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Stomach NeoplasmsPhase 3NCT02289547

Phase 3 Study of Xelox Followed by Maintenance Capecitabine in the Advanced Gastric Cancer

A Phase 3 study testing Capecitabine in people with Stomach Neoplasms, run by The Catholic University of Korea at 8 sites in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

XELOX regimen had a more favorable toxicity profile compared to cisplatin for patients with advanced gastric cancer. The safety profile of oxaliplatin makes it an ideal candidate for combination therapy. However, oxaliplatin induce sensory neuropathy, a cumulative, dose-related toxicity. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stomach Neoplasms
What is being tested?
Capecitabine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
184 participants
Where
8 sitesSouth Korea
Study dates
May 2015to Jan 2019
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically proven gastric cancer
  • Minimum age of 18 years
  • Stage IV (regardless of the presence or absence of measurable disease by RECIST criteria) or recurrent after curative surgery
  • Negative expression (0, 1) of Her2 Immuno-histochemistry or negative amplification of FISH in Her2 Immuno-histochemistry 2+
  • More than stable disease after 6 cycle 1st line of XELOX chemotherapy (OR non-Complete response/non-Progressive disease in cases of non-measurable disease before XELOX chemotherapy)
  • Eastern Cooperative Oncology Group Performance status 0-2
Show all 10Show fewer
  • Adequate bone marrow function: Absolute neutrophil count ≥ 1,500/ul, Hemoglobin ≥ 8 g/dL, platelet ≥ 100,000/μl
  • Adequate renal function: Serum creatinine ≤ 1.5 x ULN (upper normal limit) or creatinine clearance ≥ 60 ml/min
  • Adequate hepatic function: serum bilirubin ≤ 2.5 x UNL, AST and ALT ≤ 2.5 x UNL (≤ 5 x ULN in the presence of liver metastasis)
  • Patients must sign an informed consent indicating that they are aware of the investigational nature of the study in keeping with the policy of the hospital

Who cannot join

  • Patients who were exposed previously to any chemotherapy except XELOX for advanced disease
  • Patients who received R0 or R1 resection for metastatic or recurrent gastric cancer and without evaluable/measurable disease
  • Disease relapsed during or within 4 months after adjuvant therapy
  • Patients who had central nervous system and meningeal metastases
  • Patients with significant neurologic or psychiatric disorders
  • Patients with active infection, severe heart disease, uncontrollable hypertension or diabetes mellitus, myocardial infarction during the preceding 6 months, pregnancy, or breast feeding
  • Any previous or concurrent malignancy except for adequately treated non-melanoma skin cancer, in situ cancer of uterine cervix, non-muscle invasive bladder cancer or malignancy without evidence of recurrence within 5 years

Trial locations and contacts

8 sites in 1 country.

Byoungyong Shim, M.D., Ph.D contact

82312497126

shimby@catholic.ac.kr

Ho Jung An, M.D. contact

82312497135

meicy@catholic.ac.kr

8 sites in 1 country

South Korea8 sites, 8 recruiting
  • Buchon St. Mary's Hospital

    Buchon

    Cuk Jin Lee

    Recruiting
  • Daejeon St. Mary's Hospital

    Daejeon

    Ji Chan Park

    Recruiting
  • Incheon St. Mary's Hospital

    Incheon

    Jeo Ho Byen

    Recruiting
  • Seoul St. Mary's Hospital

    Seoul

    Young Seon Hong

    Recruiting
  • St. Mary's Hospital

    Seoul

    In Sook Woo

    Recruiting
  • Bundang Seoul National hospital

    Sungnam

    Keun Wook Lee

    Recruiting
  • St. Vincent's Hospital

    Suwon, Gyeonggi-do, 442-723

    Byoungyong Shim, Ph.D., M.D, 82-31-249-8457

    Byoungyong Shim, M.D., Ph.D

    Recruiting
  • Ujeongbu St. Mary's Hospital

    Ujeongbu

    Yoon Ho Ko

    Recruiting

Other trials in South Korea

About this study

Official title: Randomized Phase 3 Study of Xelox(Capecitabine Plus Oxaliplatin) Followed by Maintenance Capecitabine or Observation in Patients With Advanced Gastric Adenocarcinoma

