Combination of Nimotuzumab,Capecitabine and Radiotherapy for Inoperable or Recurrent Gastric Cancer
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Purpose
The prognosis of patients with inoperable locally advanced or residual/relapsed gastric cancer is rather poor. Concurrent capecitabine chemoradiotherapy is safe and recommended. Nimotuzumab, an anti-EGFR (epidermal growth factor receptor) monoclonal antibody, has shown its antitumor safety and efficiency in many phase I/II studies. Efficiency of combination of these treatment need to be further analyzed.
| Condition | Intervention | Phase |
|---|---|---|
|
Gastric Cancer Concurrent Chemoradiotherapy |
Drug: nimotuzumab |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase II Study of Nimotuzumab and Concurrent Radiotherapy and Capecitabine for Inoperable Locally Advanced or Recurrent Gastric Cancer |
- progression-free survival [ Time Frame: 1 year progression-free survival ] [ Designated as safety issue: Yes ]progression-free survival: the time between tumor regression to progression
- overall responses [ Time Frame: 1 month after treatment ] [ Designated as safety issue: Yes ]the overall responses: complete response (CR)+ partial response(PR)+ stable disease (SD) rates based on World Health Organization(WHO) evaluation system
- overall survival time [ Time Frame: 1 month after treatment ] [ Designated as safety issue: Yes ]median overall survival time
| Estimated Enrollment: | 30 |
| Study Start Date: | May 2010 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: nimotuzumab
Combination of nimotuzumab and capecitabine concurrent chemoradiotherapy is received by patients.
|
Drug: nimotuzumab
200 milligram (mg) of nimotuzumab per week during radiation period
Other Name: Nimotuzumab injection, Tai Xin-sheng
|
Detailed Description:
There is no standard treatment for patients with inoperable locally advanced or residual/relapsed gastric cancer. For the former ones, 5-fluorouracil(5-FU) based concurrent chemoradiotherapy is a recommended treatment regimen. Concurrent capecitabine chemoradiotherapy showed similar results. So far, more and more studies have shown that drugs targeting at EGFRs play an important role in antitumor treatment. Nimotuzumab, an anti-EGFR monoclonal antibody, has shown its safety and efficiency in many phase I/II studies. Because of poor survival of patients with inoperable locally advanced or residual/relapsed gastric cancer, the efficiency of nimotuzumab plus concurrent capecitabine chemoradiotherapy need to be further analyzed.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18-75 years old, male or female
- Gastric cancer with measurable lesions, and the diameter is at least 1 cm
- Karnofsky score: at least 70
- Estimated survival: at least 6 months
- No prior target therapy or radiotherapy
- No severe hypertension, cardiac disease, or diabetes mellitus
- Normal blood routine and chemical tests
- Signed consent
Exclusion Criteria:
- Other malignancies simultaneously except in situ cervix or non-melanoma skin cancer
- Extensive distant metastases
- Pregnancy or in lactation
- Allergic to 5-Fluorouracil
Contacts and Locations| Contact: Ningning Lu, Doctor | +86 01087788280 | ykyzlyy@hotmail.com |
| Contact: Yexiong Li, Doctor | +86 01087788890 | yexiong3@yahoo.com.cn |
| China, Beijing | |
| Radiotherapy Department of Cancer Hospital, Chinese Academy of Medical Sciences | Recruiting |
| Beijing, Beijing, China, 100021 | |
| Contact: Ningning Lu, Doctor +86 01087788280 ykyzlyy@hotmail.com | |
| Contact: Yexiong Li, Doctor +86 01087788860 yexiong3@yahoo.com.cn | |
| Principal Investigator: Yexiong Li, Doctor | |
| Principal Investigator: | jing jin, M.D. | Chinese Acedemy of Medical Sciences |
More Information
No publications provided
| Responsible Party: | Jing Jin, M.D., vice chair of radiation department, Chinese Academy of Medical Sciences, Chinese Academy of Medical Sciences |
| ClinicalTrials.gov Identifier: | NCT01180166 History of Changes |
| Other Study ID Numbers: | CH-GI-010 |
| Study First Received: | August 3, 2010 |
| Last Updated: | May 28, 2013 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Chinese Academy of Medical Sciences:
|
Gastric cancer concurrent chemoradiotherapy target therapy |
Additional relevant MeSH terms:
|
Stomach Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Stomach Diseases |
Capecitabine Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 17, 2013