Gastric CancerPhase 3RILOMET-1NCT01697072
First-Line Treatment for Locally Advanced or Metastatic Mesenchymal Epithelial Transition Factor (MET) - Positive Gastric, Lower Esophageal, or Gastroesophageal Junction (GEJ) Adenocarcinoma
A Phase 3 study testing Rilotumumab, Epirubicin and Cisplatin in people with Gastric Cancer, run by Amgen at 189 sites in 27 countries.
Trial summary
This is a phase 3, multicenter, randomized, double-blind, placebo controlled study of epirubicin, cisplatin \& capecitabine (ECX) with rilotumumab or placebo for untreated advanced MET-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Gastric Cancer
- What is being tested?
- Rilotumumab, Epirubicin and Cisplatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 609 participants
- Where
- 189 sitesin 27 countries
- Study dates
- Oct 2012to Aug 2015
- Phase
- Phase 3
- 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 18 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Pathologically confirmed unresectable locally advanced or metastatic gastric or GEJ adenocarcinoma •Eastern Cooperative Oncology Group (ECOG) performance status (0 or 1)
- Tumor MET-positive by immunohistochemistry (IHC)
- Evaluable (measurable or non-measurable) disease by Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 criteria
Who cannot join
- Human Epidermal Growth Factor Receptor 2 (HER2) -overexpressing locally advanced or metastatic gastric or GEJ adenocarcinoma •Previous systemic therapy for locally advanced or metastatic gastric or GEJ adenocarcinoma
- Less than 6 months have elapsed from completion of prior neoadjuvant or adjuvant chemotherapy or chemoradiotherapy to randomization
- Previous treatment with anthracyclines must not exceed total cumulative dose of epirubicin of 400 mg/m2
- Squamous cell histology
- Left ventricular ejection fraction (LVEF) < 50%
Trial locations and contacts
189 sites in 27 countries.
189 sites in 27 countries
United States16 sites
Research Site
Aurora, Colorado, 80045
Research Site
Baltimore, Maryland, 21231
Research Site
Bedford, Texas, 76022
Research Site
Chicago, Illinois, 60637
Research Site
Dallas, Texas, 75246
Research Site
Greensboro, North Carolina, 27403
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Henderson, Nevada, 89052
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Nashville, Tennessee, 37232
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New York, New York, 10065
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Pittsburgh, Pennsylvania, 15232
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Pueblo, Colorado, 81008
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Rochester, New York, 14642
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Seattle, Washington, 98109
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Tucson, Arizona, 85724
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Winston-Salem, North Carolina, 27103
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Woodbury, Minnesota, 55125
France14 sites
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Bayonne, 64109
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Bordeaux, 33075
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Clermont-Ferrand, 63003
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Dijon, 21079
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Le Mans, 72000
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Limoges, 87042
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Lyon, 69373
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Lyon, 69437
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Marseille, 13385
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Montpellier, 34298
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Nice, 06189
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Périgueux, 24004
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Saint-Priest-en-Jarez, 42270
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Strasbourg, 67000
Germany12 sites
Research Site
Berlin, 13125
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Bielefeld, 33611
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Dresden, 01307
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Essen, 45276
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Frankfurt am Main, 60488
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Leipzig, 04103
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Magdeburg, 39104
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Mainz, 55131
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München, 81377
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München, 81737
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Oldenburg, 26133
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Schweinfurt, 97422
United Kingdom12 sites
Research Site
Belfast, BT9 7AB
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Edinburgh, EH4 2XU
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Guildford, GU2 7XX
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Leicester, LE1 5WW
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London, NW1 2PQ
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London, SE1 9RT
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London, SW3 6JJ
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Manchester, M20 4BX
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Newcastle upon Tyne, NE7 7DN
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Northwood, HA6 2RN
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Salisbury, SP2 8BJ
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Sutton, SM2 5PT
Romania10 sites
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Alba Iulia, 510077
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Baia Mare, 430241
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Brasov, 500091
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Bucharest, 010719
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Bucharest, 011461
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Bucharest, 022328
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Cluj-Napoca, 400015
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Cluj-Napoca, 400058
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Lasi, 700106
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Timișoara, 300167
Ukraine9 sites
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Dnipropetrovsk, 49102
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Kharkiv, 61070
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Kherson, 73035
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Kyiv, 03115
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Lutsk, 43018
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Lviv, 79031
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Mariupol, 87500
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Sumy, 40022
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Uzhhorod, 88000
Australia8 sites
Research Site
Douglas, Queensland, 4814
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Elizabeth Vale, South Australia, 5112
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Heidelberg, Victoria, 3084
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Kurralta Park, South Australia, 5037
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Randwick, New South Wales, 2031
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Ringwood East, Victoria, 3135
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St Leonards, New South Wales, 2065
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Tweed Heads, New South Wales, 2485
Russia8 sites
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Chelyabinsk, 454087
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Ivanovo, 153013
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Kazan', 420029
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Krasnodar, 350040
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Moscow, 115478
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Saint Petersburg, 197758