XELOX regimen had a more favorable toxicity profile compared to cisplatin for patients with advanced gastric cancer. The safety profile of oxaliplatin makes it an ideal candidate for combination therapy. However, oxaliplatin induce sensory neuropathy, a cumulative, dose-related toxicity. It may therefore be possible to devise capecitabine maintenance regimen which achieves maximum treatment effect before cumulative neurotoxicity appears. We study that randomized Phase III study of Xelox (Capecitabine plus Oxaliplatin) followed by maintenance Capecitabine or Observation in the gastric cancer patients of stable disease after 6 cycle 1st line of XELOX chemotherapy .

Read the detailed description

Study rationale : Park et al. observed the oxaliplatin as part of XELOX regimen had a more favorable toxicity profile compared to cisplatin for patients with advanced gastric cancer. The safety profile of oxaliplatin makes it an ideal candidate for combination therapy. However, oxaliplatin induce sensory neuropathy, a cumulative, dose-related toxicity. The response with XELOX regimen generally occurs earlier. It may therefore be possible to devise capecitabine maintenance regimen which achieves maximum treatment effect before cumulative neurotoxicity appears. This regimen was studied in colon and breast cancer.

  • Objective: Primary: To evaluate progression free survival Secondary: To evaluated overall survival, response rate, toxicity profile of chemotherapy, quality of life
  • Design :Multicenter randomized controlled phase III open label trial Study subjects will be randomized to two groups in a ratio of 1:1 Subjects More than stable disease after 6 cycle 1st line of XELOX chemotherapy (OR non-complete response/non-progressive disease in cases of non-measurable disease before XELOX chemotherapy),
  • Treatment Groups Group A : Capecitabine: Capecitabine 1000mg/m2 bid D1-14, q 3 week Group B : Observation
  • Evaluation of response and toxicity A response will be evaluated radiologically every two cycles thereafter, or when progression is suspicious by RECIST criteria version 1.1.

A progression-free survival is defined as the time from the date of randomization to the date of first documented disease progression or death due to any cause.

An overall survival is defined as the time from the 1stdate of chemotherapy to the date of death.

Safety will be evaluated every treatment by NCI-CTCAE version 4.0.

Being tested
Capecitabine
Keywords
chemotherapy, stomach neoplasms
Medical subject headings
Stomach Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CapecitabineDrug

    Also called Xeloda

    maintenance capecitabine therapy after six cycles of XELOX

Study groups in NCT02289547
Study groupRoleWhat they receive
Group ANo interventionobservational arm
Group BExperimentalarm of capecitabine maintenance treatment
Receives: Drug: Capecitabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression free survival

    every two cycles (6 weeks) until 18 weeks and then every 4 cycles (12 weeks) until progression

    Measured: From date of randomization until the date of first documented progression, whichever came first, assessed up to 2 years

Secondary outcomes (3)
  1. Overall survival

    every two cycles (6 weeks) until 18 weeks and then every 4 cycles (12 weeks) until death

    Measured: From date of randomization until the date of death from any cause, whichever came first, assessed up to 2 years

  2. quality of life in patients measured by QLQ-c30 and STO-22

    every two cycles (6 weeks) until 18 weeks and then every 4 cycles (12 weeks) until progression

    Measured: From date of randomization until the date of first documented progression, whichever came first, assessed up to 2 years

  3. Toxicity profile of each patients measured by NCI-CTCAE ver 4.0

    every two cycles (6 weeks) until 18 weeks and then every 4 cycles (12 weeks) until progression

    Measured: From date of randomization until the date of first documented progression, whichever came first, assessed up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Nov 2014 (estimated)
  2. Study startMay 2015
  3. Primary completionJan 2018 (estimated)
  4. Study completionJan 2019 (estimated)

