Gastric CancerPhase 3BRIGHTERNCT02178956
A Study of BBI608 Plus Weekly Paclitaxel to Treat Gastric and Gastro-Esophageal Junction Cancer
A Phase 3 study testing BBI608 and Paclitaxel in people with Gastric Cancer and Gastroesophageal Junction Cancer, run by Sumitomo Pharma America, Inc. at 263 sites in 22 countries.
Trial summary
The purpose of this study is to find out whether it is better to receive a new drug, BBI608, in addition to paclitaxel chemotherapy or better to receive paclitaxel chemotherapy alone as second line treatment for gastric and gastroesophageal junction cancer after prior first line platinum and fluoropyrimidine based… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Gastric Cancer, Gastroesophageal Junction Cancer
- What is being tested?
- BBI608 and Paclitaxel
- 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
- 714 participants
- Where
- 263 sitesin 22 countries
- Study dates
- Oct 2014to 20 Sep 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Cytologically or histologically confirmed advanced gastric or GEJ adenocarcinoma that is metastatic or locally advanced and unresectable.
- Failed treatment with one regimen containing at least a platinum/fluoropyrimidine doublet for unresectable or metastatic disease.Treatment failure is defined as progression of disease (clinical or radiologic) during first line treatment for unresectable or metastatic disease or ≤ 6 months after last dose of first line treatment.
- Paclitaxel therapy is appropriate for the patient and is recommended by the Investigator.
- Imaging investigations including CT/MRI of chest/abdomen/pelvis or other scans as necessary to document all sites of disease done within 21 days prior to randomization. Patients with either measurable disease OR non-measurable evaluable disease will be eligible.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
- ・≥ 18 years of age.
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- For male or female patient of child producing potential: Must agree to use contraception or take measures to avoid pregnancy during the study and for 6 months after the final dose of Paclitaxel or for 30 days for female patients and for 90 days for male patients, of the final BBI608/Placebo dose if Paclitaxel was not administered.
- Women of child bearing potential (WOCBP) must have a negative serum or urine pregnancy test within 5 days prior to randomization.
- Alanine transaminase (ALT) ≤ 3 × institutional upper limit of normal (ULN) [≤ 5 × ULN in presence of liver metastases] within 14 days prior to randomization.
- Hemoglobin (Hgb) ≥ 9.0 g/dL within 14 days prior to randomization. Must not have required transfusion within 1 week of baseline Hgb assessment.
- Total bilirubin ≤ 1.5 × institutional ULN [≤ 2.0 x ULN in presence of liver metastases] within 14 days prior to randomization.
- Creatinine ≤ 1.5 × institutional ULN or Creatinine Clearance > 50 ml/min (as calculated by the Cockroft-Gault equation) within 14 days prior to randomization.
- Absolute neutrophil count ≥ 1.5 x 10^9/L within 14 days prior to randomization.
- Platelet count ≥ 100 x 10^9/L within 14 days prior to randomization. Must not have required transfusion within 1 week of baseline platelet assessment.
- Other baseline laboratory evaluations must be done within 14 days prior to randomization.
- Patient must consent to provision of a representative formalin fixed paraffin block of tumor tissue, if available, in order that the specific correlative marker assays may be conducted.
- Patient must consent to provision of a sample of blood in order that the specific correlative marker assays may be conducted.
- Patients must be accessible for treatment and follow up.
- Protocol treatment is to begin within 2 working days of patient randomization.
- The patient is not receiving therapy in a concurrent clinical study and the patient agrees not to participate in other interventional clinical studies during their participation in this trial while on study treatment. Patients participating in surveys or observational studies are eligible to participate in this study.
Who cannot join
- Anti-cancer chemotherapy or biologic therapy if administered prior to the first planned dose of BBI608/placebo within period of time equivalent to the usual cycle length of the regimen. An exception is made for oral fluoropyrimidines (e.g. capecitabine, S-1), where a minimum of 10 days since last dose must be observed prior to the first planned dose of BBI608/placebo.Radiotherapy, immunotherapy, or investigational agents within four weeks of first planned dose of BBI608/placebo, with the exception of a single dose of radiation up to 8 Gray (equal to 800 RAD) with palliative intent for pain control up to 14 days before randomization.
