Anti-HER2 Therapy in Patients of HER2 Positive Metastatic Carcinoma of Digestive System
Multicenter, Phase II Study of Chemotherapy in Combination With Trastuzumab in Patients of Pretreated, HER2 Positive, Relapse or Metastatic Carcinoma of Digestive System
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
September 2021
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
To seek the efficacy signals of trastuzumab in combination with chemotherapy in pretreated patients of HER2 positive, relapse or metastatic carcinoma of digestive system as response rate (RR) determined by the Investigator using RECIST 1.1, and provide evidence for phase III clinical trial.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
100 participants
Study completion date
September 2021
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 1 sites
Trial Relationships
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Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
May 16, 2017
Actual (reported)
First Posted
June 14, 2017
Actual (reported)
Study Start
July 1, 2017
Actual (reported)
Primary Completion
July 2021
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
September 2021
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Human epidermal growth factor receptor 2Biliary tract cancerEsophageal squamous cell carcinomaTargeted therapycolorectal cancer
Outcome Measures
Primary Outcomes (1)
Response Rate(RR) for each cohort in intent to treat (ITT) population
The percentage of patients, whose tumor volume in first time shrink to pre-defined criteria, including CR and PR
baseline up to death or disease progression,which ever occurs first(up to approximately 8.5 years)
Secondary Outcomes (9)
Disease control rate
baseline up to death or disease progression,which ever occurs first(up to approximately 8.5 years)
best overall response
10-30 weeks
Study Arms (4)
GI tumor beyond CRC, ESCC, BTC,GC&GEJA
EXPERIMENTAL
HER2 positive GI tumor beyond CRC, ESCC, BTC,GC\&GEJA
Drug: chemotherapy in combination with trastuzumab for arm1
Esophageal squamous cell carcinoma
EXPERIMENTAL
HER2 positive Esophageal squamous cell carcinoma
Drug: chemotherapy in combination with trastuzumab for arm2
Biliary tract cancer
EXPERIMENTAL
HER2 positive Biliary tract cancer
Interventions
chemotherapy in combination with trastuzumab for arm1Drug
Arm1: GI tumor beyond CRC, ESCC, BTC and GC\&GEJA Trastuzumab (Herceptin ®): 6 mg/kg every 3 weeks (8 mg/kg as loading dose at 1st administration), iv, d1.The first infusion is to be given over 90 minutes, and subsequent infusions are to be given over 30 minutes if the first infusion is well tolerated.Combined chemotherapy (by investigator's choice)
GI tumor beyond CRC, ESCC, BTC,GC&GEJA
chemotherapy in combination with trastuzumab for arm2Drug
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Treatment programme
chemotherapy in combination with trastuzumab for arm1
The registry describes a treatment programme. Individual components, doses and actual administration are not established by this entry.
Xu T, Wang X, Xin Y, Wang Z, Gong J, Zhang X, Li Y, Ji C, Sun Y, Zhao F, Huang D, Bai Y, Li J, Shen L. Trastuzumab Combined with Irinotecan in Patients with HER2-Positive Metastatic Colorectal Cancer: A Phase II Single-Arm Study and Exploratory Biomarker Analysis. Cancer Res Treat. 2023 Apr;55(2):626-635. doi: 10.4143/crt.2022.1058. Epub 2022 Dec 23.
baseline up to death or disease progression,which ever occurs first(up to approximately 8.5 years)
Overall survival
baseline up to death or disease progression,which ever occurs first(up to approximately 8.5 years)
time to response
6-30 weeks
+4 more secondary outcomes
Drug: chemotherapy in combination with trastuzumab for arm3
Colorectal cancer
EXPERIMENTAL
HER2 positive and RAS/BRAF wild type colorectal cancer
Drug: chemotherapy in combination with trastuzumab for arm4
Arm2: esophageal squamous cell carcinoma (ESCC) Trastuzumab (Herceptin ®): the same as above Combined with Irinotecan: 120 mg/m2 IV, day 1 and day 8, every 3 weeks.
Esophageal squamous cell carcinoma
chemotherapy in combination with trastuzumab for arm3Drug
Arm 3: biliary tract cancer (BTC) Trastuzumab (Herceptin®): the same as above Combined chemotherapy (by investigator's choice) The combined chemotherapy of cohort 1 and 3 is Irinotecan: 120 mg/m2 IV, day 1and day 8, every 3 weeks.
