Gastric CancerPhase 1/2NCT00165594
A Study of E7070 in Patients With Gastric Cancer
A Phase 1/2 study testing E7070 in people with Gastric Cancer, run by Eisai Co., Ltd. at 5 sites in Japan.
Trial summary
Phase I study: To investigate primary objective (maximal tolerated dose and dose-limiting toxicity) and secondary objectives (pharmacokinetics, safety, estimation of a recommended dose, and anti-tumor effect by evaluable case) of E7070 in patients with gastric cancer who are extensive or intermediate metabolizer type… Read more about this study
- Who is it for?
- Ages 20 to 74 years
- Conditions the study is for
- Gastric Cancer
- What is being tested?
- E7070
- How many people
- 50 participants
- Where
- 5 sitesJapan
- Study dates
- Feb 2005to Aug 2006
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 74 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who are histologically or cytologically confirmed to have gastric cancer.
- Patients who are non-responder to existing treatments with proved efficacy for gastric cancer, but any further effect is no longer expected with existing treatments.
- Patients who are aged ≥20 years and <75 years at the time of registration.
- Patients graded as 0 - 2 of the Eastern Cooperative Oncology Group (ECOG) Performance status (PS)
- Patients who can be hospitalized between the beginning of the study treatment and the end of the first cycle.
- Patients with well-maintained functions of major organs (bone marrow, liver, kidney, and lung).
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- WBCl count: ≥3,000/mm3, ≤12,000/mm3
- Neutrophil count: ≥2,000/mm3
- Platelet count: ≥100,000/mm3
- Hemoglobin: ≥9.0 g/dL
- Aspartate aminotransferase (AST): ≤2.5 times the upper limit of normal range at the study site
- Alanine aminotransferase (ALT): ≤2.5 times the upper limit of normal range at the study site
- Total bilirubin: ≤1.5 times the upper limit of normal rage at the study site
- Serum creatinine: ≤1.5 times the upper limit of normal range at the study site
- Partial pressure oxygen in arterial blood: ≥65 torr
- Patients who are EM/IM regarding CYP2C9 and CYP2C19
- Patients who consented to participate in this study with a written consent form
- Patients who have no carry-over adverse drug reaction(s) that affect the evaluation of previous treatments and safety of E7070 after the completion of the previous treatment. Required periods of wash-out from the end of previous treatment to the beginning of the study treatment are as follows:
- Chemotherapy, endocrinotherapy, immunotherapy, radiotherapy, surgical therapy, and other investigational products: 4 weeks
- Nitrosourea agents and mitomycin C: 6 weeks
- Blood transfusion, blood preparations, and hematopoietic preparations including G-CSF preparation: 2 weeks
- Patients who are expected to survive for at least 3 months from the beginning of the study treatment.
- Patients who are histologically or cytologically proved efficacy for gastric cancer.
- Patients unable to undergo resection or with recurrence of cancer.
- Patients with evaluable lesions based on RECIST.
- Patients treated with 1 or 2 regimens of previous chemotherapy for gastric cancer (at least 1 regimen using fluorouracil agent). Adjuvant chemotherapy with an oral pyrimidine fluoride agent is not included in the number of previous regimen.
- Patients who are aged ≥20 years and <70 years.
- Patients graded as 0 - 2 as the Eastern Cooperative Oncology Group (ECOG) Performance status (PS)
- Patients who can be hospitalized from the beginning of study treatment to the end of the first cycle.
- Patients with well-maintained functions of major organs (bone marrow, liver, kidney, and lung).
- WBC count: ≥3,000/mm3, ≤12,000/mm3
- Neutrophil count: ≥ 2,000/mm3
- Platelet count: ≥100,000/mm3
- Hemoglobin: ≥9.0 g/dL
- Aspartate aminotransferase [AST]: ≤2.5 times the upper limit of normal at the center
- Alanine aminotransferase [ALT]: ≤2.5 times the upper limit of normal at the center
- Total bilirubin: ≤1.5 times the upper limit of normal at the center
- Serum creatinine: ≤1.5 times the upper limit of normal at the center
- Partial pressure oxygen in arterial blood: ≥65 torr
- Patients who are EM/IM regarding CYP2C9 and CYP2C19
- Patients who consented to participate in this study with a written consent form.
- Patients who have no carry-over adverse drug reaction(s) that affect the evaluation of previous treatment and safety of E7070 after the completion of the previous treatment. Required periods of wash-out from the end of previous treatment to the beginning of study treatment are as follows.
- Chemotherapy, endocrinotherapy, immunotherapy, radiotherapy, surgical therapy, and other investigational products: ≥4 weeks
- Nitrosourea agents and mitomycin C: ≥6 weeks
- Blood transfusion, blood preparations, and hematopoietic preparations including G-CSF preparation: ≥2 weeks
- Patients who are expected to survive for at least 3 months from the beginning of treatment with the investigational product.
Who cannot join
- Patients with systemic infectious disease.