- Prior taxanes in the neoadjuvant or adjuvant setting with progression occurring within 6 months of completion of taxane therapy; or any taxanes in the metastatic setting.
- More than one prior chemotherapy regimen administered in the metastatic setting.
- Major surgery within 4 weeks prior to randomization.
- Any known symptomatic brain metastases requiring steroids.
- Women who are pregnant or breastfeeding.
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- Gastrointestinal disorder(s) which, in the opinion of the Qualified/Principal Investigator, would significantly impede the absorption of an oral agent.
- Unable or unwilling to swallow BBI608/placebo capsules daily.
- Uncontrolled intercurrent illness.
- Peripheral neuropathy ≥ CTCAE Grade 2 at baseline.
- History of other malignancies except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumors curatively treated with no evidence of disease for ≥ 3 years.
- Prior treatment with BBI608.
- Any active disease condition which would render the protocol treatment dangerous or impair the ability of the patient to receive protocol therapy.
- Any condition (e.g. psychological, geographical, etc.) that does not permit compliance with the protocol.
Trial locations and contacts
263 sites in 22 countries.
263 sites in 22 countries
United States26 sites
Indiana University Health University Hospital
Chapel Hill, North Carolina, 27516
Ohio State University Medical Center
Columbus, Ohio, 43210
New Hampshire Oncology Hematology - Concord
Concord, New Hampshire, 03106
Geisinger Medical Center
Danville, Pennsylvania, 17822
Colorado Cancer Research Program
Denver, Colorado, 80222
Indiana University Health Goshen Center For Cancer Care
Goshen, Indiana, 46526
Spectrum Health Butterworth
Grand Rapids, Michigan, 49503
Saint Vincent Hospital CCOP
Green Bay, Wisconsin, 54301
St. Mary's Hospital
Green Bay, Wisconsin, 54307
Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601
New Hampshire Oncology Hematology - Laconia
Laconia, New Hampshire, 03246
Marshfield CCOP
Marshfield, Wisconsin, 54449
Ochsner NCI CORP
New Orleans, Louisiana, 70121
Weill Medical College of Cornell University
New York, New York, 10065
The University of Oklahoma Health Sciences Center (OUHSC)
Oklahoma City, Oklahoma, 73104
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Metro-Minnesota NCI CORP
Saint Louis Park, Minnesota, 55416
Mayo Clinic - Arizona
Scottsdale, Arizona, 85259
Virginia Mason Medical Center
Seattle, Washington, 98101
Swedish Cancer Institute/ Swedish Health Services
Seattle, Washington, 98104
Siouxland Regional Cancer Center
Sioux City, Iowa, 51101
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46628
Heartland NCORP
St Louis, Missouri, 63131
State University of New York Upstate Medical University
Syracuse, New York, 13210
Munson Medical Center
Traverse City, Michigan, 49684
Cancer Center of Kansas
Wichita, Kansas, 67214
China26 sites
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021
The 307th Hospital of Chinese People's Liberation Army
Beijing, Beijing Municipality, 100071
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Chinese PLA General Hospital
Beijing, Beijing Municipality, 100853
The First Bethune Hospital of Jilin University
Changchun, Jilin, 130021
Hunan Cancer Hospital
Changsha, Hunan, 410006
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, 510060
Southern Medical University, Nanfang Hospital
Guangzhou, Guangdong, 510515
Sir Run Run Shaw Hospital School of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310016