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Samara, 443031
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Vladimir, 600020
Bulgaria7 sites
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Plovdiv, 4000
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Shumen, 9700
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Sofia, 1233
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Sofia, 1527
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Sofia, 1606
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Sofia, 1756
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Varna, 9010
Greece7 sites
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Athens, 18547
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Heraklion - Crete, 71110
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Larissa, 41110
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Nea Kifissia, Athens, 14564
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Pátrai, 26500
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Thessaloniki, 54645
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Thessaloniki, 56429
Italy7 sites
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Aviano PN, 33081
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Brescia, 25124
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Catania, 95122
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Florence, 50134
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Naples, 80131
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Pisa, 56126
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Roma, 00168
Spain7 sites
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A Coruña, Galicia, 15006
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Barcelona, Catalonia, 08035
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L'Hospitalet de Llobregat, Catalonia, 08907
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Madrid, Madrid, 28050
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Oviedo, Principality of Asturias, 33011
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Pamplona, Navarre, 31008
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Terrassa, Catalonia, 08221
Belgium6 sites
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Brussels, 1180
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Brussels, 1200
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Charleroi, 6000
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Edegem, 2650
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Liège, 4000
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Roeselare, 8800
Brazil6 sites
Research Site
Belo Horizonte, Minas Gerais, 30150-321
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Pelotas, Rio Grande do Sul, 96015-280
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Santo André, São Paulo, 09060-650
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São Paulo, São Paulo, 01209-000
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São Paulo, São Paulo, 01246-000
Research Site
São Paulo, São Paulo, 01509-900
Canada6 sites
Research Site
Greenfield Park, Quebec, J4V 2H1
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Laval, Quebec, H7M 3L9
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London, Ontario, N6A 4L6
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Montreal, Quebec, H2L 4M1
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Toronto, Ontario, M4C 3E7
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Vancouver, British Columbia, V5Z 4E6
Hungary6 sites
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Budapest, 1097
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Budapest, 1106
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Győr, 9023
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Nyíregyháza, 4400
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Szeged, 6725
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Szolnok, 5000
Poland6 sites
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Bialystok, 15-027
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Elblag, 82-300
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Gdansk, 80-219
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Konin, 62-500
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Lodz, 93-513
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Warsaw, 02-781
Portugal6 sites
Research Site
Aveiro, 3814-501
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Guimarães, 4835-044
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Lisbon, 1649-035
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Porto, 4200-072
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Santa Maria da Feira, 4520-211
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Vila Real, 5000-508
Austria5 sites
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Graz, 8036
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Innsbruck, 6020
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Linz, 4010
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Salzburg, 5020
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Vienna, 1090
Czechia5 sites
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Hořovice, 268 31
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Hradec Králové, 500 05
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Olomouc, 775 20
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Prague, 120 00
Research Site
Ústí nad Labem, 401 13
South Africa5 sites
Research Site
Cape Town, 7925
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Groenkloof, Gauteng, 0181
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Johannesburg, 2193
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Kraaifontein, 7570
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Pretoria, 0002
Denmark4 sites
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Aalborg, 9000
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Århus C, 8000
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Copenhagen, 2100
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Odense, 5000
Mexico4 sites
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Cuernavaca, Morelos, 62290
Research Site
Distrito Federal, Mexico City, 04380
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Mexico City, Mexico City, 14000
Research Site
Toluca, State of Mexico, 50080
Slovakia4 sites
Research Site
Bardejov, 085 01
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Bratislava, 833 10
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Poprad, 058 01
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Trenčín, 911 71
Turkey (Türkiye)4 sites
Research Site
Ankara, 06100
Research Site
Gaziantep, 27100
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Istanbul, 34390
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Izmir, 35100
Switzerland3 sites
Research Site
Bellinzona, 6500
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Bern, 3010
Research Site
Chur, 7000
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-Blind, Placebo Controlled Study of Rilotumumab (AMG102) With Epirubicin, Cisplatin, and Capecitabine (ECX) as First-line Therapy in Advanced MET-Positive Gastric or Gastroesophageal Junction Adenocarcinoma
This is a phase 3, multicenter, randomized, double-blind, placebo controlled study of epirubicin, cisplatin \& capecitabine (ECX) with rilotumumab or placebo for untreated advanced MET-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma
- Conditions
- Gastric Cancer
- Being tested
- Rilotumumab, Placebo, Epirubicin, Cisplatin, Capecitabine
- Keywords
- Gastric Cancer, First Line Treatment Gastroesophageal Junction (GEJ), Gastroesophageal Junction Cancer (GEJ), GEJ Cancer
- Medical subject headings
- Stomach Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RilotumumabDrug
Also called AMG102
Rilotumumab is a fully human monoclonal antibody immunoglobulin G, type 2 (IgG2) against human hepatocyte growth factor/scatter factor (HGF/SF) that blocks binding of HGF/SF to its receptor MET, inhibiting HGF/MET-driven activities in cells.
