跳至主要内容
临床试验/NCT00673673
NCT00673673已完成2 期

Phase II Study of FOLFOX With Bevacizumab (Avastin(TM)) in Metastatic or Unresectable Gastroesophageal and Gastric Cancer

Yale University2 个研究点 分布在 1 个国家目标入组 39 人开始时间: 2008年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
39
试验地点
2
主要终点
Progression Free Survival

研究概览

简要总结

This is a Phase II open-label study to determine the anti-tumor efficacy and tolerability of FOLFOX in combination with bevacizumab (Avastin(TM))in patients with metastatic or unresectable gastroesophageal and gastric adenocarcinoma. Our primary objective is to determine the time to progression in patients treated with FOLFOX in combination with bevacizumab.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Histologically or cytologically documented recurrent, metastatic or unresectable gastroesophageal (Siewert type I, II, III) or gastric adenocarcinoma with measurable or assessable non-measurable disease (RECIST criteria).
  • If recurrent or metastatic disease is not histologically confirmed, then documentation by a second radiographic procedure (i.e., PET scan or MRI in addition to CT scan) is required. If the imaging procedure does not confirm recurrent or metastatic disease, biopsy confirmation is required
  • 12 months since completion of any prior neoadjuvant or adjuvant therapy (chemotherapy or radiotherapy) for potentially resectable gastroesophageal or gastric adenocarcinoma.
  • >4 weeks since major surgery.
  • ECOG Performance Status: 0-1
  • Life expectancy >12 weeks
  • Laboratory parameters as follows: absolute neutrophil count ≥1,500/uL, platelet count ≥100,000/uL, hemoglobin ≥9 g,/dL, creatinine <1.5 X ULN or estimated GFR >30 ml's/min, urinalysis <2+ protein, baseline proteinuria <1000 mg/d or urine protein/creatinine ratio <1, bilirubin <2 X ULN, PT (INR) <1.5 if patient not on anticoagulation, negative pregnancy test in women of childbearing age
  • Hypertension must be well controlled (<160/90)
  • Paraffin block or slides must be available
  • Patients on full-dose anticoagulants must be on a stable dose of warfarin and have an in-range INR or be on a stable dose of low molecular weight heparin.

排除标准

  • prior treatment for recurrent, metastatic, or unresectable gastroesophageal or gastric adenocarcinoma
  • other concurrent anticancer therapy
  • other malignancy within past three years except basal cell carcinoma of the skin, cervical carcinoma in situ, or nonmetastatic prostate cancer known central nervous system metastases or carcinomatous meningitis.
  • interstitial pneumonia or extensive and symptomatic interstitial fibrosis of the lung.
  • > grade 2 sensory peripheral neuropathy.
  • uncontrolled seizure disorder, active neurological disease, or known CNS disease.
  • significant cardiac disease, including the following: unstable angina, New York Heart Association class II-IV congestive heart failure, myocardial infarction within six months prior to study enrollment.
  • history of hypertensive crisis or hypertensive encephalopathy
  • abdominal fistula, gastrointestinal bleeding, or intra-abdominal abscess within the 6 months prior to study enrollment.
  • core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment.
  • major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment or anticipation of need for major surgical procedure during the course of the study.
  • recent arterial thrombotic events including stroke or TIA within 6 months prior to study enrollment.
  • serious or non-healing wound, ulcer or bone fracture.
  • active bleeding or pathological condition that carries a high risk of bleeding (e.g., tumor involving major vessels or known varices).

研究组 & 干预措施

1

Experimental

FOLFOX in combination with bevacizumab

干预措施: FOLFOX (Drug)

1

Experimental

FOLFOX in combination with bevacizumab

干预措施: bevacizumab (Drug)

结局指标

主要结局

Progression Free Survival

时间窗: Upon completion of study, up to 3 years

次要结局

  • Overall Tumor Response Rate by RECIST Criteria(Upon completion of study)
  • Overall Survival(Upon completion of study, up to 3 years)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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