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital
Heilongjiang, Heilongjiang, 150081
Jilin Cancer Hospital
Jilin City, Jilin, 130021
The 81 Hospital of the Chinese People's Liberation Army
Nanjing, Jiangsu, 210002
Jiang Su Cancer Hospital
Nanjing, Jiangsu, 210009
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Zhongshan Hospital
Shanghai, Shanghai Municipality, 200032
The First Hospital of China Medical University
Shenyang, Liaoning, 110002
Tianjin Medical University Cancer Institute & Hospital
Tianjin, Tianjin Municipality, 300202
Xin Jiang Tumor Hospital, Xin Jiang Medical University
Ürümqi, Xinjiang, 830000
Tongji Hospital
Wuhan, 430030
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750004
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450003
Henan Cancer Hospital
Zhengzhou, Henan, 450008
Australia25 sites
Bankstown-Lidcombe
Bankstown, New South Wales, 2200
Flinders Medical Centre
Bedford Park, South Australia, 5042
Bendigo Hospital
Bendigo, Victoria, 3550
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
St Vincent's Hospital
Darlinghurst, New South Wales, 2010
Monash Health
East Bentleigh, Victoria, 3165
Peninsula & South Eastern Haematology and Oncology Group
East Bentleigh, Victoria, 3165
St Vincent's Hospital
Fitzroy, Victoria, 3065
Central coast area health (public)
Gosford, New South Wales, 2250
Austin Hospital
Heidelberg, Victoria, 3084
Ballarat base hospital
Heidelberg, Victoria, 3084
Royal Brisbane & Women's Hospital
Herston, Queensland, 4029
Ashford Cancer Centre Research
Kurralta Park, South Australia, 5037
Sunshine Coast Hospital and Health Service
Nambour, Queensland, 4560
Royal Melbourne Hospital
Parkville, Victoria, 3050
Port Macquaries Base Hospital
Port Macquarie, New South Wales, 2444
Gold Coast University Hospital
Southport, Queensland, 4215
Sunshine Hospital
St Albans, Victoria, 3021
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Fiona Stanley Hospital
Subiaco, Western Australia, 6008
Townsville Hospital
Townsville, Queensland, 4814
Riverina Cancer Care Centre
Wagga Wagga, New South Wales, 2650
Ballarat Oncology and Haematology Services
Wendouree, Victoria, 3355
The Queen Elizabeth Hospital
Woodville, South Australia, 5011
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Spain17 sites
C.A.AV-H.Ntra.Sra.de Sonsoles
Ávila, Castille and León, 05004
Institut Català d'Oncologia-Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916
H.del Mar
Barcelona, 08003
Hospital Universitario Vall d'Hebrón
Barcelona, 08035
H.Sta.Creu i St.Pau
Barcelona, 08041
H.U. de Burgos
Burgos, 09006
Institut Catalá d´Oncología (I.C.O.)
L'Hospitalet de Llobregat, 08907
H.G.U. G. Marañón
Madrid, 28007
M.D. Anderson Cancer Center Madrid
Madrid, 28033
H.U. R. y Cajal
Madrid, 28034
H.C. S.Carlos
Madrid, 28040
H.U.P Hierro-Majadahonda
Majadahonda, Madrid, 28222
H.U.V.Arrixaca
Murcia, 30120
H.U.V. Macarena
Seville, Andalusia, 41009
H.U.V. del Rocío
Seville, 41013
C.H.G.U.de Valencia
Valencia, 46014
H.U. Miguel Servet
Zaragoza, 50009
France15 sites
Hôpital Morvan - CHRU de Brest
Brest, 29609
CHU Estaing
Clermont-Ferrand, 63003
Chd Vendee La Roche Sur Yon
La Roche-sur-Yon, Vendée, 85925
Hopital Privé Jean Mermoz
Lyon, Rhône, 69008
Hopital Saint Joseph - Marseille
Marseille, Bouches-du-Rhône, 13008
CHU - Hôpital De La Timone
Marseille, 13385
Centre Hospitalier De Mont De Marsan - Hopital Layné
Mont-de-Marsan, 40024
Centre Antoine Lacassagne
Nice, Alpes-Maritimes, 06189 Cedex 2
Hospital of Poitiers
Poitiers, Vienne, 86021
Centre eugène marquis
