XELOX Versus FOLFOX for Advanced Gastric Cancer (AGC)

Gastric Carcinoma Stage IV Clinical Trial

Official title:

A Phase III Trial to Evaluate the Efficacy and Safety of the Combination Therapy of Capecitabine and Oxaliplatin (XELOX) in Comparison to the Combination Therapy of Fluorouracil/Folinic Acid and Oxaliplatin (FOLFOX) in Patients With AGC

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT01748851
• Other study ID #: KCSG ST12-05
• Secondary ID: ML27924
• Status: Terminated
• Phase: Phase 3
• First received: December 9, 2012
• Last updated: November 2, 2014
• Start date: December 2012
• Est. completion date: September 2014

Study information

• Verified date: November 2014
• Source: Dong-A University Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Korea: Food and Drug Administration
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to identify the non-inferiority of the combination therapy of Capecitabine and Oxaliplatin compared with the combination therapy of Fluorouracil/Folinic acid and Oxaliplatin in patients with advanced gastric cancer.

Description:

Quality assurance: Data will be collected, controlled, and monitored at the Korean Clinical Study Group (KCSG) data center.

Data will be entered throuGh the E-Case report form (CRF) (Web based data input)

Korean Clinical Study Group (KCSG) data center will do the standard Operating Procedures to address registry operations and analysis activities, such as patient recruitment, data collection, data management, data analysis, reporting for adverse events, and change management

Sample size assessment to specify the number of participants or participant years was consulted Statistical specialist. And data analysis will be also discuss with him

Expected median progression-free survival(PFS) in Xelox: 6 months total number of events required: 359 197 patients will be needed After 10% of follow-up loss, 219 patients in each arm, a total of 438 patients will be enrolled

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 42
• Est. completion date: September 2014
• Est. primary completion date: September 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

1. Age :older than 20

2. A patient with at least one measurable primary lesion of which the diameter is confirmed to be 10mm in Spiral CT or multidetector CT (MD CT), or 20 mm or longer in conventional CT (it should be used by a consistent method during the study period). (RECIST v1.1)

*but, patients who does not have measureable lesion with metastatic resected M1 lymph node or bone metastasis or ascites could be enrolled.

3. No prior palliative chemotherapy (relapse 1 year later after end of adjuvant treatment available)

4. Eastern Cooperative Oncology Group (ECOG) performance status 0 -2

5. The following laboratory test results:

? absolute neutrophil count (ANC) =1,500/micro Liter (uL), Platelet = 100,000/uL,

? aspartate aminotransferase (AST) = 3 x Upper limit of normal (ULN), alanine aminotransferase (ALT) = 3 x ULN , Total bilirubin = 2.0 mg/dL (in case of liver metastasis, 5 x ULN of AST, ALT)

? Creatinine = 1.5 mg/dL

6. A patient who signed the informed consent prior to the participation of the study and who understands that he/she has a right to withdrawal from participation in the study at any time without any disadvantages.

Exclusion Criteria:

1. HER-2 Positive patients

2. Any other malignancies within the past 2 years except curatively treated non-melanoma skin cancer or in situ carcinoma of cervix uteri

3. Subjects who received radiotherapy within 4 weeks prior to randomization

4. Subjects who have chronic or acute infection need to treatment

5. Subjects who received major operation within 4 weeks prior to randomization

6. patients with clinically significant (i.e. active) heart disease (e.g. congestive heart failure, symptomatic coronary artery diseases, cardiac arrhythmias, etc) or myocardial infarction within past 12 months.

7. patient with epilepsy or psychiatric problem including central nervous system(CNS) metastasis.

8. Subjects who not be able to ingestion or have a malabsorption disorder

9. peripheral neuropathy accompany with functional loss

10. Prior history of allergic reaction to study treatment drugs

11. A patient with history of other clinical trial within 4 weeks

12. A patient of childbearing potential without being tested for pregnancy at baseline for positive. (A postmenopausal woman with the amenorrhea period of at least 12 months or longer is considered to have non-childbearing potential.)

13. subject who is decided by investigator decide exclusion with any other reasons

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Gastric Carcinoma Stage IV
• Stomach Neoplasms

Intervention

Drug:
• XELOX
capecitabine 1000mg/m2 bid po D1-D14
• FOLFOX
5-FU 400mg/m2 iv push D1, 5-FU 1200mg/m2 over 22hr D1,D2

Locations

Country	Name	City	State
Korea, Republic of	Dong-A University Hospital	Busan

Sponsors (1)

Lead Sponsor	Collaborator
Dong-A University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Progression free survival		6 months after treatment	No
Secondary	Response rate		every 6 weeks up to 6 months	No
Secondary	overall survival		3 years later initial study start	No
Secondary	performance status (quality of life)	European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30 will be used.	Every 6 weeks up to 1 year	Yes