KRAS Wild Type, Resectable Type II Gastric Adenocarcinoma
Conditions
Brief summary
This is an open label, multicenter, single-arm phase II trial with primary eqirubicine-oxaliplatin-capecitabine chemotherapy and concurrent Pmab in patients with resectable, histologically proven gastric or esophageal cancer.
Interventions
3 cycles (repeated q 21d) Epirubicine 50mg/m² i.v. d1 Oxaliplatin 100mg/m² i.v. d1 Panitumumab 9mg/kg i.v. d1 Capecitabine 500mg/m² bid d1-21
Sponsors
Study design
Eligibility
Inclusion criteria
* Untreated, histologically confirmed, KRAS wild type, resectable gastric or esophageal adenocarcinoma * T2-4 NX M0 disease * ECOG performance status 0-1 * adequate hematological status * adequate renal function * adequate hepatic function * adequate metabolic function
Exclusion criteria
* pregnant or breast feeding women * previous malignancy other than gastric cancer in the last 5 years except curatively treated basal cell carcinoma of the skin and/or in situ carcinoma of the cervix * arterial or venous thromboembolism within 6 months before enrollment * clinically significant cardiovascular disease within 1 year before enrollment * history of interstitial lung disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy | — | Proportion of patients with T0 ant T1 disease after neoadjuvant combined chemoimmunotherapy |
| Safety | — | Proportion of patients with grade 4 diarrhea |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival after one year | — | — |
| Histopathological response | — | rate of complete pathological response |
| Safety | — | NCI CTCAE v.3 |
| Proportion of patients completing 3 treatment cycles | — | — |
| overall survival after one year | — | — |
Countries
Austria