HER-2 Positive Advanced Gastric CancerPhase 1/2NCT01746771
A Phase I-II Study of HM781-36B Combined With Paclitaxel and Trastuzumab in HER-2 Positive Advanced Gastric Cancer
A Phase 1/2 study testing HM781-36B(Poziotinib), Paclitaxel and Trastuzumab in people with HER-2 Positive Advanced Gastric Cancer, run by Hanmi Pharmaceutical Company Limited at 1 site in South Korea.
Trial summary
[Phase I] The main objective of this study is to evaluate the safety, tolerability and determine the Recommended Dose (RD) of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab [Phase II] The main objective of this study is to evaluate anticancer activity through determination of response rate of… Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- HER-2 Positive Advanced Gastric Cancer
- What is being tested?
- HM781-36B(Poziotinib), Paclitaxel and Trastuzumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 siteSouth Korea
- Study dates
- Nov 2012to Aug 2015
- 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 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed advanced gastric cancer including gastroesophageal junction adenocarcinoma
- At least one measurable lesion defined by RECIST(v1.1)
- FISH+ or IHC3+ (regardless of FISH results)
- Age≥19
- ECOG ≤ 2
- Life expectancy ≥ 12 weeks
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- Adequate bone marrow and no abnormal heart and lung function
- No radiotherapy, other anticancer drugs or immunotherapy is allowed during this study
- Subjects must provide written informed consent prior to performance of study specific procedures or assessments, and must be willing to comply with treatment and follow up assessments and procedures
Who cannot join
- Patients with a history of hypersensitivity to Trastuzumab and who have been treated with medicine including Cremophor EL
- Patients who have a current active malignancy other than gastric adenocarcinoma (with exception of non-melanoma skin cancer or cervical cancer in situ)
- Patients who have previously received taxane-based chemotherapy
- The presence of central nervous system metastases
- Patients who have a blood tumor such as leukemia, or who had previously received, or are planning to receive, the bone marrow transplant
- Patients with uncontrolled infection
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- Patients who have GI malabsorption or difficulty taking oral medication
- Patients with following diseases are excluded:
- Patients with psychiatric or congenital disorder which can affect adherence or make hard to follow the requirements of the protocol
- Pregnant or breastfeeding women or women of childbearing who do not use an appropriate method of contraception (male patient should also use an appropriate method of contraception)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase I-II Study to Assess the Safety, Efficacy and Pharmacokinetic Profile of HM781-36B Combined With Paclitaxel and Trastuzumab in Patients With HER-2 Positive Advanced Gastric Cancer
[Phase I] The main objective of this study is to evaluate the safety, tolerability and determine the Recommended Dose (RD) of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab
[Phase II] The main objective of this study is to evaluate anticancer activity through determination of response rate of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab in patients with HER-2 positive advanced gastric cancer
Read the detailed description
Besides the main objectives, there are other objectives as follows:
[Phase I]
- To assess the pharmacokinetic profile of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab
- To evaluate anticancer activity of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab in patients with HER-2 positive advanced gastric cancer
- To evaluate PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)
[Phase II]
- To assess the safety, tolerability of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab
- To evaluate tumor response through determination of disease control rate , PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)
- Conditions
- HER-2 Positive Advanced Gastric Cancer
- Being tested
- HM781-36B(Poziotinib), Paclitaxel, Trastuzumab
- Keywords
- HM781-36B, Paclitaxel, Trastuzumab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HM781-36B(Poziotinib)Drug
Also called NOV120101, Poziotinib
QD*2weeks/3weeks
PaclitaxelDrug
175mg/m2
TrastuzumabDrug
Also called Herceptin
8mg/kg
| Study group | Role | What they receive |
|---|---|---|
| HM781-36B, Paclitaxel, Trastuzumab | Experimental | HM781-36B(Poziotinib): QD*2weeks/3weeks Paclitaxel: 175mg/m2 Trastuzumab(Herceptin): 8mg/kg Receives: Drug: HM781-36B(Poziotinib); Drug: Paclitaxel; Drug: Trastuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety evaluation(phase I)
Dose limiting toxicity (DLT), Maximum tolerance dose (MTD)
Measured: DLT will be evaluated on Day 21 during cycle 1
Secondary outcomes (1)
Efficacy evaluation(Phase II)
Efficacy evaluation; phase II (Simon's two-stage minimax design): Disease Control Rate (CR, PR, SD), PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)
Measured: Efficacy will be evaluated every 6 weeks or 9 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Dec 2012 (estimated)
- Study startNov 2012
- Primary completionAug 2015
- Study completionAug 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HER-2 Positive Advanced Gastric CancerStudies of the same condition, open and under way.