- Patients with a large volume of pleural effusion, ascites, or pericardial effusion that requires drainage.
- Patients who have brain metastasis with clinical symptoms.
- Patients who have a clinically significant mental disorder, attack, or central nervous-related disorder.
- Patients who meet any of the following serious complications:
- Ischemic heart disorders or heart diseases including arrhythmia that requires medical treatment (excluding left ventricular hypertrophy, mild left ventricular load, or mild right bundle branch block accompanied with hypertension).
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- Myocardial infarction within 6 months.
- Hepatic cirrhosis.
- Interstitial pneumonia or pulmonary fibrosis.
- Gastrointestinal fresh hemorrhage that requires repeated blood transfusion.
- Uncontrolled diabetes mellitus (hemoglobin Alc (HBAlc): ≥8.0 %)
- Patients whose NYHA classification is II - IV.
- Patients who meet any of the following items regarding prolonged QT/QTc intervals:
- A history of prolonged QT/QTc intervals (male: QTc > 450 ms, female: QTc > 470 ms (Bazett's correction))
- At the time of registration: QTc > 500 ms (Bazett's correction)
- A history of serious arrhythmia including Torsades de pointes
- Patients who require nutrition support using intravenous hyper alimentation (IVH) or enteral nutrition.
- Patients who have a history of hypersensitivity to sulfonamide.
- Premenopausal women who are currently pregnant, breastfeeding, or childbearing potential. Premenopausal women of childbearing potential are defined as women with less than a 12-month elapse after the last menstruation, and their pregnant test is positive or not performed at the time of registration, or they do not consent for using an appropriate contraceptive method.
- Male patients who have no intention of contraception.
- Patients on a coumarin agent or who has taken it within 2 weeks before starting the study treatment.
- Patients who are currently taking an agent that is known to cause prolonged QT/QTc intervals.
- Patients who are positive for a test of human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus surface antigen (HBs antigen).
- Patients who have a history of drug or alcohol abuse.
- Patients who continuously require systemic treatment with a steroid during the study period.
- Patients who are presently participating in another clinical study.
- Patients who are judged to be ineligible for participating in this study by the investigator or sub investigator.
- Patients with systemic infectious disease.
- Patients with severe peritoneal dissemination that meet any of the following items.
- Clinical sign of ileus or sub ileus
- Worse than moderate ascites (beyond over pelvic cavity)
- Clear peritoneal dissemination confirmed with enema
- Patients with a large volume of pleural effusion, ascites, or pericardial effusion that require drainage.
- Patients who have brain metastasis with clinical symptoms
- Patients who have clinically significant metal disorder, attack, or central nervous-related disorder.
- Patients who meet any of the following serious complications:
- Ischemic heart disease or other heart disease including arrhythmia that require medical treatment (excluding left ventricular hypertrophy, mild left ventricular load, or mild right bundle branch block accompanied with hypertension)
- Myocardial infarction within 6 months
- Hepatic cirrhosis
- Interstitial pneumonia or pulmonary fibrosis
- Gastrointestinal fresh hemorrhage that requires repeated blood transfusion
- Uncontrolled diabetes mellitus (hemoglobin Alc (HbAlc) ≥ 8.0 %)
- Patients whose NYHA classification is II - IV.
- Patients who meet any of the following items regarding prolonged QT/QTc intervals.
- A history of prolonged QT/QTc intervals (male: QTc > 450 ms, female: QTc > 470 ms (Bazett's correction))
- At the time of registration: QTc > 500 ms (Bazett's correction)
- A history of serious arrhythmia including Torsades de pointes
- Patients who require nutrition support with intravenous hyper alimentation (IVH) or enteral nutrition.
- Patients who have a history of hypersensitivity to sulfonamide.
- Patients with active multiple malignant tumor (including disease-free interval within 5 years)
- Premenopausal women of currently pregnant, breastfeeding or childbearing potential. Premenopausal women of childbearing potential are defined as women with less than a 12-month elapse after the last menstruation and pregnant test is positive or not performed at the time of registration, or they do not consent for an appropriate contraceptive method.
- Male patients who have no intention of doing contraception.
- Patients who are currently taking a coumarin agent or has taken it within 2 weeks before the beginning of study treatment.
- Patients who are currently taking an agent that is known to cause prolonged QT/QTc intervals.
- Patients who are positive for a test of human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus surface antigen (HBs antigen).
- Patients who have a history of drug or alcohol abuse
- Patients who continuously require systemic treatment with a steroid during the study period.
- Patients who are presently participating in another clinical study.