Rennes, 35042
CHU Saint Etienne
Saint-Etienne, 42270
Centre Paul Papin
Saint-Herblain, Loire-Atlantique, 44805
Centre Rene Gauducheau
Saint-Herblain, Loire-Atlantique, 44805
Centre Hospitalier Universitaire (CHU) de Toulouse - Hopital
Toulouse, 31052
Institut Gustave Roussy
Villejuif, 94800
Japan15 sites
Chiba Cancer Center
Chiba
National Cancer Center Hospital
Chūō, Tokyo
Gifu University Hospital
Gifu
National Cancer Center Hospital East
Kashiwa, Chiba
Saitama Cancer Center
Kita-Adachi, Saitama
Kobe City Medical Center General Hospital
Kobe, Hyōgo
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime
Kyorin University Hospial
Mitaka, Tokyo
Aichi Cancer Center Hospital
Nagoya, Aichi-ken
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka
Saku Central Hospital Advanced Care Center
Saku, Nagano
Hokkaido University Hospital
Sapporo, Hokkaido
Osaka University Hospital
Suita, Osaka
Shizuoka Cancer Center
Sunto, Shizuoka
Tochigi Cancer Center
Utsunomiya, Tochigi
Italy14 sites
Ospedale Umberto I, AOU Ospedali Riuniti Umberto I - GM.Lanc
Ancona, 60126
IRCCS Ospedale Oncologico "Giovanni Paolo II"
Bari, 701264
Humanitas Gavazzeni
Bergamo, 24125
Policlinico S.Orsola Malpighi, AOU di Bologna
Bologna, 40138
PO Garibaldi-Nesima, ARNAS Garibaldi
Catania, 95100
Azienda Ospedaliera "Istituti Ospitalieri" di Cremona
Cremona, 26100
AUSL della Romagna, Osp. degli Infermi
Faenza, Ravenna, 48018
AOU S.Martino, IRCCS, IST-Istituto Nazionale Ricerca Sul Can
Genova, 16132
Irccs Irst
Meldola, Forli, 47014
Azienda Ospedaliera Fatebenefratelli e Oftalmico
Milan, 20121
Istituto Oncologico Veneto IOV-IRCCS
Padova, 35128
Ospedale Guglielmo da Saliceto, AUSL Piacenza
Piacenza, 29100
Unità di Biostatistica e Sperimentazioni Cliniche IRST
Ravenna, 48100
Ospedale Molinette, AO Città della Salute e della Scienza di
Torino, 10126
Brazil13 sites
Cetus Hospital Dia Oncologia
Belo Horizonte, Minas Gerais, 30150-270
Hospital Erasto Gaertner
Curitiba, Paraná, 81520-060
Instituto do Câncer do Ceará - Instituto do Câncer do Cear
Fortaleza, Ceará, 60430-230
Clinica de Neoplasias Litoral
Itajaí, Santa Catarina, 88301-220
Fundaçao dr Amaral Carvalho
Jaú, São Paulo, 17210-080
Hospital Bruno Born
Lajeado, Rio Grande do Sul, 95900000
Hospital da Cidade de Passo Fundo
Passo Fundo, Rio Grande do Sul, 99010-260
UPCO - Unidade de Pesquisa Clinica em Oncologia LTDA
Pelotas, Rio Grande do Sul, 96015-280
Inca-RJ
Rio de Janeiro, 20231-050
Oncovida - Centro de Oncologia da Bahia
Salvador, Estado de Bahia, 41820021
Hospital de Base de São José do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
IEP São Lucas
São Paulo, 01236030
Casa de Saúde Santa Marcelina
São Paulo, 08270-070
Germany12 sites
Charite - Campus Benjamin Franklin (Cbf)
Berlin, 12200
Charite
Berlin, 13353
Ev. Krankenhaus Bielefeld
Bielefeld, North Rhine-Westphalia, 33611
Universitätsklinik Carl-Gustav-Carus Dresden
Dresden, Saxony, 1307
Kliniken Essen-Mitte Evang. Huyssens-Stiftung
Essen, North Rhine-Westphalia, 45136
Klinikum Esslingen
Esslingen am Neckar, 73730
Klinikum der Johann Wolfgang Goethe-Universität
Frankfurt am Main, Hesse, 60596
Facharztzentrum Eppendorf
Hamburg, 20249
OncoResearch Lerchenfeld GmbH
Hamburg, 22081
Universitätsklinikum Leipzig
Leipzig, Saxony, 4103
Johannes Gutenberg-Universitaet
Maintz, Rhineland-Palatinate, 55101
Klinikum Bogenhausen
München, Bavaria, 81925
Romania12 sites
Sp. Jud. de Urg. "Dr. Constantin Opris" Baia Mare
Baia Mare, Maramureş, 430031
Med Life
Bucharest, 010719
Spitalul Clinic CF 2
Bucharest, 011464
