Neoplasm Metastasis Clinical Trial
Official title:
Randomized Phase III Study With Irinotecan+Best Supportive Care Versus Only Best Supportive Care as Second Line Therapy for Metastatic Gastric Cancer
The median survival at progression after first-line chemotherapy for metastatic gastric
cancer is about 2.5 months. There are no data which a possible benefit of second line
therapy. for this reason a trial which investigates a possible benefit or chemotherapy
compared to best supportive care as second line treatment is urgently necessary.
Irinotecan shows response rates of 20% in the first line therapy with high rates od disease
stabilization. There are few trials investigating irinotecan in the second line setting.
Response rates of 20% are reported in tis setting. Irinotecan is supplied without costs from
the company Pfizer.
Metastatic gastric cancer, progressive disease after one palliative chemotherapy
Arm A:
Irinotecan 250/350 mg/m2 q3w
1. Cycle:250mg/m2/ 30min
2. Cycle:If no toxicity>2° CTC, nor Leuko-thrombopenia>3° occured, dose is increased to
350mg/m2 Arm B. Best supportive care
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind
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