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Cetuximab Plus P-HDFL for the First-line Treatment of Advanced Gastric Cancer

Phase 2
Completed
Conditions
Gastric Cancer
Interventions
Registration Number
NCT00275951
Lead Sponsor
National Taiwan University Hospital
Brief Summary

The investigators have initial evidence that the combination of cetuximab and cisplatin-HDFL may further improve the efficacy of the cisplatin-HDFL combination chemotherapy.

Detailed Description

The clinical efficacy (confirmed objective response rates, progression-free survival, overall survival), and treatment-related toxicities of this novel regimen will be examined as the first-line treatment in patients with nonresectable or recurrent/metastatic gastric cancer.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
39
Inclusion Criteria
  1. Age 18 to 75 years
  2. Histologically proven adenocarcinoma
  3. At least one "measurable" lesion (by RECIST)
  4. No prior chemotherapy for gastric cancer
  5. WHO performance status ≦ 2
  6. Adequate baseline organ functions
  7. Fasting serum triglyceride level > 70 mg/dL
  8. Written informed consent
  9. At least one month from gastrectomy
  10. Availability of tumor sample for immunohistochemical or pharmacogenomic testing of EGFR
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Exclusion Criteria
  1. Concomitant anti-cancer biological agents, chemotherapy, or radiotherapy
  2. CNS metastasis
  3. Pregnancy, breast-feeding women and women of child-bearing potential
  4. Life expectancy less 3 months
  5. Serious concomitant illness
  6. Concurrent or prior second malignancy
  7. Known hypersensitivity reaction to any of the components of study treatments
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cetuximab Plus P-HDFLCetuximab Plus P-HDFLCetuximab 400 mg/m2, IV, day 1 of cycle 1; then weekly IV 250 mg/m2. Cisplatin 24-hour IV infusion 35 mg/m2/day, plus HDFL (5-FU 2,000 mg/m2 and leucovorin 300 mg/m2), day 1 and day 8. HDFL IV, day 15.
Primary Outcome Measures
NameTimeMethod
Confirmed objective response ratesConfirmed objective response within 4 weeks
Secondary Outcome Measures
NameTimeMethod
Progression-free survival (PFS), overall survival (OS), treatment-related toxicity3 years and 5 years

Trial Locations

Locations (1)

Department of Oncology, National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

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