Status:

COMPLETED

LOGiC - Lapatinib Optimization Study in ErbB2 (HER2) Positive Gastric Cancer: A Phase III Global, Blinded Study Designed to Evaluate Clinical Endpoints and Safety of Chemotherapy Plus Lapatinib

Lead Sponsor:

Novartis Pharmaceuticals

Conditions:

Neoplasms, Gastrointestinal Tract

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This was an international multi-center trial that enrolled patients with locally advanced, unresectable, or metastatic gastric, esophageal, or gastro-esophageal junction cancer whose tumors had amplif...

Eligibility Criteria

Inclusion

  • Key inclusion criteria:
  • Histologically confirmed gastric adenocarcinoma or adenocarcinoma of the esophagus or gastro-esophageal junction.
  • Gastric cancer that is unresectable due to locally advanced (defined as stage IV: T4N1-3 or TanyN3), metastatic, or locally recurrent disease; Esophageal cancer that is unresectable due to locally advanced (T3N1 or T4Nany), metastatic or locally recurrent disease.
  • Measurable or non-measurable, but radiologically evaluable disease, according to RECIST.
  • HER2 amplification by FISH assessed by the local or designated central laboratory; Subjects with unknown HER2 status were not eligible.
  • Adequate organ function, as defined in the study protocol, assessed within 14 days prior randomization.
  • Cardiac ejection fraction within institutional range of normal as measured by echocardiogram (ECHO).
  • Prior/Concurrent Therapy:
  • At least 3 weeks following major surgery, such as gastrectomy, and were recovered from any related toxicity More than 5 years since prior chemotherapy for malignancy other than GC. At least 4 weeks since prior radiotherapy
  • More than 5 years since prior biologic or hormonal therapy or immunotherapy for malignancy other than gastric carcinoma.
  • Key exclusion criteria:
  • Pregnant or lactating females at any time during the study.
  • Known history of active CNS disease.
  • Uncontrolled ascites.
  • Concurrent anti-cancer therapy (chemotherapy, radiation therapy other than for pain relief, immunotherapy, biologic therapy, hormonal therapy or surgery) while taking investigational treatment.
  • Gastric carcinoid, epidermoid, sarcomas, or squamous cell carcinoma.
  • Prior palliative chemotherapy for the treatment of gastric cancer.
  • Prior treatment with oxaliplatin-based neoadjuvant or adjuvant chemotherapy completed \<12 months.
  • Malabsorption syndrome or uncontrolled inflammatory gastrointestinal disease (such as Crohn's disease or ulcerative colitis).
  • Known history of uncontrolled or symptomatic angina, arrhythmias, or congestive heart failure.
  • Uncontrolled infection.
  • History of other malignancy. However, subjects who were disease-free for 5 years, or subjects with a history of a completely resected non-melanoma skin cancer or successfully treated in situ carcinoma, were eligible.

Exclusion

    Key Trial Info

    Start Date :

    June 4 2008

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    October 3 2024

    Estimated Enrollment :

    545 Patients enrolled

    Trial Details

    Trial ID

    NCT00680901

    Start Date

    June 4 2008

    End Date

    October 3 2024

    Last Update

    August 7 2025

    Active Locations (183)

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    Page 1 of 46 (183 locations)

    1

    Novartis Investigative Site

    Alhambra, California, United States, 91801

    2

    Novartis Investigative Site

    Fullerton, California, United States, 92835

    3

    Novartis Investigative Site

    La Verne, California, United States, 91750

    4

    Novartis Investigative Site

    Northridge, California, United States, 91328