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Prospective Multicentric Randomized Study of Glivec® in Advanced GIST Expressing c-Kit: Interruption After 5 Years vs Maintenance
This study is currently recruiting participants.
Verified by Centre Leon Berard, October 2007
Sponsors and Collaborators: Centre Leon Berard
Institut Gustave Roussy
Information provided by: Centre Leon Berard
ClinicalTrials.gov Identifier: NCT00367861
  Purpose

Gastrointestinal stromal tumors (GISTs) are associated with a dismal prognosis in localized and advanced phase with a major resistance to conventional chemotherapy agents. Virtually all malignant GISTs actually harbor activating mutations of the KIT pathway in the tumor cells, leading to ligand-independent activation of KIT tyrosine kinase activity and tumor growth in vitro. Glivec® inhibits KIT and exerts a major antitumor efficacy in vivo in patients with advanced GIST. Glivec® is generally pursued until progression or intolerance. The optimal duration of treatment with Glivec® remains unknown. The objective of this study is to determine the feasability of Glivec® treatment interuption with reintroduction at progression in GIST patients.


Condition Intervention Phase
Sarcoma
Gastro-Intestinal Stromal Tumors (GIST)
Drug: interruption of Glivec®
Phase III

MedlinePlus related topics: Cancer Soft Tissue Sarcoma
Drug Information available for: Imatinib Imatinib mesylate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Efficacy Study
Official Title: A Prospective Multicentric Randomized Study of Glivec® in Patients With Advanced Gastrointestinal Stromal Tumors Expressing c-Kit Comparing Treatment Interruption After 5 Years vs Treatment Maintenance

Further study details as provided by Centre Leon Berard:

Primary Outcome Measures:
  • Progression free survival

Secondary Outcome Measures:
  • Overall survival
  • Response rate
  • Toxicity

Estimated Enrollment: 564
Study Start Date: May 2002
Estimated Study Completion Date: May 2018
Arms Assigned Interventions
interruption of Glivec®: Experimental Drug: interruption of Glivec®
interruption of Glivec®

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients 18 years of age or over.
  2. Histologically documented diagnosis of malignant GIST.
  3. Immunohistochemical documentation of c-kit (CD117) expression either by the primary tumor or metastases using the DAKO assay.
  4. Performance status 0,1, 2, 3 (ECOG)
  5. Adequate end organ function, defined as the following: total bilirubin < 1.5 x ULN, SGOT and SGPT < 2.5 x UNL (or < 5 x ULN if hepatic metastases are present), creatinine < 1.5 x ULN, ANC > 1.0 x 109/L, platelets > 100 x 109/L.
  6. Female patients of child-bearing potential must have negative pregnancy test within 7 days before initiation of study drug dosing. Post menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Female patients of reproductive potential must agree to employ an effective barrier method of birth control throughout the study and for up to 2 weeks (according to updated Invest. Brochure) following discontinuation of study drug.
  7. Written, voluntary, informed consent.

Exclusion Criteria:

  1. Patient has another malignant tumor in CR<3 years (except if the other primary malignancy is inactive and not requiring active intervention). Previous basal cell skin cancer or a cervical carcinoma in situ are allowed.
  2. Patient with Grade III/IV cardiac problems as defined by the New York Heart Association Criteria. (i.e., congestive heart failure, myocardial infarction within 6 months of study)
  3. Female patients who are pregnant or breast-feeding.
  4. Patient has a known diagnosis of human immunodeficiency virus (HIV) infection.
  5. Patients received chemotherapy within 2 weeks prior to study entry, unless the disease is rapidly progressing
  6. Patients had a major surgery within 2 weeks prior to entry study
  7. Patient with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent.
  8. Previous treatment with Glivec®
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00367861

Contacts
Contact: Jean Yves Blay, M.D, Ph.D +33607507064 blay@lyon.fnclcc;fr
Contact: Axel Le Cesne, M.D +33142114211 lecesne@igr.fr

Locations
France
Centre Leon Berard Recruiting
Lyon, France, 69008
Principal Investigator: Isabelle Ray-Coquard, M.D., Ph.D            
Sub-Investigator: David Perol, M.D.            
Sub-Investigator: Jean-Yves Blay, M.D. Ph.D            
Sub-Investigator: Jérôme Fayette, MD            
Institut Gustave Roussy Recruiting
Villejuif, France, 94850
Principal Investigator: Axel Le Cesne, MD            
Hopital Edouard Herriot Recruiting
Lyon, France, 69008
Principal Investigator: Jean-Yves Blay, M.D. Ph.D            
Centre Oscar Lambret Recruiting
Lille, France, 59000
Sub-Investigator: Antoine Adenis, MD            
Institut Bergonié Recruiting
Bordeaux, France, 33000
Sub-Investigator: Binh Bui Nguyen, MD            
Institut Paoli Calmette Recruiting
Marseilles, France, 13000
Sub-Investigator: Patrice Viens, M.D. Ph.D            
Centre Alexis Vautrin Recruiting
Nancy, France, 57000
Sub-Investigator: Maria Rios, M.D.            
Hopitaux de La Timone Recruiting
Marseille, France, 13000
Sub-Investigator: Florence Duffaud, MD Ph D            
Sponsors and Collaborators
Centre Leon Berard
Institut Gustave Roussy
Investigators
Principal Investigator: Jean Yves Blay, M.D., Ph.D Centre Leon Berard, INSERM U590 & Hopital Edouard Herriot
Principal Investigator: Axel Le Cesne, M.D. Institut Gustave Roussy
  More Information

Study ID Numbers: CST1571BFR14, ET2002-021
Study First Received: August 21, 2006
Last Updated: November 1, 2007
ClinicalTrials.gov Identifier: NCT00367861  
Health Authority: France: Afssaps - French Health Products Safety Agency

Keywords provided by Centre Leon Berard:
GIST
Glivec®
randomized
phase III

Study placed in the following topic categories:
Imatinib
Digestive System Diseases
Digestive System Neoplasms
Gastrointestinal Diseases
Malignant mesenchymal tumor
Sarcoma
Gastrointestinal Neoplasms
Gastrointestinal Stromal Tumors
Soft tissue sarcomas

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009