An International Phase 2 Study Of SU011248 In Patients With Advanced / Metastatic Gastric Cancer Failing Chemotherapy
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Purpose
The study consisted of two parts. In Part 1 the study enrolled 38 patients (Step 1 Simon 2 step design) after which Step 2 was opened and the total enrollment target for the study (n=63) was exceeded due to a rapid enrollment (78 patients were entered). Part 2 of the study did not open due to the final overall insufficiency of efficacy observed in 78 patients. Sunitinib (SU011248) was administered orally daily for 4 weeks followed by a 2-week rest at a starting dose of 50 mg with provision for dose reduction based on tolerability. All patients received repeated cycles of sunitinib until disease progression, occurrence of unacceptable toxicity, or other withdrawal criteria were met. After discontinuation of treatment, patients were followed up in order to collect information on further antineoplastic therapy and survival.
| Condition | Intervention | Phase |
|---|---|---|
|
Stomach Neoplasms |
Drug: Sunitinib |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open Label International Multi-Center Phase 2 Activity And Safety Study Of SU011248 In Patients With Advanced / Metastatic Gastric Cancer Progressing Or Recurring After One Prior Chemotherapy |
- Best Overall Response [ Time Frame: From start of study treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter ] [ Designated as safety issue: No ]
- Objective Response (Complete Response (CR) or Partial Response (PR)) [ Time Frame: From start of study treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter ] [ Designated as safety issue: No ]
- Clinical Benefit Response (CBR)-Complete Response (CR), Partial Response (PR) or Stable Disease (SD) With Duration ≥ 24 Weeks [ Time Frame: From start of study treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter or clinical benefit response for at least 24 weeks on study ] [ Designated as safety issue: No ]
- Duration of Response (CR or PR) [ Time Frame: Day 28 of Cycle 1 and Day 28 of Cycles thereafter or death due to cancer ] [ Designated as safety issue: No ]
- Progression-Free Survival [ Time Frame: From start of study treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter or death ] [ Designated as safety issue: No ]
- Time to Tumor Progression (TTP) [ Time Frame: From start of study treatment until Day 28 of Cycle 1, Day 28 of Cycles thereafter ] [ Designated as safety issue: No ]
- Overall Survival [ Time Frame: From start of study treatment until death ] [ Designated as safety issue: No ]
| Enrollment: | 78 |
| Study Start Date: | January 2006 |
| Study Completion Date: | May 2008 |
| Primary Completion Date: | May 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: A
50mg daily, taken by mouth for 28 days followed by 2 weeks of drug free period was one cycle. Cycles were repeated until progression of disease or unacceptable toxicity was observed
|
Drug: Sunitinib
50mg daily, taken by mouth for 28 days followed by 2 weeks of drug free period was one cycle. Cycles were repeated until progression of disease or unacceptable toxicity was observed
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Gastric or gastroesophageal junction adenocarcinoma cyto/histologically documented
- Disease progression/ recurrence after treatment with one prior single agent or combination chemotherapy regimen for advanced / metastatic disease (last dose at least 4 wks before study entry). Patients may have also received prior adjuvant therapy if recurrence occurred > 6 months after adjuvant therapy completion
- Evidence of measurable disease by radiographic technique
- Adequate organ function.
Exclusion Criteria:
- Clinically relevant ascites (i.e. requiring paracentesis)
- Severe weight loss
- NCI CTCAE Grade 3 hemorrhage <4 weeks of starting study treatment
- Diagnosis of second malignancy within last 3 years
- History of or known brain metastases, spinal cord compression, or carcinomatous meningitis
- Known HIV
- Serious acute or chronic illness
- Current treatment on another clinical trial
- Pregnant or breastfeeding
Contacts and Locations| China, Guang dong | |
| Pfizer Investigational Site | |
| Guangzhou, Guang dong, China, 510515 | |
| China, Jiangsu | |
| Pfizer Investigational Site | |
| Nanjing, Jiangsu, China, 210002 | |
| China | |
| Pfizer Investigational Site | |
| Beijing, China | |
| Pfizer Investigational Site | |
| Beijing, China, 100036 | |
| Hong Kong | |
| Pfizer Investigational Site | |
| Hong Kong, Hong Kong | |
| Pfizer Investigational Site | |
| Shatin, Hong Kong | |
| Italy | |
| Pfizer Investigational Site | |
| Ancona, Italy, 60020 | |
| Pfizer Investigational Site | |
| Genova, Italy, 16132 | |
| Japan | |
| Pfizer Investigational Site | |
| Kashiwa, Chiba, Japan | |
| Pfizer Investigational Site | |
| Suntougun, Shizuoka, Japan | |
| Pfizer Investigational Site | |
| Chuo-ku, Tokyo, Japan | |
| Korea, Republic of | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 110-744 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 120-752 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 138-736 | |
| Pfizer Investigational Site | |
| Seoul, Korea, Republic of, 135-710 | |
| Portugal | |
| Pfizer Investigational Site | |
| Porto, Portugal, 4200-072 | |
| Taiwan | |
| Pfizer Investigational Site | |
| Kwei-Shan, Taoyuan, Taiwan, 333 | |
| Pfizer Investigational Site | |
| Taipei, Taiwan, 100 | |
| Study Director: | Pfizer CT.gov Call Center | Pfizer |
More Information
Additional Information:
No publications provided
| Responsible Party: | Director, Clinical Trial Disclosure Group, Pfizer Inc |
| ClinicalTrials.gov Identifier: | NCT00226811 History of Changes |
| Other Study ID Numbers: | A6181054 |
| Study First Received: | September 23, 2005 |
| Results First Received: | May 14, 2009 |
| Last Updated: | December 10, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Neoplasms Stomach Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases Gastrointestinal Diseases Stomach Diseases Sunitinib |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Physiological Effects of Drugs Growth Inhibitors |
ClinicalTrials.gov processed this record on May 19, 2013