OR 5-Fu: 720 mg/m2/day, continuous IV. Infusion over 5 days, every 3 weeks. OR Capecitabine(Xeloda®):1000 mg/m2 bid, d1-d14, every 3 weeks. The chemotherapy regimen is chosen at the Investigator's discretion and can be determined on an individual patient basis. Special cases should be discussed with the principal investigator.
Biliary tract cancer
chemotherapy in combination with trastuzumab for arm4Drug
Trastuzumab (Herceptin ®): same as above Combined with Irinotecan: 120 mg/m2 iv, day 1and day 8, every 3 weeks. OR Capecitabine(Xeloda®)1000 mg/m2 bid, d1-d14, every 3 weeks. OR Irinotecan: 120 mg/m2 iv, day 1and day 8 and Capecitabine(Xeloda®)1000 mg/m2 bid, d1-d14, every 3 weeks (by investigator's choice)
Colorectal cancer
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Histologically confirmed Colorectal cancer,Esophagus squamous cell carcinoma, biliary tract cancer, and digestive system tumor beyond CRC and GC\&GEJA with the following specifications:
genetic testing conformed KRAS/NRAS/BRAF all wild type for colorectal cancer
Detection of a carcinoma with HER2 3+ (IHC) or HER2 2+ (IHC) with amplification proven by fluorescence in situ hybridization(FISH), silver in situ hybridization(SISH) or chromogenic in situ hybridization(CISH) using gastric cancer criteria by an accredited local pathologist.
Relapse or metastatic diseases, at least one measurable lesion according to RECIST 1.1, anticipated survival ≥ 12 weeks.
ECOG Performance status 0-1.
Patients who failed at least first line systemic therapy.
Adequate organ function as determined by the following laboratory results:
Absolute neutrophil count ≥1500 cells/mm3,
Platelet count ≥ 90,000 cells/mm3,
Hemoglobin ≥9.0 g/dL
Total bilirubin ≤ 1.5 upper limit of normal (ULN).
serum glutamate oxaloacetate transaminase(SGOT,AST), serum glutamate pyruvate transaminase(SGPT,ALT) \< 2.5 ULN without liver metastases; \< 5 ULN with liver metastases.
serum creatinine \< 1.5
+2 more criteria
You may not qualify if:
Known hypersensitivity against treatment regimen.
Baseline left ventricular ejection fraction(LVEF) \< 50% (measured by echocardiography or MUGA).
Previous anti-her treatment.
Immune therapy, biological therapy or any participation in clinical trial in previous two weeks.
Surgery and not recovered in previous three weeks
Clinical evidence of brain metastases, or uncontrolled epilepsy.
Serious uncontrolled systemic intercurrent illness, e.g. infections or poorly controlled diabetes.
Other malignancy within the last 5 years, except for carcinoma in situ of the cervix, or basal cell carcinoma.
Clinically significant active coronary heart disease, cardiomyopathy or congestive heart failure, New York Heart Association(NYHA) III-IV; poorly controlled hypertension (systolic BP \> 180 mmHg or diastolic BP \> 100 mmHg); clinically significant valvular heart disease; unstable angina pectoris, myocardial infarction or high risk uncontrollable arrhythmias.
Long term or high dose corticosteroids administration ( inhalation or short term oral administration for antiemesis and orexigenic is allowed)
Patients of legally incapacity or of medical and ethical reasons not fit for study.
Pregnant or lactating, or intending to become pregnant during the study.
Jaundice, ascites, and / or alkaline phosphatase ≥3 × ULN; and / or ≥3 grade (CTC-AE) of persistent proteinuria, urinary protein / creatinine ratio\> 3.5g / 24 hours or renal failure need blood or peritoneal dialysis.
Presence of \> grade 2(CTC-AE) persistent infection; unhealed wounds, ulcer or fracture, or patients with a history of organ transplant.
Evidence of coagulation disorders. Like presence ≥grade 3 (CTC-AE) bleeding events.
+7 more criteria
Contact the study team to confirm eligibility.
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Squamous Cell
Esophageal Neoplasms
Gastrointestinal Neoplasms
Head and Neck Neoplasms
Esophageal Diseases
Gastrointestinal Diseases
Intestinal Neoplasms
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Intervention Hierarchy (Ancestors)
TherapeuticsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins
Study Completion
September 2021
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
July 19, 2019
Record last verified: 2019-07
Data Sharing
IPD Sharing
Will not share
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.