- Patients who are judged to be ineligible for participating in this clinical study by the investigator or sub investigator
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
Japan5 sites
Study site
Chuo-ku, Tokyo, 104-0045
Study site
Kashiwa, Chiba, 277-0882
Study site
Sagamihara-shi, Kanagawa
Study site
Sunto-gun, Shizuoka, 411-0934
Study site
Takatsuki-shi, Osaka
About this study
Official title: Non-Randomized, Open, Uncontrolled, Dose Comparison Study of E7070 in Patients With Gastric Cancer
Phase I study:
To investigate primary objective (maximal tolerated dose and dose-limiting toxicity) and secondary objectives (pharmacokinetics, safety, estimation of a recommended dose, and anti-tumor effect by evaluable case) of E7070 in patients with gastric cancer who are extensive or intermediate metabolizer type (EM/IM) to CYP2C9 and CYP2C9 by intravenously administering once every 3 weeks.
Phase IIa study:
To investigate primary objective (response rate for efficacy assessment) and secondary objectives (frequency and severity of adverse drug reactions, and pharmacokinetics) of E7070 in patient with gastric cancer who are EM/IM type by intravenously administering once every 3 weeks.
- Conditions
- Gastric Cancer
- Being tested
- E7070
- Keywords
- gastric cancer, Phase I, Phase IIa, E7070, Indisulam, Pharmacogenomic, 2C19
- Medical subject headings
- Stomach Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
E7070Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase I study:
Dose-limiting toxicity (DLT)
Phase IIa study:
Response rate based on Response Evaluation Criteria in Solid Tumors (RECIST)
Secondary outcomes (6)
Phase I study:
Plasma E7070 concentration.
Adverse event, adverse drug reaction, laboratory parameter, and vital sign.
Anti-tumor effect based on (RECIST).
Phase IIa study:
Adverse drug reaction.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2005 (estimated)
- Study startFeb 2005
- Primary completionJul 2006
- Study completionAug 2006
Why it stopped: Study was completed.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gastric CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 50 participants
Sponsor and investigators
- Lead sponsor
- Eisai Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Tatsuo Watanabe, Study director, Eisai Co., Ltd - Development Clinical Research Department. Clinical Research Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00165594
- Sponsor's protocol ID
- E7070-J081-217
- Status last verified
- Jan 2014
- First submitted
- 12 Sep 2005
- Last updated
- 23 Jan 2014
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Non-Randomized, Open, Uncontrolled, Dose Comparison Study of E7070 in Patients With Gastric Cancer
- ClinicalTrials.gov ID
- NCT00165594
- Acronym / sponsor ID
- E7070-J081-217
- Conditions
- Gastric Cancer
- Keywords
- gastric cancer, Phase I, Phase IIa, E7070, Indisulam, Pharmacogenomic, 2C19
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was completed.
- Enrolment
- 50 participants
- Lead sponsor
- Eisai Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Feb 2005
- Primary completion
- Jul 2006 (actual)
- Study completion
- Aug 2006 (actual)
- First posted
- 14 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Phase I study:
To investigate primary objective (maximal tolerated dose and dose-limiting toxicity) and secondary objectives (pharmacokinetics, safety, estimation of a recommended dose, and anti-tumor effect by evaluable case) of E7070 in patients with gastric cancer who are extensive or intermediate metabolizer type (EM/IM) to CYP2C9 and CYP2C9 by intravenously administering once every 3 weeks.
Phase IIa study:
To investigate primary objective (response rate for efficacy assessment) and secondary objectives (frequency and severity of adverse drug reactions, and pharmacokinetics) of E7070 in patient with gastric cancer who are EM/IM type by intravenously administering once every 3 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 20 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (46 listed)
- Patients who are histologically or cytologically confirmed to have gastric cancer.
- Patients who are non-responder to existing treatments with proved efficacy for gastric cancer, but any further effect is no longer expected with existing treatments.
- Patients who are aged ≥20 years and <75 years at the time of registration.
- Patients graded as 0 - 2 of the Eastern Cooperative Oncology Group (ECOG) Performance status (PS)
- Patients who can be hospitalized between the beginning of the study treatment and the end of the first cycle.
Key exclusion criteria (59 listed)
- Patients with systemic infectious disease.
- Patients with a large volume of pleural effusion, ascites, or pericardial effusion that requires drainage.
- Patients who have brain metastasis with clinical symptoms.
- Patients who have a clinically significant mental disorder, attack, or central nervous-related disorder.
- Patients who meet any of the following serious complications:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| E7070 | Drug | – |
Primary outcome
Phase I study:
Dose-limiting toxicity (DLT)
Phase IIa study:
Response rate based on Response Evaluation Criteria in Solid Tumors (RECIST)
6 secondary outcomes
Phase I study:
Plasma E7070 concentration.
Adverse event, adverse drug reaction, laboratory parameter, and vital sign.
Anti-tumor effect based on (RECIST).
Phase IIa study:
Adverse drug reaction.
Results and safety
The study was stopped early (reason given: Study was completed.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jan 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tatsuo Watanabe study director
Eisai Co., Ltd - Development Clinical Research Department. Clinical Research Center
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing E7070 in people with Gastric Cancer, run by Eisai Co., Ltd. at 5 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 46 inclusion and 59 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 23 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Study was completed.). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase I study:. The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2014.