Phase II Trial Evaluating Irinotecan and Capecitabine Relapsed/Refractory Upper GI Tumours

NCT00220168 | Completed Phase 4

• 1 other identifier: 2166
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to assess the efficacy and toxicity of a 3 weekly regimen containing irinotecan combined with capecitabine in the setting of relapsed or refractory upper gastrointestinal tumours. Patients with locally advanced or metastatic adenocarcinoma or squamous cell carcinoma originating from the oesophagus, oesophagogastric junction or stomach who have previously received chemotherapy and have either failed to respond or who have relapsed within 3 months after an initial response will be eligible for treatment in this study. The response rate, failure-free survival and overall survival of treated patients will be evaluated. Toxicity and quality of life will also be monitored closely.

Conditions

Upper Gastrointestinal Tumours

Outcome Measures

Primary Outcomes (2)

• Response rates

• Time to disease progression (TTP)

Secondary Outcomes (3)

• Survival

• Quality of life

• Toxicity (incidence of febrile neutropenia, in-patient admissions, severity of diarrhea, mucositis, aesthesia, transfusion requirements).

Interventions

Irinotecan, Capecitabine DRUG

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Histologically proven adenocarcinoma or squamous cell carcinoma of oesophagus, O-G junction and stomach, not amenable to surgical resection.
• Bidimensionally measurable disease, or unidimensional measurable disease assessable by CT scanning, not within previously irradiated areas.
• Patients with progressive disease during previous chemotherapy treatment or within three months of stopping treatment.
• No previous exposure to irinotecan.
• Adequate bone marrow function with platelets \>100 X 109/L; WBC \> 3 X 109/L; Neutrophils \> 1.5 X 109/L at the time of study entry.
• Satisfactory renal function. Creatinine clearance (measured by Cockcroft and Gault) \>50ml/min and Cr \<135.
• Satisfactory liver function:
• In the absence of liver metastases: Bilirubin \< 1.25N (N=upper limit of normal range) Hepatic transaminases \< 2.5N Prothrombin time \< 1.5N
• In the presence of liver metastases: Bilirubin \< 1.5N Hepatic transaminases \< 5N Prothrombin time \< 1.5N
• No uncontrolled medical condition
• No previous malignant disease except for non-melanotic skin cancer or in-situ carcinoma of the uterine cervix.
• ECOG performance status of 0, 1 or 2.
• Predicted life expectancy of \> 3 months.
• Adequate contraceptive precautions
• Informed written consent

You may not qualify if:

• Medical or psychiatric conditions resulting in inability of patient to give written consent.
• ECOG Performance status \>2
• Intracerebral metastases or meningeal carcinomatosis
• Unresolved bowel obstruction
• Creatinine clearance \<50ml/min, Cr \>135
• Uncontrolled angina pectoris, heart failure (New York heart classification 3 or 4).
• Pregnancy/lactation
• Previous malignancy other than adequately treated basal cell carcinoma of the skin or cervical carcinoma in situ.

Sponsors & Collaborators

• Royal Marsden NHS Foundation Trust: lead

Study Sites (1)

Royal Marsden Hospital

Sutton, Surrey, SM2 5PT, United Kingdom

Location

MeSH Terms

Interventions

Irinotecan; Capecitabine

Intervention Hierarchy (Ancestors)

Camptothecin; Alkaloids; Heterocyclic Compounds; Deoxycytidine; Cytidine; Pyrimidine Nucleosides; Pyrimidines; Heterocyclic Compounds, 1-Ring; Fluorouracil; Uracil; Pyrimidinones; Deoxyribonucleosides; Nucleosides; Nucleic Acids, Nucleotides, and Nucleosides

Study Officials

• David Cunningham

  Royal Marsden NHS Foundation Trust

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 19, 2005
• First Posted: September 22, 2005
• Study Start: January 1, 2003
• Last Updated: December 16, 2009

Record last verified: 2009-12

Locations

GB (1)