Institutul Clinic Fundeni
Bucharest, 022328
Centrul de Oncologie Sf. Nectarie
Craiova, Dolj, 200347
Oncolab
Craiova, Dolj, 200385
Radiotherapy Center CJ radioterapie si chimioterapie adulti
Floreşti, Cluj, 407280
Centrul de Oncologie Euroclinic
Iași, 700106
Institutul Regional de Oncologie Iasi
Lasi, Lasi, 700483
Spitalul Clinic Judetean de Urgenta Sibiu
Sibiu, 550245
Oncomed
Timișoara, Timiș County, 300239
Spitalul Clinic Municipal de Urgenta Timisoara
Timișoara, Timiș County, 300239
Hungary11 sites
Semmelweis Egyetem
Budapest, 1083
Egyesített Szent István és Szent László Kórház-Rendelőintéze
Budapest, 1097
Országos Onkológiai Intézet
Budapest, 1122
Semmelweis Egyetem
Budapest, 1125
Debreceni Egyetem Klinikai Központ
Debrecen, Hajdú-Bihar, H-4032
Petz Aladár Megyei Oktató Kórház
Győr, Győr-Moson-Sopron, 9024
Békés Megyei Pándy Kálmán Kórház
Gyula, Bekes County, 5700
Somogy Megyei Kaposi Mór Oktató Kórház
Kaposvár, 7400
Josa Andras Oktato Korhaza
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
Pécsi Tudományegyetem Klinikai Központ
Pécs, Baranya, 7624
Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház- Rendelőinté
Szolnok, Jász-Nagykun-Szolnok, 5004
Russia11 sites
Guz Clinical Oncology Dispensary #1
Krasnodar, 350040
Russian Oncological Research Center n.a. N.N. Blokhin RAMS
Moscow, Moscow, 115478
City Clinical Hospital #40
Moscow, Moscow, 129301
GUZ Perm Regional Oncology Dispensary
Perm, Permskiy Kray, 614066
GBUZ of Stavropol Territory Pyatigorsk Oncology Dispensary
Pyatigorsk, Stavropol Kray, 357502
Military Medical Academy n.a. S.M. Kirov
Saint Petersburg, Leningradskaya Oblast', 190121
Northwestern State Medical University n.a. Mechnikov
Saint Petersburg, Sankt-Peterburg, 195067
First Pavlov State Medical University of Saint-Petersburg
Saint Petersburg, Sankt-Peterburg, 197022
GBUZ Saint Petersburg clinical scientific and practical cent
Saint Petersburg, Sankt-Peterburg, 197758
SPb State Budget Institution Oncology Dispansery
Saint Petersburg, Sankt-Peterburg, 198255
Republican Clinical Oncology Dispensary
Ufa, Bahkortostan, Respublika, 450054
Poland10 sites
Szpital Specjalistyczny w Brzozowie Podkarpacki Ośrodek Onko
Brzozów, Podkarpackie Voivodeship, 36-20
Centrum Onkologii im. F.Lukaszczyka
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Wojewodzkie Centrum Onkologii w Gdansku
Gdansk, Pomeranian Voivodeship, 80-210
Szpital Specjalistyczny im. L. Rydygiera w Krakowie
Krakow, Lesser Poland Voivodeship, 31-108
Wojewodzki Szpital Specjalistyczny im. M.Kopernika
Lodz, Łódź Voivodeship, 93-510
Europejskie Centrum Zdrowia Otwock, Szpital im. F. Chopina
Otwock, Masovian Voivodeship, 05-400
NZOZ Centrum Medyczne HCP Lecznictwo Stacjonarne
Poznan, Greater Poland Voivodeship, 61-485
Zachodniopomorskie Centrum Onkologii
Szczecin, West Pomeranian Voivodeship, 71-730
Centrum Onkologii Instytut im. M. Sklodowskiej-Curie
Warsaw, Masovian Voivodeship, 02-781
Magodent sp. z o.o. Szpital Onkologiczny
Warsaw, Masovian Voivodeship, 03-291
Belgium9 sites
Imelda Ziekenhuis
Bonheiden, Antwerpen, 2820
AZ Sint-Lucas - Campus Sint-Lucas
Brugge (Assebroek), 8310
Institut Jules Bordet
Brussels, Brussels Capital, 1000
UZ Brussel - Campus Jette
Brussels, Brussels Capital, 1090
Cliniques Universitaires Saint-Luc
Brussels, Brussels Capital, B-1200
UZ Antwerpen
Edegem, Antwerpen, 2650
UZ Leuven - Campus Gasthuisberg
Leuven, Vlaams Brabant, 3000
CHU de Liège - Domaine Universitaire du Sart Tilman
Liège, 4000
CHU Ambroise Paré
Mons, Hainaut, 7000
United Kingdom9 sites
Aberdeen Royal Infirmary
