NCT00003748

Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of irinotecan in treating patients who have esophageal or stomach cancer.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Aug 1998

Longer than P75 for phase_2

Geographic Reach
1 country

25 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 1998

Completed
1.3 years until next milestone

First Submitted

Initial submission to the registry

November 1, 1999

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2000

Completed
4.1 years until next milestone

First Posted

Study publicly available on registry

July 22, 2004

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2005

Completed
Last Updated

August 3, 2020

Status Verified

July 1, 2012

Enrollment Period

1.8 years

First QC Date

November 1, 1999

Last Update Submit

July 30, 2020

Conditions

Keywords

stage I gastric cancerstage II gastric cancerstage III gastric cancerstage IV gastric cancerrecurrent gastric cancerstage I esophageal cancerstage II esophageal cancerstage III esophageal cancerstage IV esophageal cancerrecurrent esophageal canceradenocarcinoma of the stomachadenocarcinoma of the esophagus

Outcome Measures

Primary Outcomes (1)

  • To determine the antitumor activity of irinotecan hydrochloride (CPT-11) in patients with unresectable adenocarcinoma of the esophagus and gastric cardia who have failed prior chemotherapy

    2 years

Secondary Outcomes (1)

  • Evaluate the toxicities of irinotecan hydrochloride (CPT-11) in the patient population

    2 years

Study Arms (1)

irinotecan hydrochloride

EXPERIMENTAL

One course of therapy is comprised of a 4-week treatment period and a two-week rest period. Drug administration will be based on actual calculated body surface area. Starting dose will be 125 mg/m2/day given once per week on four consecutive weeks.

Drug: irinotecan hydrochloride

Interventions

One course of therapy is comprised of a 4-week treatment period and a two-week rest period. Drug administration will be based on actual calculated body surface area. Starting dose will be 125 mg/m2/day given once per week on four consecutive weeks.

Also known as: CPT-11
irinotecan hydrochloride

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients must be \> 18 years of age
  • Patients must have a performance status of 0-2 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale
  • Patients must have a predicted life expectancy of at least 12 weeks
  • Patients must have a pretreatment granulocyte count of \>1500/mm3, a hemoglobin level of \>9.0 gm/dL and the platelet count of \>100000/mm3
  • Patients must have adequate renal function as documented by a serum creatinine \< 2.0 mg/dL
  • Patients must have adequate hepatic function as documented by a serum bilirubin \< 1.5 mg/dL, regardless of whether patients have liver involvement secondary to tumor. Aspartate transaminase must be \< 3 x institutional upper limit of normal unless the liver is involved with tumor, in which case the aspartate transaminase must be \< 5 x institutional upper limit of normal
  • Patients must have histologically proven adenocarcinoma of the esophagus or gastric cardia with progression despite prior chemotherapy
  • Patients must have disease radiologically measurable bidimensionally
  • Patients must have an interval of 4 weeks from prior chemotherapy, immunotherapy, or radiation therapy

You may not qualify if:

  • Patients with any active or uncontrolled infection
  • Patients with psychiatric disorders that would interfere with consent or follow-up
  • Patients with a history of myocardial infarction within the previous six months or congestive heart failure requiring therapy
  • Patients with a history of prior malignancy except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for at least five years
  • Pregnant or lactating women. Men and women of reproductive potential may not participate unless they have agreed to use an effective contraceptive method
  • Presence of clinically apparent central nervous system metastases or carcinomatous meningitis
  • Patients with uncontrolled diabetes mellitus
  • Patients with any other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study
  • Prior therapy with a deoxyribonucleic acid (DNA) topoisomerase inhibitor
  • Patients with known Gilbert's syndrome

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

Comprehensive Blood and Cancer Center

Bakersfield, California, 93309, United States

Location

St Jude Heritage Health Foundation

Fullerton, California, 92835, United States

Location

Daniel Freeman Memorial Hospital

Inglewood, California, 90301, United States

Location

UCLA - Antelope Valley Cancer Center

Lancaster, California, 93534, United States

Location

Pacific Shores Medical Group

Long Beach, California, 90813, United States

Location

Jonsson Comprehensive Cancer Center, UCLA

Los Angeles, California, 90095-1781, United States

Location

Community Hospital of the Monterey Peninsula

Monterey, California, 93940, United States

Location

Office of Jerome L. Rubin

Monterey, California, 93940, United States

Location

Office of Eddie Hu, M.D.

Monterey Park, California, 91754, United States

Location

Ventura County Hematology-Oncology Medical Group, Inc.

Oxnard, California, 93030, United States

Location

Wilshire Oncology Medical Center

Pomona, California, 91767, United States

Location

Salinas Valley Memorial Hospital

Salinas, California, 93901, United States

Location

Cancer Center of Santa Barbara

Santa Barbara, California, 93105, United States

Location

Sansum Medical Clinic

Santa Barbara, California, 93105, United States

Location

James L. Poth, M.D., Michael Alexander, M.D., Inc.

Santa Cruz, California, 95065, United States

Location

Marian Medical Center

Santa Maria, California, 93454, United States

Location

Office of Marilou Terpenning

Santa Monica, California, 90404, United States

Location

Office of Robert C. Klein

Santa Monica, California, 90404, United States

Location

Dominican and Watsonville Community Hospital

Soquel, California, 95073, United States

Location

Los Robles Regional Medical Center

Thousand Oaks, California, 91360, United States

Location

Cancer Care Associates Medical Group

Torrance, California, 90505, United States

Location

UCLA Cancer Center - Santa Clarita

Valencia, California, 91355, United States

Location

Oncology Medical Center of North County

Vista, California, 92083, United States

Location

Valley Hematology and Oncology

West Hills, California, 91307, United States

Location

Cancer Care Consultants

Las Vegas, Nevada, 89119, United States

Location

MeSH Terms

Conditions

Esophageal NeoplasmsStomach NeoplasmsAdenocarcinoma Of Esophagus

Interventions

Irinotecan

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsHead and Neck NeoplasmsDigestive System DiseasesEsophageal DiseasesGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

CamptothecinAlkaloidsHeterocyclic Compounds

Study Officials

  • Joel R. Hecht, MD

    Jonsson Comprehensive Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 1, 1999

First Posted

July 22, 2004

Study Start

August 1, 1998

Primary Completion

June 1, 2000

Study Completion

January 1, 2005

Last Updated

August 3, 2020

Record last verified: 2012-07

Locations