Status:

COMPLETED

Gefitinib in Treating Patients With Esophageal Cancer That is Progressing After Chemotherapy

Lead Sponsor:

University of Oxford

Conditions:

Adenocarcinoma of the Gastroesophageal Junction

Esophageal Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

RATIONALE: Gefitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. It is not yet known whether gefitinib is more ef...

Detailed Description

OBJECTIVES: Primary * To assess whether gefitinib vs placebo will improve overall survival of patients with esophageal or gastroesophageal junction cancer. Secondary * To assess the toxicity of ge...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed esophageal cancer or gastroesophageal junction tumor including the following subtypes:
  • Adenocarcinoma
  • Squamous cell cancer
  • Poorly differentiated epithelial malignancy
  • Gastroesophageal junction with Siewert type I or II tumors
  • Failure after no more than 2 prior chemotherapy regimens and 1 chemoradiation course
  • Measurable or evaluable disease by CT scan
  • Patients with brain metastases must be stable and have received cranial irradiation prior to entry
  • PATIENT CHARACTERISTICS:
  • WHO performance status 0-2
  • Serum bilirubin ≤ 3 times the upper limit of normal (ULN)
  • AST/ALT ≤ 2.5 times ULN (≤ 5 x in presence of liver metastases)
  • Able to take oral tablets (whole or dispersed)
  • No evidence of clinically active interstitial lung disease (patients with chronic, stable, radiographic changes who are asymptomatic allowed)
  • No known severe hypersensitivity to gefitinib or any of the excipients of this product
  • No prior other malignancy likely to confound results or interfere with gefitinib therapy
  • No medical condition considered to interfere with the safe participation in the trial
  • Not pregnant
  • Fertile patients must use effective contraception
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • No chemotherapy (including oral) within the past 6 weeks
  • No radiotherapy to site of measurable or evaluable disease within the past 4 weeks
  • No other concurrent cytotoxic chemotherapy, immunotherapy, hormonal therapy (excluding contraceptives and replacement steroids) or experimental medications

Exclusion

    Key Trial Info

    Start Date :

    March 1 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    May 1 2012

    Estimated Enrollment :

    450 Patients enrolled

    Trial Details

    Trial ID

    NCT01243398

    Start Date

    March 1 2009

    End Date

    May 1 2012

    Last Update

    November 29 2012

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    New Cross Hospital

    Wolverhampton, England, United Kingdom, WV10 0QP