Cancer of the Esophagus, Gastric Cardia Carcinoma
Conditions
Brief summary
This is an open label, non-randomised, multicentre phase 1-2 study with a fixed dose of Taxotere in combination with Xeloda which is dose escalated during the first phase of the study (modified Fibonacci design) and fixed during the second phase. The primary objective of the phase 1 part is to define the dose recommended for the Phase II part of the study. The primary objective is to determine the response rate.
Interventions
30 mg/m2, administered as a 30 min. i.v. infusion on cycle day 1, 8 and 15 or cycle day 1 and 8 in an alternating 3 weekly schedule
1650 mg/m2 /day orally b.i.d., day 1-14 every 3 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed squamous cell carcinoma or adenocarcinoma of the oesophagus or cardia. * Inoperable metastatic disease * Performance status (WHO) of 0-2 * Measurable disease. * Adequate hematological, liver and renal function. * Signed informed consent.
Exclusion criteria
* CNS metastases * Symptomatic peripheral neuropathy equal to or greater than NCI grade 2. * Other concomitant serious illness or medical condition. * Past or current history of malignant neoplasm other than oesophageal carcinoma. * \<18 years of age. Pregnant or lactating patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Response rate | — | Response rate will be defined as the percentage of patients who achieve a complete response (CR) or partial response (PR). Duration of a CR or PR will be calculated from the time that measurement criteria are met for complete response or partial response until the first date that recurrent or progressive disease is objectively documented. |
Secondary
| Measure | Time frame |
|---|---|
| CT scan | Every 9 weeks |
| Toxicity assessment | Every three weeks |
| Quality of life | Every three weeks |
Countries
Norway, Sweden