Gastric Cancer
Conditions
Keywords
Advanced/recurrent gastric cancer
Brief summary
A phase II open-label study with ARQ 197 administered orally and twice daily as monotherapy in patients with previously treated advanced/recurrent gastric cancer. The primary endpoint is disease control and the secondary efficacy endpoints include antitumor effect (tumor response), progression-free survival and overall survival. The pharmacokinetic profile and the safety profile are also evaluated.
Interventions
Orally twice daily administration of ARQ 197
Sponsors
Study design
Eligibility
Inclusion criteria
* Japanese or Korean with voluntary written informed consent for study participation * A histologically or cytologically confirmed advanced/recurrent gastric cancer * One or two prior chemotherapy regimens for advanced/recurrent gastric cancer * At least one measurable lesion * ECOG performance status of 0 or 1 * Life expectancy ≥3 months
Exclusion criteria
* Surgery for cancer within 4 weeks prior to the first dose of ARQ 197 * Confirmed other tumors than gastric cancer within 5 years prior to the first dose of ARQ 197 * Anticancer chemotherapy, hormone therapy, radiotherapy or immunotherapy within 2 weeks prior to the first dose of ARQ 197 * Positive for HIV antibody * Known symptomatic brain metastasis * Gastrointestinal disorders that could interfere with the absorption of ARQ 197 or operation history for gastrointestinal disorders * Uncontrolled concomitant disease * Patients who wish to have a child and who would not agree to use contraceptive measures * Pregnant or lactating
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Antitumor effect | Tumor size was measured at Baseline, Day 29 and 54, and then every 6 week until discontinuation criteria met. | Disease control |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Antitumor effect | Tumor size was measured at Baseline, Day 29 and 54, and then every 6 week until discontinuation criteria met. | Tumor response |
| Progression-free survival | Tumor size was measured at Baseline, Day 29 and 54, and then every 6 week until discontinuation criteria met. In addition, survival was confirmed by biweekly inquiry during the study, and by follow up survey. | — |
| Overall survival | Survival was confirmed by biweekly inquiry during the study, and by follow up survey. | — |
| Pharmacokinetic profile | Plasma sample correction at pre-dose, 1, 2, 4, 6, 10, 12 and 24 hours on Day 1, and in addition, at pre-dose of Day 15 and 29. | Plasma ARQ 197 concentrations and pharmacokinetic parameters following the first dose of ARQ 197 |
| Adverse events | Patients will be monitored for occurrence of adverse events from the day of the first dosing to the completion of the examinations at the discontinuation of the study. | — |
Countries
Japan, South Korea