Aberdeen, Aberdeen City, AB25 2ZN
Belfast City Hospital
Belfast, BT9 7AB
The Beatson West Of Scotland Cancer Centre
Glasgow, Glasgow City, G12 0YH
Royal Surrey County Hospital
Guildford, Surrey, GU2 7XX
St. Georges Hospital
London, SE1 2PR
Christie Hospital NHS Foundation Trust
Manchester, M20 4BX
Southampton University Hospital
Southampton, SO16 6YD
The Royal Marsden Hospital
Sutton, Surrey, SM2 5PT
The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital
Sutton, Surrey, SM2 5PT
Bulgaria7 sites
UMHAT ""Dr. Georgi Stranski"" Dept. Medical Oncology
Pleven, 5800
Specialised Hospital for Active Treatment in Oncology
Sofia, Sofia-Grad, 1756
District Dispensery with Stationary - Sofia District
Sofia, 1233
Multiprofile hospital for active treatment
Sofia, 1233
UMHAT"Sv.Ivan Rilski"
Sofia, 1606
Uni. Multiprofile Hospital for Active treatment Sveta Marina
Varna, 9010
COC - Vratsa Dept. of Palliative Care
Vratsa, 3000
Israel7 sites
Soroka Medical Center [Oncology]
Beersheba, Southern District, 84101
Rambam Health Care Campus
Haifa, 31096
The E. Wolfson Medical Center [Oncology]
Holon, Central District, 58100
Hadassah Medical Organisation
Jerusalem, Jerusalem, 91120
Meir Medical Center
Kfar Saba, Central District, 44281
Rabin Medical Center - Beilinson Hospital
Petah Tikva, Central District, 49100
Tel Aviv Sourasky Medical Center
Tel Aviv, Tel Aviv, 64239
Lithuania7 sites
Hospital of Lithuanian University of Health sciences
Kaunas, Kaunas County, LT-45434
Hospital of Lithuanian University of Health Sciences
Kaunas, Kaunas County, LT-50009
Klaipeda University Hospital
Klaipėda, LT-92288
Respublikine Panevezio ligonine
Panevezys, Panevežio Apskritis, LT-35144
Siauliai County Hospital
Šiauliai, Šiauliu Apskritis, LT-76231
National Cancer Institute
Vilnius, Vilnius County, LT-08860
Vilniaus Universiteto ligonines Santariskiu Klinikos
Vilnius, LT-08661
Canada6 sites
Hopital Notre-Dame du CHUM
Montreal, Quebec, H2L 2W5
McGill University Health Centre - Montreal General Hospital
Montreal, Quebec, H3G 1A4
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
Saint Michael's Hospital Li Ka Shing Knowledge Institute
Toronto, Ontario, M5B 1W8
Mount Sinai Hospital
Toronto, Ontario, M5G 1X5
Princess Margaret Hospital
Toronto, Ontario, M5G 2C4
Czechia5 sites
Masarykuv onkologicky ustav
Brno, 656 53
FN Hradec Kralove
Hradec Králové, Hradec Králové Region, 500 05
Fakultni nemocnice Olomouc
Olomouc, Olomouc Region, 775 20
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Nemocnice Na Bulovce
Prague, 180 81
South Korea4 sites
Seoul National University Bundang Hospital
Seongnam, Gyeonggido, 463-707
Samsung Medical Center
Seoul, Seoul Teugbyeolsi, 135-710
Asan medical Center
Seoul, Seoul Teugbyeolsi, 138-736
Seoul National University Hospital
Seoul, Seoul Teugbyeolsi, 138-736
Estonia2 sites
East Tallinn Central Hospital Oncology Center
Tallinn, Harju, 10138
Tartu University Hospital Clinic of Hematology and Oncology
Tartu, Tartu, 51014
About this study
Official title: A Phase III Clinical Trial of BBI608 Plus Weekly Paclitaxel vs. Placebo Plus Weekly Paclitaxel in Adult Patients With Advanced, Previously Treated Gastric and Gastro-Esophageal Junction Adenocarcinoma
The purpose of this study is to find out whether it is better to receive a new drug, BBI608, in addition to paclitaxel chemotherapy or better to receive paclitaxel chemotherapy alone as second line treatment for gastric and gastroesophageal junction cancer after prior first line platinum and fluoropyrimidine based chemotherapy.
