Gastric Cancer, Precancerous Condition
Conditions
Keywords
gastric cancer, giant hypertrophic gastritis
Brief summary
RATIONALE: Monoclonal antibodies, such as cetuximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. PURPOSE: This clinical trial is studying how well cetuximab works in treating patients with Ménétrier disease at high risk of developing stomach cancer.
Detailed description
OBJECTIVES: * Evaluate clinical and biochemical parameter response in patients with Ménétrier disease at high risk of developing gastric cancer treated with cetuximab. OUTLINE: This is a non-randomized study. Patients receive cetuximab IV on days 1, 8, 15, and 22. Treatment repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients complete a quality of life questionnaire at baseline and during week 4. PROJECTED ACCRUAL: A total of 10 patients will be accrued for this study.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically confirmed Ménétrier disease * Symptomatic disease, including gastrointestinal symptoms which interfere with daily life * Patient is considering surgery * Must have failed medical therapy that was given for 6 months * No Helicobacter pylori infection PATIENT CHARACTERISTICS: * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No NYHA class III-IV cardiovascular disease * No clinically unstable pulmonary disease * No chronic disease requiring ongoing therapy for stabilization, including any of the following: * Uncontrolled diabetes mellitus * Malignancy * Thyroid disease * Hypertension * Active infections requiring systemic antibiotics, antivirals, or antifungals * Uncontrolled seizure disorder * Active neurological disease * No unstable coagulation disorders (e.g., hemorrhagic diatheses or active bleeding disorders) that require medical management PRIOR CONCURRENT THERAPY: * Not specified
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response | 4 weeks |
Countries
United States