- More trials run by Hanmi Pharmaceutical Company LimitedThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hanmi Pharmaceutical Company Limited
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- National OncoVenture
- Responsible party
- Sponsor
- Investigators
- YoHan Kim, M.D., Study director, Hanmi Pharmaceutical Company Limited
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01746771
- Sponsor's protocol ID
- HM-PHI-A201
- Status last verified
- Mar 2016
- First submitted
- 3 Dec 2012
- Last updated
- 3 Mar 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I-II Study to Assess the Safety, Efficacy and Pharmacokinetic Profile of HM781-36B Combined With Paclitaxel and Trastuzumab in Patients With HER-2 Positive Advanced Gastric Cancer
- ClinicalTrials.gov ID
- NCT01746771
- Acronym / sponsor ID
- HM-PHI-A201
- Conditions
- HER-2 Positive Advanced Gastric Cancer
- Keywords
- HM781-36B, Paclitaxel, Trastuzumab
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- Hanmi Pharmaceutical Company LimitedIndustry (pharma, biotech, devices)
- Collaborators
- National OncoVenture
- Study start
- Nov 2012
- Primary completion
- Aug 2015 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 11 Dec 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.
[Phase I] The main objective of this study is to evaluate the safety, tolerability and determine the Recommended Dose (RD) of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab
[Phase II] The main objective of this study is to evaluate anticancer activity through determination of response rate of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab in patients with HER-2 positive advanced gastric cancer
Detailed description
Besides the main objectives, there are other objectives as follows:
[Phase I]
- To assess the pharmacokinetic profile of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab
- To evaluate anticancer activity of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab in patients with HER-2 positive advanced gastric cancer
- To evaluate PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)
[Phase II]
- To assess the safety, tolerability of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab
- To evaluate tumor response through determination of disease control rate , PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HM781-36B, Paclitaxel, Trastuzumab | Experimental | Drug: HM781-36B(Poziotinib), Drug: Paclitaxel, Drug: TrastuzumabHM781-36B(Poziotinib): QD*2weeks/3weeks Paclitaxel: 175mg/m2 Trastuzumab(Herceptin): 8mg/kg |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Histologically or cytologically confirmed advanced gastric cancer including gastroesophageal junction adenocarcinoma
- At least one measurable lesion defined by RECIST(v1.1)
- FISH+ or IHC3+ (regardless of FISH results)
- Age≥19
- ECOG ≤ 2
Key exclusion criteria (10 listed)
- Patients with a history of hypersensitivity to Trastuzumab and who have been treated with medicine including Cremophor EL
- Patients who have a current active malignancy other than gastric adenocarcinoma (with exception of non-melanoma skin cancer or cervical cancer in situ)
- Patients who have previously received taxane-based chemotherapy
- The presence of central nervous system metastases
- Patients who have a blood tumor such as leukemia, or who had previously received, or are planning to receive, the bone marrow transplant
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 |
|---|---|---|
| HM781-36B(Poziotinib)Also: NOV120101, PoziotinibQD*2weeks/3weeks | Drug | HM781-36B, Paclitaxel, Trastuzumab |
| Paclitaxel175mg/m2 | Drug | HM781-36B, Paclitaxel, Trastuzumab |
| TrastuzumabAlso: Herceptin8mg/kg | Drug | HM781-36B, Paclitaxel, Trastuzumab |
Primary outcome
Safety evaluation(phase I)
Time frame: DLT will be evaluated on Day 21 during cycle 1
Dose limiting toxicity (DLT), Maximum tolerance dose (MTD)
1 secondary outcome
Efficacy evaluation(Phase II)
Time frame: Efficacy will be evaluated every 6 weeks or 9 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2016.
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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.
YoHan Kim, M.D. study director
Hanmi Pharmaceutical Company Limited
1 site 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 HM781-36B(Poziotinib), Paclitaxel and Trastuzumab in people with HER-2 Positive Advanced Gastric Cancer, run by Hanmi Pharmaceutical Company Limited at 1 site in South Korea.
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 9 inclusion and 10 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: finished, as of the sponsor's last update on 3 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Safety evaluation(phase I) (time frame: DLT will be evaluated on Day 21 during cycle 1). 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 3 Mar 2016.