Read the detailed description
The goal of this study is to determine if paclitaxel given together with BBI608 as second line therapy will prolong overall survival compared to paclitaxel alone.
Approximately 700 patients will be randomized with histologically or cytologically confirmed metastatic gastric or gastroesophageal junction adenocarcinoma.
Patients must have failed first line therapy with any platinum/fluoropyrimidine doublet.
BBI608/placebo will be administered daily, paclitaxel will be administered i.v. on days 1, 8 and 15 of a 4 weekly cycle.
- Conditions
- Gastric Cancer, Gastroesophageal Junction Cancer
- Being tested
- BBI608, Paclitaxel, Placebo
- Medical subject headings
- Stomach Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BBI608Drug
Also called Napabucasin, BB608, BBI-608
BBI608 480 mg orally two times daily (960 mg total daily dose)
PaclitaxelDrug
Paclitaxel 80 mg/m2 I.V. infusion on Days 1, 8, and 15 of every 4-week cycle
PlaceboOther
Orally two times daily
| Study group | Role | What they receive |
|---|---|---|
| BBI608 plus Paclitaxel | Experimental | Not described Receives: Drug: BBI608; Drug: Paclitaxel |
| Placebo plus Paclitaxel | Placebo comparator | Not described Receives: Drug: Paclitaxel; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
The primary objective of this study is to assess the effect of orally administered BBI608 plus weekly paclitaxel, in comparison to placebo plus weekly paclitaxel on the Overall Survival of patients with advanced histopathologically confirmed gastric or gastroesophageal junction adenocarcinoma who failed treatment with one platinum/fluoropyrimidine containing regimen for unresectable or metastatic disease.
Measured: 36 months
Secondary outcomes (4)
Progression Free Survival
Defined as the time from randomization to the first objective documentation of disease progression or death due to any cause which comes first. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria(RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in anon-target lesion, or the appearance of new lesions.
Measured: 36 months
Objective Response Rate
Objective Response Rate is defined as the percentage of patients with a documented complete response or partial response (CR + PR) based on RECIST 1.1.
Measured: 36 months
Disease Control Rate
Disease control Rate is defined as the percentage of patients with a documented complete response or partial response (CR + PR+SD) based on RECIST 1.1.
Measured: 36 months
Number of Patients With Adverse Events
All patients who have received at least one dose of BBI608/Placebo will be included in the safety analysis. The number of patients who experienced at least one adverse event is reported.
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2014 (estimated)
- Study startOct 2014
- Primary completion20 Sep 2017
- Study completion20 Sep 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 714 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma America, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02178956
- Sponsor's protocol ID
- BBI608-336
- Other IDs
- 2014-000774-18, 2014
- Acronym
- BRIGHTER
- Status last verified
- Nov 2023
- First submitted
- 27 Jun 2014
- Last updated
- 15 Nov 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 15 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Clinical Trial of BBI608 Plus Weekly Paclitaxel vs. Placebo Plus Weekly Paclitaxel in Adult Patients With Advanced, Previously Treated Gastric and Gastro-Esophageal Junction Adenocarcinoma
- ClinicalTrials.gov ID
- NCT02178956
- Acronym / sponsor ID
- BRIGHTER / BBI608-336
- Conditions
- Gastric Cancer, Gastroesophageal Junction Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 714 participants (actual)
- Lead sponsor
- Sumitomo Pharma America, Inc.Industry (pharma, biotech, devices)
- Study start
- Oct 2014
- Primary completion
- 20 Sep 2017 (actual)
- Study completion
- 20 Sep 2017 (actual)
- First posted
- 1 Jul 2014 (estimated)
- Results
- Posted 10 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to find out whether it is better to receive a new drug, BBI608, in addition to paclitaxel chemotherapy or better to receive paclitaxel chemotherapy alone as second line treatment for gastric and gastroesophageal junction cancer after prior first line platinum and fluoropyrimidine based chemotherapy.
