NCT04770623

Brief Summary

To assess the role of docetaxel and irinotecan combination in second line gastric cancer. The primary end point is response rate. Secondary end points are toxicity, PFS and OS.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
32

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Mar 2021

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

February 19, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 25, 2021

Completed
8 days until next milestone

Study Start

First participant enrolled

March 5, 2021

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 9, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 9, 2023

Completed
Last Updated

January 30, 2024

Status Verified

January 1, 2024

Enrollment Period

1.8 years

First QC Date

February 19, 2021

Last Update Submit

January 26, 2024

Conditions

Keywords

gastricstomachdocetaxelirinotecanchemotherapysecond line

Outcome Measures

Primary Outcomes (1)

  • Overall response rate (ORR)

    described according to RECIST criteria

    6 months from chemotherapy

Secondary Outcomes (3)

  • Quality of life (QoL)

    three months and six months from chemotherapy

  • Progression free survival (PFS)

    One year from start of enrollment

  • Overall survival (OS)

    One year from start of enrollment

Study Arms (1)

Chemotherapy

EXPERIMENTAL

Second line treatment will be as follows * Docetaxel at 30 mg/m2 over 500 cc normal saline over 1 hour infusion * Irinotecan at 185 mg/m2 with a maximum of 300 mg given over 500 cc normal saline over 2 hours infusion * The whole regimen is to be cycled every 2 weeks for a maximum of 6 months with interim and end of treatment evaluation

Drug: DocetaxelDrug: Irinotecan

Interventions

patients with gastric cancer who have disease progression after first line treatment will receive the test protocol and evaluated for efficacy and survival

Chemotherapy

patients with gastric cancer who have disease progression after first line treatment will receive the test protocol and evaluated for efficacy and survival

Chemotherapy

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histopathological evidence of adenocarcinoma of the stomach
  • Metastatic disease or locally advanced non-resectable disease
  • Patients who received only one line of treatment
  • Performance status 0,1,2 as per ECOG scoring system

You may not qualify if:

  • Patients who received docetaxel or irinotecan before recruitment to this study
  • Multiple comorbid conditions
  • Liver or kidney impairment
  • Severe cachexia (sarcopenia)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Menoufia University, Faculty of medicine

Shibīn al Kawm, Menoufia, 32511, Egypt

Location

Related Publications (5)

  • Catalano V, Graziano F, Santini D, D'Emidio S, Baldelli AM, Rossi D, Vincenzi B, Giordani P, Alessandroni P, Testa E, Tonini G, Catalano G. Second-line chemotherapy for patients with advanced gastric cancer: who may benefit? Br J Cancer. 2008 Nov 4;99(9):1402-7. doi: 10.1038/sj.bjc.6604732.

    PMID: 18971936BACKGROUND
  • Shitara K, Muro K, Shimada Y, Hironaka S, Sugimoto N, Komatsu Y, Nishina T, Yamaguchi K, Segawa Y, Omuro Y, Tamura T, Doi T, Yukisawa S, Yasui H, Nagashima F, Gotoh M, Esaki T, Emig M, Chandrawansa K, Liepa AM, Wilke H, Ichimiya Y, Ohtsu A. Subgroup analyses of the safety and efficacy of ramucirumab in Japanese and Western patients in RAINBOW: a randomized clinical trial in second-line treatment of gastric cancer. Gastric Cancer. 2016 Jul;19(3):927-38. doi: 10.1007/s10120-015-0559-z. Epub 2015 Oct 28.

    PMID: 26510663BACKGROUND
  • Tetzlaff ED, Cheng JD, Ajani JA. Review of docetaxel in the treatment of gastric cancer. Ther Clin Risk Manag. 2008 Oct;4(5):999-1007. doi: 10.2147/tcrm.s3226.

    PMID: 19209281BACKGROUND
  • Farhat FS. A general review of the role of irinotecan (CPT11) in the treatment of gastric cancer. Med Oncol. 2007;24(2):137-46. doi: 10.1007/BF02698032.

    PMID: 17848736BACKGROUND
  • Thuss-Patience PC, Kretzschmar A, Bichev D, Deist T, Hinke A, Breithaupt K, Dogan Y, Gebauer B, Schumacher G, Reichardt P. Survival advantage for irinotecan versus best supportive care as second-line chemotherapy in gastric cancer--a randomised phase III study of the Arbeitsgemeinschaft Internistische Onkologie (AIO). Eur J Cancer. 2011 Oct;47(15):2306-14. doi: 10.1016/j.ejca.2011.06.002.

    PMID: 21742485BACKGROUND

MeSH Terms

Conditions

Stomach Neoplasms

Interventions

DocetaxelIrinotecan

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesCamptothecinAlkaloidsHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Patients from multiple oncology centers across Egypt are recruited for this study. Second line treatment of advanced gastric cancer will be tested with irinotecan and docetaxel combination
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal investigator, Lecturer of Clinical oncology

Study Record Dates

First Submitted

February 19, 2021

First Posted

February 25, 2021

Study Start

March 5, 2021

Primary Completion

January 9, 2023

Study Completion

January 9, 2023

Last Updated

January 30, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will share

Investigators of this study agreed to share IPD for free with any other investigators with the following conditions: * Sharing the data will be after publishing the primary results * Other studies using our data should submit our names as sub-investigators when publishing their results.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Sharing the data will be after publishing the primary results, expected to be by the end 0f 2022

Locations