NCT00215644

Brief Summary

The purpose of this study is to compare the effectiveness and safety of experimental treatment matuzumab and ECX chemotherapy, with ECX chemotherapy. Participants invited to take part have metastatic cancer of the esophagus (gullet) or stomach.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
72

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Aug 2005

Typical duration for phase_2

Geographic Reach
4 countries

22 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 31, 2005

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

September 15, 2005

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 22, 2005

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2008

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2008

Completed
10.2 years until next milestone

Results Posted

Study results publicly available

November 2, 2018

Completed
Last Updated

November 2, 2018

Status Verified

March 1, 2018

Enrollment Period

2.9 years

First QC Date

September 15, 2005

Results QC Date

August 24, 2017

Last Update Submit

March 27, 2018

Conditions

Keywords

EsophagusGastricAdenocarcinomaEGFRmatuzumabEMD 72000randomizedEpirubicincisplatincapecitabineMetastatic Esophago-Gastric cancer

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Objective Response Assessed by Independent Review Committee

    Objective response was defined as having a complete response (CR) or a partial response (PR). Response assessment was performed using modified World Health Organization (WHO) criteria. CR: disappearance of all index and non-index lesions, without appearance of any new lesion. PR: greater than (\>) 50 percent (%) decrease from baseline in sum of product of diameters of index lesions, without appearance of any new lesion.

    Baseline up to PD or death due to any cause (up to approximately 3 years)

Secondary Outcomes (7)

  • Duration of Objective Response Assessed by Independent Review Committee

    From first documented objective response to PD or death due to any cause (up to approximately 3 years)

  • Progression-Free Survival

    Baseline up to PD or death due to any cause (up to approximately 3 years)

  • Overall Survival (OS)

    Baseline until death due to any cause (up to approximately 3 years)

  • Best Overall Change From Baseline in European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status (GHS)/Quality of Life (QoL) Score

    Baseline (Day 1), Post Baseline (Up to 3 Years)

  • Protein Biomarkers Levels

    Baseline up to approximately 3 years

  • +2 more secondary outcomes

Study Arms (2)

Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab

EXPERIMENTAL
Drug: MatuzumabDrug: EpirubicinDrug: CisplatinDrug: Capecitabine

ECX Only

ACTIVE COMPARATOR
Drug: EpirubicinDrug: CisplatinDrug: Capecitabine

Interventions

Participants will receive matuzumab 800 milligrams (mg) intravenously (IV) every week, until disease progression (PD), unacceptable toxicity, death, or consent is withdrawn.

Also known as: EMD 72000
Epirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab

Participants will receive epirubicin 50 milligrams per square meter (mg/m\^2) on Day 1 of 21-day cycle up to a maximum of 8 cycles.

ECX OnlyEpirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab

Participants will receive cisplatin 60 mg/m\^2 on Day 1 of 21-day cycle up to a maximum of 8 cycles.

ECX OnlyEpirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab

Participants will receive capecitabine 1250 mg/m\^2 daily in a 21-day cycles up to a maximum of 8 cycles.

ECX OnlyEpirubicin, Cisplatin, Capecitabine (ECX)+Matuzumab

Eligibility Criteria

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

You may qualify if:

  • Histologically confirmed gastric adenocarcinoma or adenocarcinoma of the lower third of the esophagus
  • Metastatic disease
  • Immunohistological evidence of Epidermal Growth Factor Receptor (EGFR) expression from archived tissues
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0-1
  • At least 1 measurable lesion (modified World Health Organization criteria)

You may not qualify if:

  • Previous chemotherapy, unless neo-adjuvant or adjuvant therapy completed greater than (\>) 12 months prior to study treatment
  • Radiotherapy or major surgery within 4 weeks prior to treatment
  • Brain metastases
  • Peripheral neuropathy or ototoxicity greater than or equal to (\>/=) Grade 2 (National Cancer Institute Common Terminology Criteria for Adverse Events Version 3 \[NCICTC V3\])
  • Abnormal electrocardiogram (ECG)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

Research Site

Essen, Germany

Location

Research Site

Hamburg, Germany

Location

Research Site

Oldenburg, Germany

Location

Research Site

Recklinghausen, Germany

Location

Research Site

A Coruña, Spain

Location

Research Site

Barcelona, Spain

Location

Research Site

Cadiz, Spain

Location

Research Site

Valencia, Spain

Location

Research Site

Bern, Switzerland

Location

Research Site

Geneva, Switzerland

Location

Research Site

Lausanne, Switzerland

Location

Research Site

Sankt Gallen, Switzerland

Location

Research Site

Northwood, Middlesex, United Kingdom

Location

Research Site

Bournemouth, United Kingdom

Location

Research Site

Cambridge, United Kingdom

Location

Research Site

Chelmsford, United Kingdom

Location

Research Site

Guildford, United Kingdom

Location

Research Site

Leicester, United Kingdom

Location

Research Site

London, United Kingdom

Location

Research Site

Newcastle, United Kingdom

Location

Research Site

Northwood, United Kingdom

Location

Research Site

Portsmouth, United Kingdom

Location

Related Publications (1)

  • Rao S, Starling N, Cunningham D, Sumpter K, Gilligan D, Ruhstaller T, Valladares-Ayerbes M, Wilke H, Archer C, Kurek R, Beadman C, Oates J. Matuzumab plus epirubicin, cisplatin and capecitabine (ECX) compared with epirubicin, cisplatin and capecitabine alone as first-line treatment in patients with advanced oesophago-gastric cancer: a randomised, multicentre open-label phase II study. Ann Oncol. 2010 Nov;21(11):2213-2219. doi: 10.1093/annonc/mdq247. Epub 2010 May 23.

MeSH Terms

Conditions

Esophageal NeoplasmsStomach NeoplasmsAdenocarcinoma

Interventions

matuzumabEpirubicinCisplatinCapecitabine

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsHead and Neck NeoplasmsDigestive System DiseasesEsophageal DiseasesGastrointestinal DiseasesStomach DiseasesCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Intervention Hierarchy (Ancestors)

DoxorubicinDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Results Point of Contact

Title
Merck KGaA Communication Center,
Organization
Merck Healthcare, a business of Merck KGaA, Darmstadt, Germany

Study Officials

  • Medical Responsible

    Merck KGaA, Darmstadt, Germany

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 15, 2005

First Posted

September 22, 2005

Study Start

August 31, 2005

Primary Completion

July 31, 2008

Study Completion

August 31, 2008

Last Updated

November 2, 2018

Results First Posted

November 2, 2018

Record last verified: 2018-03

Locations