Detailed description
The goal of this study is to determine if paclitaxel given together with BBI608 as second line therapy will prolong overall survival compared to paclitaxel alone.
Approximately 700 patients will be randomized with histologically or cytologically confirmed metastatic gastric or gastroesophageal junction adenocarcinoma.
Patients must have failed first line therapy with any platinum/fluoropyrimidine doublet.
BBI608/placebo will be administered daily, paclitaxel will be administered i.v. on days 1, 8 and 15 of a 4 weekly cycle.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BBI608 plus Paclitaxel | Experimental | Drug: BBI608, Drug: Paclitaxel |
| Placebo plus Paclitaxel | Placebo comparator | Drug: Paclitaxel, Other: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Cytologically or histologically confirmed advanced gastric or GEJ adenocarcinoma that is metastatic or locally advanced and unresectable.
- Failed treatment with one regimen containing at least a platinum/fluoropyrimidine doublet for unresectable or metastatic disease.Treatment failure is defined as progression of disease (clinical or radiologic) during first line treatment for unresectable or metastatic disease or ≤ 6 months after last dose of first line treatment.
- Paclitaxel therapy is appropriate for the patient and is recommended by the Investigator.
- Imaging investigations including CT/MRI of chest/abdomen/pelvis or other scans as necessary to document all sites of disease done within 21 days prior to randomization. Patients with either measurable disease OR non-measurable evaluable disease will be eligible.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
Key exclusion criteria (14 listed)
- Anti-cancer chemotherapy or biologic therapy if administered prior to the first planned dose of BBI608/placebo within period of time equivalent to the usual cycle length of the regimen. An exception is made for oral fluoropyrimidines (e.g. capecitabine, S-1), where a minimum of 10 days since last dose must be observed prior to the first planned dose of BBI608/placebo.Radiotherapy, immunotherapy, or investigational agents within four weeks of first planned dose of BBI608/placebo, with the exception of a single dose of radiation up to 8 Gray (equal to 800 RAD) with palliative intent for pain control up to 14 days before randomization.
- Prior taxanes in the neoadjuvant or adjuvant setting with progression occurring within 6 months of completion of taxane therapy; or any taxanes in the metastatic setting.
- More than one prior chemotherapy regimen administered in the metastatic setting.
- Major surgery within 4 weeks prior to randomization.
- Any known symptomatic brain metastases requiring steroids.
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 |
|---|---|---|
| BBI608Also: Napabucasin, BB608, BBI-608BBI608 480 mg orally two times daily (960 mg total daily dose) | Drug | BBI608 plus Paclitaxel |
| PaclitaxelPaclitaxel 80 mg/m2 I.V. infusion on Days 1, 8, and 15 of every 4-week cycle | Drug | BBI608 plus Paclitaxel, Placebo plus Paclitaxel |
| PlaceboOrally two times daily | Other | Placebo plus Paclitaxel |
Primary outcome
Overall Survival
Time frame: 36 months
The primary objective of this study is to assess the effect of orally administered BBI608 plus weekly paclitaxel, in comparison to placebo plus weekly paclitaxel on the Overall Survival of patients with advanced histopathologically confirmed gastric or gastroesophageal junction adenocarcinoma who failed treatment with one platinum/fluoropyrimidine containing regimen for unresectable or metastatic disease.
4 secondary outcomes
Progression Free Survival
Time frame: 36 months
Objective Response Rate
Time frame: 36 months
Disease Control Rate
Time frame: 36 months
Number of Patients With Adverse Events
Time frame: 36 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Nov 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
The record lists no contact. Use the official record to reach the sponsor.
263 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BBI608 and Paclitaxel in people with Gastric Cancer and Gastroesophageal Junction Cancer, run by Sumitomo Pharma America, Inc. at 263 sites in 22 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 20 inclusion and 14 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 15 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 263 sites in United States, China, Australia, Spain, France and 17 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?
Yes. Results are posted in the registry (first posted 10 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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: 36 months). 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 15 Nov 2023.