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Continuous Infusion of FU Combined With Epirubicin and Oxaliplatin in Patients With A/MGC
This study is currently recruiting participants.
Verified by Fudan University, September 2008
Sponsored by: Fudan University
Information provided by: Fudan University
ClinicalTrials.gov Identifier: NCT00767377
  Purpose

The purpose of this study is to evaluate the efficacy and tolerability of the combination of epirubicin, oxaliplatin and 5-day continuous infusional 5-fluorouracil (EOF5 regimen) in patients with unresectable advanced or metastatic gastric cancer (A/MGC).


Condition Intervention Phase
Gastric Cancer
Drug: EOF5
Phase II

MedlinePlus related topics: Cancer Stomach Cancer
Drug Information available for: Fluorouracil Epirubicin hydrochloride Epirubicin Oxaliplatin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Official Title: Phase II Trial of Epirubicin, Oxaliplatin and 5-Day 5-Fluorouracil in Patients With Advanced and Metastatic Gastric Cancer

Further study details as provided by Fudan University:

Primary Outcome Measures:
  • Time to progression [ Time Frame: every two cycles ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Toxicity [ Time Frame: 3 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 80
Study Start Date: May 2007
Estimated Study Completion Date: August 2009
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
Five day Continuous infusion of FU combined with Epirubicin and Oxaliplatin
Drug: EOF5
epirubicin 50 mg/m2 day 1, oxaliplatin 130 mg/m2 day 1, and 5-FU 375-425 mg/m2/d day 1 through 5 continuous infusion, repeated every 3 weeks

Detailed Description:

ECF regimen is considered as a reference regimen for gastric cancer in Europe. Now, no regimen has been proved to be more effective while less toxicity than ECF regimen. Oxaliplatin has demonstrated synergy with 5-FU in vitro, in vivo, and in the clinical setting in advanced colorectal cancer. It presents a better toxicity profile than cisplatin. Recently some studies used combination regimens of oxaliplatin, folinic acid, and continuous infusion 5-FU for about 44 hours (e.g FOLFOX4 ) to treat A/MGC, and yielded good response rates and median overall survival times while resulting in lower rates of grade 3-4 adverse events. Therefore, it is logical to modify ECF regimen with oxaliplatin replacing cisplatin and a short-term FU infusion replacing 21-day FU infusion. Our objective is to evaluate whether the EOF5 regimen is less toxicity while is comparable effective as ECF regimen.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically confirmed advanced or metastatic adenocarcinoma of the stomach
  • ECOG performance scale ≤ 2
  • At least one measurable lesion (larger than 10 mm in diameter by spiral CT scan)
  • Adequate hepatic, renal, heart, and hematologic functions (platelets>80×109/L, neutrophil> 2.0 × 109/L, serum creatinine ≤ 1.5mg/dl, total bilirubin within upper limit of normal(ULN), and serum transaminase ≤ 2.5×the ULN)

Exclusion Criteria:

  • Pregnant or lactating women
  • Concurrent cancer
  • History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix
  • Neuropathy, brain, or leptomeningeal involvement
  • Clinically relevant coronary artery disease or a history of a myocardial infarction within the last 12 months or high risk/uncontrolled arrhythmia
  • Uncontrolled significant comorbid conditions and previous radiotherapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00767377

Contacts
Contact: xiaodong Zhu, M.D 862164175590 ext 1105 xddr001@163.com

Locations
China
Fudan University Cancer Hospital Recruiting
Shanghai, China, 200032
Contact: xiaodong Zhu, M.D     862164175590 ext 1105     xddr001@163.com    
Sub-Investigator: xiaodong Zhu, M.D            
Sponsors and Collaborators
Fudan University
Investigators
Principal Investigator: Jiliang Ying, M.D Fudan University Cancer Hospital
  More Information

Responsible Party: Department of medical oncology, Cancer Hospital, Fuandan University ( Base for drug clinical trials, Fudan University cancer hospital )
Study ID Numbers: EOF-MGC
Study First Received: October 6, 2008
Last Updated: October 6, 2008
ClinicalTrials.gov Identifier: NCT00767377  
Health Authority: China: Ethics Committee

Keywords provided by Fudan University:
Time to Progression
Overall survival
Response rate
Quality of Live
Toxicities

Study placed in the following topic categories:
Oxaliplatin
Stomach Diseases
Digestive System Diseases
Digestive System Neoplasms
Gastrointestinal Diseases
Fluorouracil
Stomach Neoplasms
Disease Progression
Gastrointestinal Neoplasms
Stomach cancer
Epirubicin

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Antineoplastic Agents
Therapeutic Uses
Antibiotics, Antineoplastic
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009