NCT01814345

Brief Summary

Gastric cancer remains a major health issue and a leading cause of cancer death worldwide, although the prevalence and mortality of the disease have gradually decreased. The investigators have very few options for patients with advanced disease. The trastuzumab for Gastric Cancer (ToGA) trial, a pivotal randomized clinical trial of patients with HER-2 positive advanced, mostly metastatic, gastric cancer, proved the efficacy of trastuzumab (anti-Her 2 therapy) in combination with chemotherapy. The median overall survival was significantly prolonged in the trastuzumab-containing arm (13.8 vs. 11.1 months; HR 0.74; p=0.0046) without unexpected toxicity including cardiac events. The survival benefit was most pronounced in the subgroup of high HER-2/neu protein overexpression (median overall survival of 16 months). Only 20% of the patients screened and subsequently enrolled for this study were found to be HER2-positive when utilizing both immunohistochemistry and FISH. Her2 testing is recommended for all patients with advanced gastric cancers and type III oesophageal adenocarcinomas. Data on Indian patients is lacking. Hence, the investigators plan to test for Her 2 in 100 patients with IHC and FISH in 2+ and 3+ patients.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jun 2013

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

February 27, 2013

Completed
20 days until next milestone

First Posted

Study publicly available on registry

March 19, 2013

Completed
2 months until next milestone

Study Start

First participant enrolled

June 1, 2013

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2017

Completed
Last Updated

April 27, 2017

Status Verified

April 1, 2017

Enrollment Period

3.7 years

First QC Date

February 27, 2013

Last Update Submit

April 25, 2017

Conditions

Keywords

Her2 testing (Human Epidermal Growth Factor Receptor 2)

Outcome Measures

Primary Outcomes (1)

  • Incidence of Her2 testing in Gastric cancer

    Immuno-histochemistry will be done in all patients. Patients with 2 and 3+ IHC will also have FISH done.

    6 month

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

100 consecutive Gastric Cancer

You may qualify if:

  • consecutive patients with gastric cancer who have a pathology specimen at TMH

You may not qualify if:

  • If histopathology blocks were not available

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Tata Memorial Hospital

Mumbai, Maharashtra, 400012, India

Location

MeSH Terms

Conditions

Stomach Neoplasms

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Study Officials

  • Dr Bhawna Sirohi, MBBS DCH

    Consulting Medical Oncologist

    PRINCIPAL INVESTIGATOR
  • Shailesh Shrikhande, MS

    Professor of Surgical GI and HPB surgery

    PRINCIPAL INVESTIGATOR
  • Mukta Ramadwar, MD

    Consultant Pathologist

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Consulting Medical Oncologist

Study Record Dates

First Submitted

February 27, 2013

First Posted

March 19, 2013

Study Start

June 1, 2013

Primary Completion

February 1, 2017

Study Completion

February 1, 2017

Last Updated

April 27, 2017

Record last verified: 2017-04

Locations