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Phase 2 N=63 Treatment

S0415 Cetuximab in Treating Patients With Metastatic Esophageal Cancer or Gastroesophageal Junction Cancer

Esophageal Cancer

Enrolled (actual)
63
Serious AEs
1.8%
Results posted
May 2012
Primary outcome: Primary: Overall Survival at 6 Months — 36 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
cetuximab (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
SWOG Cancer Research Network
Primary completion
Jan 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Survival at 6 Months
36
SECONDARY
Time to Treatment Failure
1.8
SECONDARY
Time to Progression
1.8

Summary

RATIONALE: Biological therapies such as cetuximab may stop the growth of tumor cells by blocking the enzymes necessary for their growth. PURPOSE: This phase II trial is studying how well cetuximab works in treating patients with metastatic esophageal cancer or gastroesophageal junction cancer.

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of 1 of the following sites:
  • Thoracic esophagus, located > 20 cm* from the incisors
  • Gastroesophageal junction, located ≤ 2 cm into the gastric cardia NOTE: *Tumors located < 26 cm from the incisors must be confirmed by bronchoscopy and negative cytology
  • Disease confined to the esophagus and periesophageal soft tissue
  • Metastatic disease
  • Measurable disease by x-ray, scanning, or physical examination
  • Received exactly 1 prior chemotherapy regimen for metastatic or recurrent disease
  • One prior adjuvant or neoadjuvant chemotherapy regimen allowed if administered at the time of initial diagnosis with localized disease
  • No known brain metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Zubrod 0-2

Life expectancy

  • Not specified

Hematopoietic

  • Granulocyte count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3

Hepatic

  • Not specified

Renal

  • Creatinine ≤ 1.5 times upper limit of normal

Other

  • No prior allergic reaction to chimerized or murine monoclonal antibodies
  • No evidence of human anti-mouse antibodies (HAMA)
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or adequately treated stage I or II cancer in complete remission
  • Not pregnant or nursing
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No prior cetuximab

Chemotherapy

  • See Disease Characteristics
  • At least 4 weeks since prior chemotherapy and recovered
  • No concurrent chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • At least 4 weeks since prior radiotherapy and recovered

Surgery

  • At least 3 weeks since prior thoraco-abdominal surgery and recovered

Other

  • No other prior therapy that specifically targets the epidermal growth factor pathway
  • No other concurrent investigational agents
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00096031). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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