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REAL 3 Version 1.3: Trial of the Efficacy of Epirubicin, Oxaliplatin and Capecitabine (EOX) With or Without Panitumumab in Previously Untreated Advanced Oesophago-Gastric Cancer
This study is currently recruiting participants.
Verified by Royal Marsden NHS Foundation Trust, January 2009
First Received: January 16, 2009   No Changes Posted
Sponsored by: Royal Marsden NHS Foundation Trust
Information provided by: Royal Marsden NHS Foundation Trust
ClinicalTrials.gov Identifier: NCT00824785
  Purpose

To determine whether adding panitumumab, an antibody against the epidermal growth factor receptor (EGFR), to standard chemotherapy with epirubicin, oxaliplatin and capecitabine (EOX), improves the duration of survival of patients with advanced stomach and oesophageal cancer.


Condition Intervention Phase
Oesophago-Gastric Cancer
Drug: epirubicin, oxaliplatin, capecitabine, panitumumab
Phase III

MedlinePlus related topics: Cancer Stomach Cancer
Drug Information available for: Epirubicin hydrochloride Epirubicin Oxaliplatin Capecitabine Panitumumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: REAL 3 : A Randomised Open-Labelled Multicentre Trial of the Efficacy of Epirubicin, Oxaliplatin and Capecitabine (EOX) With or Without Panitumumab in Previously Untreated Advanced Oesophago-Gastric Cancer

Further study details as provided by Royal Marsden NHS Foundation Trust:

Primary Outcome Measures:
  • Overall survival: defined as the time from randomisation to the time of death due to any cause

Secondary Outcome Measures:
  • response rate evaluated by RECIST criteria progression free survival: defined as the date of randomisation until a progression event occurs

Estimated Enrollment: 730
Study Start Date: May 2008
Estimated Study Completion Date: February 2013
Estimated Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm A EOX: Active Comparator
EOX chemotherapy (epirubicin, oxaliplatin an capecitabine)
Drug: epirubicin, oxaliplatin, capecitabine, panitumumab

EOX chemotherapy will last 21 days and consist of the following:

epirubicin 50mg/m(2) IV on day 1 oxaliplatin 130mg/m(2) IV on day 1 with hydration capecitabine 1250mg/m(2)/day PO in two divided doses continuously from days 1-21 (Arm A) capecitabine 1000mg/m(2)/day PO in two divided doses continuously from days 1-21 (Arm B)

panitumumab -9mg/kg every 21 days

Arm B EOX + panitumumab.: Active Comparator
Chemotherapy with the addition of panitumumab 9mg/kg every 21 days
Drug: epirubicin, oxaliplatin, capecitabine, panitumumab

EOX chemotherapy will last 21 days and consist of the following:

epirubicin 50mg/m(2) IV on day 1 oxaliplatin 130mg/m(2) IV on day 1 with hydration capecitabine 1250mg/m(2)/day PO in two divided doses continuously from days 1-21 (Arm A) capecitabine 1000mg/m(2)/day PO in two divided doses continuously from days 1-21 (Arm B)

panitumumab -9mg/kg every 21 days


Detailed Description:

Multicentre phase III, open labelled, randomised controlled trial. Randomisation will be 1:1 Arm A EOX and Arm B EOX + panitumumab. There will be a pilot phase II study of which the first 200 patients will be randomised and the primary endpoint for interim analysis will be when these patients have completed 6 months follow-up

  Eligibility

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

Inclusion Criteria:

  • male, female
  • 18 or over
  • life expectancy of at least 3 months
  • measurable disease
  • WHO performance status 0, 1, 2

Exclusion Criteria:

  • tumours of squamous histology
  • previous chemotherapy (with performance status 3 and 4)
  • major surgery within 4 weeks prior to start of study treatment (safety)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00824785

Contacts
Contact: Prof Cunningham 020 8661 3165 david.cunningham@rmh.nhs.uk
Contact: Leonora Conneely 020 8661 3807 Leonora.conneely@rmh.nhs.uk

Locations
United Kingdom, Surrey
Royal Marsden NHS Foundation Trust Recruiting
Sutton, Surrey, United Kingdom, SM2 5PT
Contact: Prof Cunningham     020 8661 3165     david.cunningham@rmh.nhs.uk    
Contact: Leonora Conneely     020 8661 3807     leonora.conneely@rmh.nhs.uk    
Principal Investigator: Prof Cunningham            
Sponsors and Collaborators
Royal Marsden NHS Foundation Trust
Investigators
Principal Investigator: Prof Cunningham, David Royal Marsden NHS Foundation Trust
  More Information

No publications provided

Responsible Party: Royal Marsden NHS Foundation Trust ( Prof David Cunningham )
Study ID Numbers: CCR3024
Study First Received: January 16, 2009
Last Updated: January 16, 2009
ClinicalTrials.gov Identifier: NCT00824785     History of Changes
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency;   United Kingdom: Research Ethics Committee

Keywords provided by Royal Marsden NHS Foundation Trust:
epirubicin
oxaliplatin
capecitabine
panitumumab

Study placed in the following topic categories:
Antimetabolites
Capecitabine
Digestive System Neoplasms
Gastrointestinal Diseases
Epirubicin
Anti-Bacterial Agents
Oxaliplatin
Digestive System Diseases
Stomach Diseases
Esophageal Disorder
Stomach Neoplasms
Gastrointestinal Neoplasms
Esophageal Diseases
Stomach Cancer

Additional relevant MeSH terms:
Antimetabolites
Capecitabine
Antimetabolites, Antineoplastic
Digestive System Neoplasms
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Gastrointestinal Diseases
Antibiotics, Antineoplastic
Epirubicin
Pharmacologic Actions
Neoplasms
Oxaliplatin
Digestive System Diseases
Neoplasms by Site
Stomach Diseases
Therapeutic Uses
Stomach Neoplasms
Gastrointestinal Neoplasms
Esophageal Diseases

ClinicalTrials.gov processed this record on May 07, 2009