Resources

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
None (open label)
Enrolment
184 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02289547
Sponsor's protocol ID
CMCGA1 Trial
Status last verified
Jun 2017
First submitted
30 Oct 2014
Last updated
14 Jun 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided

Publications

  • De Vita F, Orditura M, Matano E, Bianco R, Carlomagno C, Infusino S, Damiano V, Simeone E, Diadema MR, Lieto E, Castellano P, Pepe S, De Placido S, Galizia G, Di Martino N, Ciardiello F, Catalano G, Bianco AR. A phase II study of biweekly oxaliplatin plus infusional 5-fluorouracil and folinic acid (FOLFOX-4) as first-line treatment of advanced gastric cancer patients. Br J Cancer. 2005 May 9;92(9):1644-9. doi: 10.1038/sj.bjc.6602573.

    PubMed 15856038
  • Park YH, Lee JL, Ryoo BY, Ryu MH, Yang SH, Kim BS, Shin DB, Chang HM, Kim TW, Yuh YJ, Kang YK. Capecitabine in combination with Oxaliplatin (XELOX) as a first-line therapy for advanced gastric cancer. Cancer Chemother Pharmacol. 2008 Apr;61(4):623-9. doi: 10.1007/s00280-007-0515-7. Epub 2007 May 24.

    PubMed 17522863
  • Waddell T, Gollins S, Soe W, Valle J, Allen J, Bentley D, Morris J, Lloyd A, Swindell R, Taylor MB, Saunders MP. Phase II study of short-course capecitabine plus oxaliplatin (XELOX) followed by maintenance capecitabine in advanced colorectal cancer: XelQuali study. Cancer Chemother Pharmacol. 2011 May;67(5):1111-7. doi: 10.1007/s00280-010-1322-0. Epub 2010 Jul 30.

    PubMed 20676676
  • Kang YK, Kang WK, Shin DB, Chen J, Xiong J, Wang J, Lichinitser M, Guan Z, Khasanov R, Zheng L, Philco-Salas M, Suarez T, Santamaria J, Forster G, McCloud PI. Capecitabine/cisplatin versus 5-fluorouracil/cisplatin as first-line therapy in patients with advanced gastric cancer: a randomised phase III noninferiority trial. Ann Oncol. 2009 Apr;20(4):666-73. doi: 10.1093/annonc/mdn717. Epub 2009 Jan 19.

    PubMed 19153121
  • Cunningham D, Starling N, Rao S, Iveson T, Nicolson M, Coxon F, Middleton G, Daniel F, Oates J, Norman AR; Upper Gastrointestinal Clinical Studies Group of the National Cancer Research Institute of the United Kingdom. Capecitabine and oxaliplatin for advanced esophagogastric cancer. N Engl J Med. 2008 Jan 3;358(1):36-46. doi: 10.1056/NEJMoa073149.

    PubMed 18172173
  • Lee GJ, Kim H, Cho SS, Park HS, An HJ, Woo IS, Byun JH, Hong JH, Ko YH, Sun S, Won HS, Jin JY, Park JC, Kim IH, Roh SY, Shim BY. A Randomized Phase III Study of Patients With Advanced Gastric Adenocarcinoma Without Progression After Six Cycles of XELOX (Capecitabine Plus Oxaliplatin) Followed by Capecitabine Maintenance or Clinical Observation. J Gastric Cancer. 2023 Apr;23(2):315-327. doi: 10.5230/jgc.2023.23.e16.

    PubMed 37129155

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Capecitabine in people with Stomach Neoplasms, run by The Catholic University of Korea at 8 sites 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 10 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 14 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites 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 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Byoungyong Shim, M.D., Ph.D (82312497126, shimby@catholic.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression free survival (time frame: From date of randomization until the date of first documented progression, whichever came first, assessed up to 2 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 NCT02289547, which also lists 6 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 14 Jun 2017.

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