advanced gastric cancer refractory to standard chemotherapies
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Eligible patients are Japanese patients aged >=20 years with: - Histological confirmation of advanced gastric adenocarcinoma - Patient with oral intake - ECOG performance score of 0 or 1 - Patients with measurable lesions - Disease refractory to fluoropyrimidine, platinum and taxane. - Adequate organ function as defined by the following criteria: 1.Absolute neutrophil count (ANC) >= 1,500/ul 2.Platelets >= 100,000/ul 3.Hemoglobin >= 8.0 g/dl 4.AST and ALT <= 2.5 x ULN (without known liver metastasis), <= 5.0 x ULN (with known liver metastasis) 5.Total bilirubin <= 1.5 mg/dL 6.Serum creatinine <= 1.5 mg/dL 7.PT- INR <= 1.5 8.Diarrhea <= Grade 1 9.UGT1A1*6*28 wild type or single hetero - Written informed consent
Exclusion criteria
Exclusion criteria: - With a treatment history of TAS-102 or irinotecan - Serious illness such as brain metastasis, systemic infection or gastrointestinal bleeding - Medical treatment such as major surgery within 4 weeks, systemic chemotherapy within 2 weeks - Adverse events due to prior chemotherapy - Administration of blood transfusion or G-CSF within 2 weeks - Severe pulmonaly disorder - Thromboembolism (grade3 or higher) within 6 months - Inappropriate for the study in the opinion of the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase I part: the incidence of dose limiting toxicities (DLTs) in each level. Phase II part: Disease control rate (DCR) | — |
Secondary
| Measure | Time frame |
|---|---|
| Phase I part: the incidence of adverse events Phase II part: Overall response rate (ORR), Overall survival (OS), Progression-free survival (PFS), safety | — |
Countries
Japan
Contacts
St. Marianna University School of Medicine Hospital Department of Clinical oncology