Locations

Locations (60)

Mayo Clinic Arizona

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Scottsdale, Arizona, United States

Bon Secours Cancer Institute

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Midlothian, Virginia, United States

Canberra Hospital

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Canberra, Australian Capital Territory, Australia

Border Medical Oncology

πŸ‡¦πŸ‡Ί

Albury, New South Wales, Australia

Monash Medical Centre

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Clayton, New South Wales, Australia

Concord Repatriation General Hospital

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Concord, New South Wales, Australia

St Vincent's Public Hospital

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Darlinghurst, New South Wales, Australia

Gosford Hospital

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Gosford, New South Wales, Australia

St George Hospital

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Kogarah, New South Wales, Australia

Newcastle Private Hospital

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New Lambton Heights, New South Wales, Australia

Prince of Wales Hospital

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Randwick, New South Wales, Australia

Port Macquarie Base Hospital

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Port Macquarie, New South Wales, Australia

Royal North Shore Hospital

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Saint Leonards, New South Wales, Australia

Ballarat Oncology and Haematology Services

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Wendouree, New South Wales, Australia

The Tweed Hospital

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Tweed Heads, New South Wales, Australia

Westmead Hospital

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Westmead, New South Wales, Australia

The Townsville Hospital

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Douglas, Queensland, Australia

Sunshine Coast University Hospital

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Sunshine Coast, Queensland, Australia

Ashford Cancer Centre Research

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Ashford, South Australia, Australia

The Queen Elizabeth Hospital

πŸ‡¦πŸ‡Ί

Woodville South, South Australia, Australia

Royal Hobart Hospital

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Hobart, Tasmania, Australia

PEI Cancer Treatment Centre, Queen Elizabeth Hospital

πŸ‡¨πŸ‡¦

Charlottetown, Canada

Flinders Medical Centre

πŸ‡¦πŸ‡Ί

Bedford Park, South Australia, Australia

Austin Hospital

πŸ‡¦πŸ‡Ί

Heidelberg, Victoria, Australia

Ottawa Hospital Research Institute

πŸ‡¨πŸ‡¦

Ottawa, Canada

University Health Network Princess Margaret Cancer Centre

πŸ‡¨πŸ‡¦

Toronto, Canada

Saskatoon Cancer Centre

πŸ‡¨πŸ‡¦

Saskatoon, Canada

The Research Institute of the McGill University Health Centre

πŸ‡¨πŸ‡¦

QuΓ©bec, Canada

National Cancer Centre Hospital East

πŸ‡―πŸ‡΅

Chiba, Kashiwa, Japan

Allan Blair Cancer Centre

πŸ‡¨πŸ‡¦

Regina, Canada

Hallym University Sacred Heart Hospital

πŸ‡°πŸ‡·

Anyang, Korea, Republic of

Hokkaido University Hospital

πŸ‡―πŸ‡΅

Sapporo, Kita, Japan

Chonbuk National University Hospital

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Jeonju, Korea, Republic of

Dong-A University Hospital

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Busan, Korea, Republic of

Gyeongsang National University Hospital

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Jinju, Korea, Republic of

Chung-Ang University Hospital

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Seoul, Korea, Republic of

Korea University Anam Hospital

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Seoul, Korea, Republic of

Korea University Guro Hospital

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Seoul, Korea, Republic of

Samsung Medical Center

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

Seoul National University Bundang Hospital

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Seoul, Korea, Republic of

Seoul National University Hospital

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Seoul, Korea, Republic of

SMG-SNU Boramae Medical Center

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Seoul, Korea, Republic of

The Catholic University of Korea - Seoul St. Mary's Hospital

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

The Catholic University of Korea - Yeouido St. Mary's Hospital

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

Yonsei University Health System - Gangnam Severance Hospital

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Seoul, Korea, Republic of

Auckland Hospital

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Auckland, New Zealand

National Cheng Kung University Hospital

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Taipei, Taiwan

National Taiwan University Hospital (NTUH)

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Taipei, Taiwan

Taipei Veterans General Hospital (TPVGH)

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Taipei, Taiwan

USC Norris

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Carle Cancer Center NCI Community Oncology Research Program

πŸ‡ΊπŸ‡Έ

Urbana, Illinois, United States

Coffs Harbour Health Campus

πŸ‡¦πŸ‡Ί

Coffs Harbour, New South Wales, Australia

Royal Brisbane and Womens Hospital

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Herston, Queensland, Australia

St John of God Hospital Subiaco

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Subiaco, Western Australia, Australia

Sir Charles Gairdner Hospital

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Nedlands, Western Australia, Australia

China Medical University Hospital

πŸ‡¨πŸ‡³

Taichung, Taiwan

Kaohsiung Medical University Chung-Ho Memorial Hospital

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Kaohsiung, Taiwan

Yonsei University Health System - Severance Hospital

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Seoul, Korea, Republic of

Royal Darwin Hospital

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Tiwi, Northern Territory, Australia

Queen Elizabeth II Health Sciences Centre

πŸ‡¨πŸ‡¦

Nova Scotia, Canada

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