PlaceboOther
Also called sterile protein-free solution
Placebo
EpirubicinDrug
Also called Ellence, Pharmorubicin PFS, Pharmorubicin RDF
Epirubicin is an anthracycline cytotoxic agent.
CisplatinDrug
Also called Platinol, Platinol-AQ
Cisplatin is a non-cell cycle specific chemotherapeutic agent.
CapecitabineDrug
Also called Xeloda
Capecitabine is an oral fluoropyrimidine.
| Study group | Role | What they receive |
|---|---|---|
| Rilotumumab | Experimental | Rilotumumab (15 mg/kg, IV every 21 days) plus Epirubicin, Cisplatin and Capecitabine (ECX) Receives: Drug: Rilotumumab; Drug: Epirubicin; Drug: Cisplatin; Drug: Capecitabine |
| Placebo | Placebo comparator | Rilotumumab-placebo (15 mg/kg, IV every 21 days) plus Epirubicin, Cisplatin and Capecitabine (ECX) Receives: Other: Placebo; Drug: Epirubicin; Drug: Cisplatin; Drug: Capecitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
To determine if the treatment of rilotumumab in combination with ECX significantly improves overall survival in subjects with unresectable locally advanced or metastatic MET positive gastric or GEJ cancer
Measured: 3 years
Secondary outcomes (7)
PFS
Progression Free Survival (PFS)
Measured: 3 years
TTP
Time to Progression (TTP)
Measured: 3 years
ORR
Objective Response Rate (ORR)
Measured: 3 years
DCR
Disease Control Rate (DCR)
Measured: 3 years
TTR
Time to Response (TTR)
Measured: 3 years
Safety
Measured: 3 years
Immunogenicity
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2012 (estimated)
- Study startOct 2012
- Primary completionNov 2014
- Study completionAug 2015
Why it stopped: All Amgen sponsored AMG102 clinical studies were terminated following a pre-planned Data Monitoring Committee safety review of study 20070622.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Gastric CancerStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 609 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01697072
- Sponsor's protocol ID
- 20070622
- Other IDs
- 2011-004923-11
- Acronym
- RILOMET-1
- Status last verified
- Jan 2016
- First submitted
- 26 Sep 2012
- Last updated
- 9 Feb 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Catenacci DVT, Tebbutt NC, Davidenko I, Murad AM, Al-Batran SE, Ilson DH, Tjulandin S, Gotovkin E, Karaszewska B, Bondarenko I, Tejani MA, Udrea AA, Tehfe M, De Vita F, Turkington C, Tang R, Ang A, Zhang Y, Hoang T, Sidhu R, Cunningham D. Rilotumumab plus epirubicin, cisplatin, and capecitabine as first-line therapy in advanced MET-positive gastric or gastro-oesophageal junction cancer (RILOMET-1): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2017 Nov;18(11):1467-1482. doi: 10.1016/S1470-2045(17)30566-1. Epub 2017 Sep 25.
PubMed 28958504Doshi S, Gisleskog PO, Zhang Y, Zhu M, Oliner KS, Loh E, Perez Ruixo JJ. Rilotumumab exposure-response relationship in patients with advanced or metastatic gastric cancer. Clin Cancer Res. 2015 Jun 1;21(11):2453-61. doi: 10.1158/1078-0432.CCR-14-1661. Epub 2015 Feb 24.
PubMed 25712685
Study at a glance
From the registry record, last updated by the sponsor on 9 Feb 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-Blind, Placebo Controlled Study of Rilotumumab (AMG102) With Epirubicin, Cisplatin, and Capecitabine (ECX) as First-line Therapy in Advanced MET-Positive Gastric or Gastroesophageal Junction Adenocarcinoma
- ClinicalTrials.gov ID
- NCT01697072
- Acronym / sponsor ID
- RILOMET-1 / 20070622
- Conditions
- Gastric Cancer
- Keywords
- Gastric Cancer, First Line Treatment Gastroesophageal Junction (GEJ), Gastroesophageal Junction Cancer (GEJ), GEJ Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: All Amgen sponsored AMG102 clinical studies were terminated following a pre-planned Data Monitoring Committee safety review of study 20070622.
- Enrolment
- 609 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- Oct 2012
- Primary completion
- Nov 2014 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 2 Oct 2012 (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.
