REAL3 Trial of Efficacy of EOX With/Without Panitumumab in Previously Untreated Adv OG Cancer
REAL3
REAL 3 : A Randomised Open-labelled Multicentre Trial of the Efficacy of Epirubicin, Oxaliplatin and Capecitabine (EOX) With or Without Panitumumab in Previously Untreated Advanced Oesophago-gastric Cancer
This date has not been verified as actual or estimated.
Primary Completion
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
To determine whether adding panitumumab, an antibody against the epidermal growth factor receptor (EGFR), to standard chemotherapy with epirubicin, oxaliplatin and capecitabine (EOX), improves the duration of survival of patients with advanced stomach and oesophageal cancer.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
terminated
Actual enrollment (reported)
574 participants
Study completion date
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 7 sites
Trial Relationships
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
Loading related publications...
Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
May 2008
Date type not reported
This date has not been verified as actual or estimated.
First Submitted
January 16, 2009
Actual (reported)
First Posted
January 19, 2009
Actual (reported)
Primary Completion
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
EOX chemotherapy (epirubicin, oxaliplatin and capecitabine)
Drug: epirubicin, oxaliplatin, capecitabine (EOX)
Arm B EOX + panitumumab.
ACTIVE COMPARATOR
EOX chemotherapy with the addition of panitumumab 9mg/kg every 21 days
Drug: EOX + panitumumab
Interventions
epirubicin, oxaliplatin, capecitabine (EOX)Drug
epirubicin 50mg/m(2) IV on day 1 oxaliplatin 130mg/m(2) IV on day 1 with hydration capecitabine 1250mg/m(2)/day PO in two divided doses continuously from days 1-21
Arm A EOX
EOX + panitumumabDrug
epirubicin 50mg/m(2) IV on day 1 oxaliplatin 100mg/m(2) IV on day 1 with hydration capecitabine 1000mg/m(2)/day PO in two divided doses continuously from days 1-21 panitumumab -9 mg/kg every 21 days
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
epirubicin, oxaliplatin, capecitabine (EOX)
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
Histologically verified inoperable locally advanced or metastatic adenocarcinoma or undifferentiated carcinoma of the oesophagus, oesophago-gastric junction, or stomach.
Slides of tumour tissue should be available for centralised EGFR staining
Smyth EC, Vlachogiannis G, Hedayat S, Harbery A, Hulkki-Wilson S, Salati M, Kouvelakis K, Fernandez-Mateos J, Cresswell GD, Fontana E, Seidlitz T, Peckitt C, Hahne JC, Lampis A, Begum R, Watkins D, Rao S, Starling N, Waddell T, Okines A, Crosby T, Mansoor W, Wadsley J, Middleton G, Fassan M, Wotherspoon A, Braconi C, Chau I, Vivanco I, Sottoriva A, Stange DE, Cunningham D, Valeri N. EGFR amplification and outcome in a randomised phase III trial of chemotherapy alone or chemotherapy plus panitumumab for advanced gastro-oesophageal cancers. Gut. 2021 Sep;70(9):1632-1641. doi: 10.1136/gutjnl-2020-322658. Epub 2020 Nov 16.
574 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head GI & Lymphoma Units
Study Record Dates
First Submitted
January 16, 2009
First Posted
January 19, 2009
Study Start
May 2008
Date type not reported
This date has not been verified as actual or estimated.
Arm B EOX + panitumumab.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Uni-dimensionally measurable disease (CT or MRI as per RECIST).
No prior chemotherapy including previous adjuvant chemotherapy
No prior radiotherapy including adjuvant radiotherapy. Patients receiving palliative radiotherapy to sites of disease that are not measurable may be eligible and should be discussed with the Chief Investigator.
Male/female patients aged ≥18 years.
WHO Performance status 0, 1 or 2.
Patients should have a projected life expectancy of at least 3 months.
Completion of baseline quality of life questionnaire (EORTC QLQ C30).
Adequate cardiac function; formal measurement of left ventricular ejection fraction is only required if clinically indicated.
Adequate bone marrow function: absolute neutrophil count (ANC) ≥1.5x109/l; white blood cell count ≥ 3x109/l; platelets ≥ 100x109/l; haemoglobin (Hb) ≥ 9g/dl (can be post-transfusion).
Adequate liver function: serum bilirubin ≤1.5x ULN; ALT/AST ≤2.5x ULN; ALP ≤3x ULN (in the absence of liver metastases). If liver metastases are present, serum transaminases ≤5x ULN are permitted.
Written informed consent must be obtained from the patient before any study-specific procedures are performed (see Section 12.0).
Note: Epidermal growth factor receptor (EGFR) positivity by immunohistochemistry will not be required for study entry. Slides obtained from previously collected paraffin embedded archived specimens will be collected centrally for EGFR staining. A multivariate analysis will then be performed to exclude any effects of EGFR status on outcome measures
You may not qualify if:
Tumours of squamous histology.
Patients with locally advanced oesophageal cancer suitable for definitive chemoradiotherapy.
Documented or symptomatic brain metastases and/or central nervous system metastases or leptomeningeal disease.
Any major surgery within 4 weeks prior to the start of study treatment.
Any prior treatment with an EGFR signal transduction directed therapy.
Treatment with non-permitted medication.
Clinically significant (i.e. active) cardiac disease e.g. symptomatic coronary artery disease, uncontrolled cardiac dysrhythmia, or myocardial infarction within the last 12 months. Patients with any history of clinically significant cardiac failure are excluded from study entry.
History of interstitial lung disease (e.g., pneumonitis or pulmonary fibrosis) or evidence of interstitial lung disease on baseline chest CT scan.
Known peripheral neuropathy \>Grade 1 (absence of deep tendon reflexes as the sole neurological abnormality does not render the patient ineligible).
Lack of physical integrity of the upper gastro-intestinal tract, malabsorption syndrome, or inability to take oral medication (administration of capecitabine by naso-gastric or jejunostomy feeding tube is permitted).
Known dihydropyrimidine dehydrogenase (DPD) deficiency.
Known hypersensitivity to panitumumab, components of the EOX regimen, or any of the constituents of these agents.
Known positive tests for human immunodeficiency virus (HIV) infection, hepatitis C virus, acute or chronic active hepatitis B infection.
Other clinically significant disease or co-morbidity which may adversely affect the safe delivery of treatment within this trial.
Female patients who may be pregnant or breastfeeding. Potential female patients of childbearing potential must have a negative pregnancy test within 7 days prior to randomisation, or have had amenorrhea for more than 2 years.
+3 more criteria
Contact the study team to confirm eligibility.
DERIVED
Glycosides
Carbohydrates
Coordination Complexes
Deoxycytidine
Cytidine
Pyrimidine Nucleosides
Pyrimidines
Heterocyclic Compounds, 1-Ring
Heterocyclic Compounds
Fluorouracil
Uracil
Pyrimidinones
Deoxyribonucleosides
Nucleosides
Nucleic Acids, Nucleotides, and Nucleosides
Antibodies, Monoclonal, Humanized
Antibodies, Monoclonal
Antibodies
Immunoglobulins
Immunoproteins
Blood Proteins
Proteins
Amino Acids, Peptides, and Proteins
Serum Globulins
Globulins
Primary Completion
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
February 2013
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
December 11, 2012
Record last verified: 2012-12
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.