A Study of MM-111 and Paclitaxel With or Without Trastuzumab in Patients HER2 Expressing Carcinomas of the Distal Esophagus, Gastroesophageal (GE) Junction and Stomach
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Purpose
To determine whether the combination of MM-111 plus paclitaxel and trastuzumab is more effective than paclitaxel and trastuzumab alone for group 1 and to determine whether the combination of MM-111 plus paclitaxel is more effective than paclitaxel alone for group 2.
| Condition | Intervention | Phase |
|---|---|---|
|
HER-2 Gene Amplification Esophagus Cancer Gastroesophageal Junction Cancer Stomach Cancer |
Drug: MM-111 Drug: Paclitaxel Drug: Trastuzumab |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Randomized, Open Label, Phase 2 Study of MM-111 and Paclitaxel With or Without Trastuzumab in Patients With 'Traditional' and 'Non-Traditional' HER2 Expressing Carcinomas of the Distal Esophagus, Gastroesophageal (GE) Junction and Stomach Who Have Failed Front Line Metastatic or Locally Advanced Therapy |
- Progression Free Survival (PFS) [ Time Frame: The outcome of PFS will be measured montly for an estimate of 22 months after the first 50 patients are enrolled. ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 180 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | July 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm 1a
MM-111 + Paclitaxel + Trastuzumab
|
Drug: MM-111
MM-111 (IV)
Drug: Paclitaxel
Paclitaxel (IV)
Drug: Trastuzumab
Trastuzumab (IV)
|
|
Active Comparator: Arm 1b
Paclitaxel + Trastuzumab
|
Drug: Paclitaxel
Paclitaxel (IV)
Drug: Trastuzumab
Trastuzumab (IV)
|
|
Experimental: Arm 2a
MM-111 + Paclitaxel
|
Drug: MM-111
MM-111 (IV)
Drug: Paclitaxel
Paclitaxel (IV)
|
|
Active Comparator: Arm 2b
Paclitaxel
|
Drug: Paclitaxel
Paclitaxel (IV)
|
Detailed Description:
This is a randomized, open Label, Phase 2 Study of MM-111 and Paclitaxel with or without Trastuzumab in Patients with 'Traditional' and 'Non-Traditional' HER2 Expressing Carcinomas of the Distal Esophagus, Gastroesophageal (GE) Junction and Stomach Who Have Failed Front Line Metastatic or Locally Advanced Therapy. Up to 180 patients will be randomized in a 1:1 ratio between the experimental and comparator arms within each group.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients must have documentation of histologically or cytologically confirmed metastatic or locally advanced adenocarcinoma of the distal esophagus, GE junction or stomach
- Patients must have documentation of histologically or cytologically confirmed HER2 expression as follows
- Patients must be ≥18 years of age
- Patients must have ECOG PS of 0, 1, or 2
- Patients must have adequate hematologic status, renal and hepatic function
Exclusion Criteria:
- Patients with known hypersensitivity to any of the components of MM-111
- Patients with a known history of hypersensitivity to paclitaxel or other drugs formulated in Cremophor® EL
- Patients with a known history of hypersensitivity to trastuzumab or any of its components (group 1 patients only)
- Patients with an active infection or with an unexplained fever >38.5°C
Contacts and Locations| Contact: Sasha Frye | 617-441-7667 | sfrye@merrimackpharma.com |
| Contact: Kate-Lyn Best | 617-441-7670 | kbest@merrimackpharma.com |
| United States, Pennsylvania | |
| Fox Chase Cancer Center | Not yet recruiting |
| Philadelphia, Pennsylvania, United States, 19111 | |
| Contact: Joan Leahy 215-214-1472 joan.bloch@fccc.edu | |
| Principal Investigator: Crystal Denlinger, D | |
| Study Director: | Victor Moyo, MD | Merrimack Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Merrimack Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT01774851 History of Changes |
| Other Study ID Numbers: | MM-111-13-02-04 |
| Study First Received: | January 10, 2013 |
| Last Updated: | January 23, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Carcinoma Stomach Neoplasms Esophageal Neoplasms Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases Gastrointestinal Diseases Stomach Diseases |
Head and Neck Neoplasms Esophageal Diseases Paclitaxel Trastuzumab Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents, Phytogenic Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013