Cetuximab Plus P-HDFL for the First-line Treatment of Advanced Gastric Cancer
- 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
- Age 18 to 75 years
- Histologically proven adenocarcinoma
- At least one "measurable" lesion (by RECIST)
- No prior chemotherapy for gastric cancer
- WHO performance status ≦ 2
- Adequate baseline organ functions
- Fasting serum triglyceride level > 70 mg/dL
- Written informed consent
- At least one month from gastrectomy
- Availability of tumor sample for immunohistochemical or pharmacogenomic testing of EGFR
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Exclusion Criteria
- Concomitant anti-cancer biological agents, chemotherapy, or radiotherapy
- CNS metastasis
- Pregnancy, breast-feeding women and women of child-bearing potential
- Life expectancy less 3 months
- Serious concomitant illness
- Concurrent or prior second malignancy
- 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
Group Intervention Description Cetuximab Plus P-HDFL Cetuximab Plus P-HDFL Cetuximab 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
Name Time Method Confirmed objective response rates Confirmed objective response within 4 weeks
- Secondary Outcome Measures
Name Time Method Progression-free survival (PFS), overall survival (OS), treatment-related toxicity 3 years and 5 years
Trial Locations
- Locations (1)
Department of Oncology, National Taiwan University Hospital
🇨🇳Taipei, Taiwan