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Gefitinib in Treating Patients With Recurrent or Metastatic Esophageal or Gastroesophageal Junction Cancer
This study is currently recruiting participants.
Study NCT00268346   Information provided by National Cancer Institute (NCI)
First Received: December 20, 2005   Last Updated: December 2, 2008   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

December 20, 2005
December 2, 2008
October 2005
Response to treatment at 8 weeks after initiation of treatment [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00268346 on ClinicalTrials.gov Archive Site
  • Toxicity as measured by CTC version 2.0 every 8 weeks [ Designated as safety issue: Yes ]
  • Quality of life as measured by FACT-E version 4 every 8 weeks [ Designated as safety issue: No ]
  • Toxicity as measured by CTC version 2.0 every 8 weeks
  • Quality of life as measured by FACT-E version 4 every 8 weeks
 
Gefitinib in Treating Patients With Recurrent or Metastatic Esophageal or Gastroesophageal Junction Cancer
A Phase II Trial of ZD1839 (IRESSA®) for Patients With Recurrent or Metastatic Cancer of the Esophagus or Gastroesophageal Junction

RATIONALE: Gefitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying how well gefitinib works in treating patients with recurrent or metastatic esophageal or gastroesophageal junction cancer.

OBJECTIVES:

Primary

  • Explore the activity of single agent gefitinib, in terms of response rate, in a patient population with recurrent or metastatic esophageal or gastroesophageal junction cancer.

Secondary

  • Assess the toxicity of this drug in these patients.

OUTLINE: Patients are stratified according to prior treatment (yes vs no).

Patients receive oral gefitinib once daily for at least 8 weeks in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically for survival.

PROJECTED ACCRUAL: A total of 76 patients will be accrued for this study.

Phase II
Interventional
Treatment, Open Label
Esophageal Cancer
Drug: gefitinib
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
76
 
December 2009   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Pathologically confirmed squamous cell carcinoma, adenocarcinoma, or large-cell undifferentiated carcinoma of the esophagus or gastroesophageal junction

    • Patients must have disease that is either metastatic (i.e., M1b by the definitions of the American Joint Committee on Cancer 1997 staging system) or recurrent after definitive therapy, and must be considered incurable by conventional treatments
    • Patients with small cell, or mixed small cell/non-small-cell histology are ineligible
    • Patients with lymphoma or sarcoma are also ineligible
  • Disease must be measurable in at least one dimension by physical exam, x-ray, CT scan or MRI, ultrasound, or endoscopy

    • Measurable disease can be a previously irradiated lesion if disease growth has been documented in the lesion since completion of radiation therapy
    • An elevation in carcinoembryonic antigen (CEA) is not sufficient to use by itself in response assessment

PATIENT CHARACTERISTICS:

  • ECOG Performance Status 0-1
  • WBC ≥ 3,000/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Creatinine ≤ 2.0 mg/dL
  • Alkaline phosphatase and AST < twice normal
  • Bilirubin < twice normal
  • Calcium normal
  • No known severe hypersensitivity to study drug or any of its excipients
  • No clinical evidence of any other uncontrolled malignancy except adequately treated basal or squamous cell skin cancer or in situ cervical cancer
  • Pregnant or nursing women are ineligible
  • Fertile patients must use effective contraception
  • No evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic, or renal disease)
  • No evidence of clinically active interstitial lung disease

    • Patients with chronic stable radiographic changes who are asymptomatic need not be excluded

PRIOR CONCURRENT THERAPY:

  • Patients may not have received more than one previous systemic treatment regimen

    • Systemic treatment may have been given as part of definitive (adjuvant, neoadjuvant, concurrent, or sequential) management or for metastatic or recurrent disease
    • Previously untreated patients are also eligible
  • No previous treatment with study drug or any other epidermal growth factor receptor (EGFR) antagonists
  • More than 30 days since prior treatment with a non-approved or investigational drug
  • At least 4 weeks must have elapsed since any surgery, radiation therapy, or chemotherapy administration
  • Recovered from previous oncologic or other major surgery
  • No concurrent barbiturates (e.g., phenytoin), carbamazepine, rifampicin, phenobarbital or Hypericum perforatum (St. John's wort)
  • No concurrent surgery, radiation therapy, hormonal therapy, or other chemotherapy
Both
 
No
 
United States
 
 
NCT00268346
 
CASE-CCF-5538, ZENECA-1839IL/0234
Case Comprehensive Cancer Center
National Cancer Institute (NCI)
Study Chair: David J. Adelstein, MD The Cleveland Clinic
National Cancer Institute (NCI)
November 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.