This is a phase 3, multicenter, randomized, double-blind, placebo controlled study of epirubicin, cisplatin \& capecitabine (ECX) with rilotumumab or placebo for untreated advanced MET-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rilotumumab | Experimental | Drug: Rilotumumab, Drug: Epirubicin, Drug: Cisplatin, Drug: CapecitabineRilotumumab (15 mg/kg, IV every 21 days) plus Epirubicin, Cisplatin and Capecitabine (ECX) |
| Placebo | Placebo comparator | Other: Placebo, Drug: Epirubicin, Drug: Cisplatin, Drug: CapecitabineRilotumumab-placebo (15 mg/kg, IV every 21 days) plus Epirubicin, Cisplatin and Capecitabine (ECX) |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Pathologically confirmed unresectable locally advanced or metastatic gastric or GEJ adenocarcinoma •Eastern Cooperative Oncology Group (ECOG) performance status (0 or 1)
- Tumor MET-positive by immunohistochemistry (IHC)
- Evaluable (measurable or non-measurable) disease by Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 criteria
Key exclusion criteria (5 listed)
- Human Epidermal Growth Factor Receptor 2 (HER2) -overexpressing locally advanced or metastatic gastric or GEJ adenocarcinoma •Previous systemic therapy for locally advanced or metastatic gastric or GEJ adenocarcinoma
- Less than 6 months have elapsed from completion of prior neoadjuvant or adjuvant chemotherapy or chemoradiotherapy to randomization
- Previous treatment with anthracyclines must not exceed total cumulative dose of epirubicin of 400 mg/m2
- Squamous cell histology
- Left ventricular ejection fraction (LVEF) < 50%
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 |
|---|---|---|
| RilotumumabAlso: AMG102Rilotumumab is a fully human monoclonal antibody immunoglobulin G, type 2 (IgG2) against human hepatocyte growth factor/scatter factor (HGF/SF) that blocks binding of HGF/SF to its receptor MET, inhibiting HGF/MET-driven activities in cells. | Drug | Rilotumumab |
| PlaceboAlso: sterile protein-free solutionPlacebo | Other | Placebo |
| EpirubicinAlso: Ellence, Pharmorubicin PFS, Pharmorubicin RDFEpirubicin is an anthracycline cytotoxic agent. | Drug | Placebo, Rilotumumab |
| CisplatinAlso: Platinol, Platinol-AQCisplatin is a non-cell cycle specific chemotherapeutic agent. | Drug | Placebo, Rilotumumab |
| CapecitabineAlso: XelodaCapecitabine is an oral fluoropyrimidine. | Drug | Placebo, Rilotumumab |
Primary outcome
Overall Survival
Time frame: 3 years
To determine if the treatment of rilotumumab in combination with ECX significantly improves overall survival in subjects with unresectable locally advanced or metastatic MET positive gastric or GEJ cancer
7 secondary outcomes
PFS
Time frame: 3 years
TTP
Time frame: 3 years
ORR
Time frame: 3 years
DCR
Time frame: 3 years
TTR
Time frame: 3 years
Safety
Time frame: 3 years
Immunogenicity
Time frame: 3 years
Results and safety
The study was stopped early (reason given: All Amgen sponsored AMG102 clinical studies were terminated following a pre-planned Data Monitoring Committee safety review of study 20070622.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Feb 2016.
- Derived from this study: PubMed 28958504Catenacci DVT, Tebbutt NC, Davidenko I, Murad AM, Al-Batran SE, Ilson DH, Tjulandin S, Gotovkin E, Karaszewska B, Bondarenko I, Tejani MA, Udrea AA, Tehfe M, De Vita F, Turkington C, Tang R, Ang A, Zhang Y, Hoang T, Sidhu R, Cunningham D. Rilotumumab plus epirubicin, cisplatin, and capecitabine as first-line therapy in advanced MET-positive gastric or gastro-oesophageal junction cancer (RILOMET-1): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2017 Nov;18(11):1467-1482. doi: 10.1016/S1470-2045(17)30566-1. Epub 2017 Sep 25.
- Derived from this study: PubMed 25712685Doshi S, Gisleskog PO, Zhang Y, Zhu M, Oliner KS, Loh E, Perez Ruixo JJ. Rilotumumab exposure-response relationship in patients with advanced or metastatic gastric cancer. Clin Cancer Res. 2015 Jun 1;21(11):2453-61. doi: 10.1158/1078-0432.CCR-14-1661. Epub 2015 Feb 24.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
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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.
MD study director
Amgen
189 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rilotumumab, Epirubicin and Cisplatin in people with Gastric Cancer, run by Amgen at 189 sites in 27 countries.
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 3 inclusion and 5 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 9 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 189 sites in United States, France, Germany, United Kingdom, Romania and 22 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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: All Amgen sponsored AMG102 clinical studies were terminated following a pre-planned Data Monitoring Committee safety review of study 20070622.). 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?
Overall Survival (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01697072, which also lists 2 linked publications.
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 9 Feb 2016.