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A Phase I-II Study of HM781-36B Combined With Paclitaxel and Trastuzumab in HER-2 Positive Advanced Gastric Cancer

Primary Purpose

HER-2 Positive Advanced Gastric Cancer

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
HM781-36B(Poziotinib)
Paclitaxel
Trastuzumab
Sponsored by
Hanmi Pharmaceutical Company Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HER-2 Positive Advanced Gastric Cancer focused on measuring HM781-36B, Paclitaxel, Trastuzumab

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Histologically or cytologically confirmed advanced gastric cancer including gastroesophageal junction adenocarcinoma
  2. At least one measurable lesion defined by RECIST(v1.1)
  3. FISH+ or IHC3+ (regardless of FISH results)
  4. Age≥19
  5. ECOG ≤ 2
  6. Life expectancy ≥ 12 weeks
  7. Adequate bone marrow and no abnormal heart and lung function
  8. No radiotherapy, other anticancer drugs or immunotherapy is allowed during this study
  9. Subjects must provide written informed consent prior to performance of study specific procedures or assessments, and must be willing to comply with treatment and follow up assessments and procedures

Exclusion Criteria:

  1. Patients with a history of hypersensitivity to Trastuzumab and who have been treated with medicine including Cremophor EL
  2. Patients who have a current active malignancy other than gastric adenocarcinoma (with exception of non-melanoma skin cancer or cervical cancer in situ)
  3. Patients who have previously received taxane-based chemotherapy
  4. The presence of central nervous system metastases
  5. Patients who have a blood tumor such as leukemia, or who had previously received, or are planning to receive, the bone marrow transplant
  6. Patients with uncontrolled infection
  7. Patients who have GI malabsorption or difficulty taking oral medication
  8. Patients with following diseases are excluded:
  9. Patients with psychiatric or congenital disorder which can affect adherence or make hard to follow the requirements of the protocol
  10. Pregnant or breastfeeding women or women of childbearing who do not use an appropriate method of contraception (male patient should also use an appropriate method of contraception)

Sites / Locations

  • Seoul National University Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HM781-36B, Paclitaxel, Trastuzumab

Arm Description

HM781-36B(Poziotinib): QD*2weeks/3weeks Paclitaxel: 175mg/m2 Trastuzumab(Herceptin): 8mg/kg

Outcomes

Primary Outcome Measures

Safety evaluation(phase I)
Dose limiting toxicity (DLT), Maximum tolerance dose (MTD)

Secondary Outcome Measures

Efficacy evaluation(Phase II)
Efficacy evaluation; phase II (Simon's two-stage minimax design): Disease Control Rate (CR, PR, SD), PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)

Full Information

First Posted
December 3, 2012
Last Updated
March 1, 2016
Sponsor
Hanmi Pharmaceutical Company Limited
Collaborators
National OncoVenture
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1. Study Identification

Unique Protocol Identification Number
NCT01746771
Brief Title
A Phase I-II Study of HM781-36B Combined With Paclitaxel and Trastuzumab in HER-2 Positive Advanced Gastric Cancer
Official Title
A Phase I-II Study to Assess the Safety, Efficacy and Pharmacokinetic Profile of HM781-36B Combined With Paclitaxel and Trastuzumab in Patients With HER-2 Positive Advanced Gastric Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
August 2015 (Actual)
Study Completion Date
August 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hanmi Pharmaceutical Company Limited
Collaborators
National OncoVenture

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
[Phase I] The main objective of this study is to evaluate the safety, tolerability and determine the Recommended Dose (RD) of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab [Phase II] The main objective of this study is to evaluate anticancer activity through determination of response rate of HM781-36B(Poziotinib)combined with Paclitaxel and Trastuzumab in patients with HER-2 positive advanced gastric cancer
Detailed Description
Besides the main objectives, there are other objectives as follows: [Phase I] To assess the pharmacokinetic profile of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab To evaluate anticancer activity of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab in patients with HER-2 positive advanced gastric cancer To evaluate PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response) [Phase II] To assess the safety, tolerability of HM781-36B(Poziotinib) combined with Paclitaxel and Trastuzumab To evaluate tumor response through determination of disease control rate , PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HER-2 Positive Advanced Gastric Cancer
Keywords
HM781-36B, Paclitaxel, Trastuzumab

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HM781-36B, Paclitaxel, Trastuzumab
Arm Type
Experimental
Arm Description
HM781-36B(Poziotinib): QD*2weeks/3weeks Paclitaxel: 175mg/m2 Trastuzumab(Herceptin): 8mg/kg
Intervention Type
Drug
Intervention Name(s)
HM781-36B(Poziotinib)
Other Intervention Name(s)
NOV120101, Poziotinib
Intervention Description
QD*2weeks/3weeks
Intervention Type
Drug
Intervention Name(s)
Paclitaxel
Intervention Description
175mg/m2
Intervention Type
Drug
Intervention Name(s)
Trastuzumab
Other Intervention Name(s)
Herceptin
Intervention Description
8mg/kg
Primary Outcome Measure Information:
Title
Safety evaluation(phase I)
Description
Dose limiting toxicity (DLT), Maximum tolerance dose (MTD)
Time Frame
DLT will be evaluated on Day 21 during cycle 1
Secondary Outcome Measure Information:
Title
Efficacy evaluation(Phase II)
Description
Efficacy evaluation; phase II (Simon's two-stage minimax design): Disease Control Rate (CR, PR, SD), PFS(Progression-Free Survival), TTP (Time To Tumor Progression), and DOR (Duration of Overall Response)
Time Frame
Efficacy will be evaluated every 6 weeks or 9 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed advanced gastric cancer including gastroesophageal junction adenocarcinoma At least one measurable lesion defined by RECIST(v1.1) FISH+ or IHC3+ (regardless of FISH results) Age≥19 ECOG ≤ 2 Life expectancy ≥ 12 weeks Adequate bone marrow and no abnormal heart and lung function No radiotherapy, other anticancer drugs or immunotherapy is allowed during this study Subjects must provide written informed consent prior to performance of study specific procedures or assessments, and must be willing to comply with treatment and follow up assessments and procedures Exclusion Criteria: Patients with a history of hypersensitivity to Trastuzumab and who have been treated with medicine including Cremophor EL Patients who have a current active malignancy other than gastric adenocarcinoma (with exception of non-melanoma skin cancer or cervical cancer in situ) Patients who have previously received taxane-based chemotherapy The presence of central nervous system metastases Patients who have a blood tumor such as leukemia, or who had previously received, or are planning to receive, the bone marrow transplant Patients with uncontrolled infection Patients who have GI malabsorption or difficulty taking oral medication Patients with following diseases are excluded: Patients with psychiatric or congenital disorder which can affect adherence or make hard to follow the requirements of the protocol Pregnant or breastfeeding women or women of childbearing who do not use an appropriate method of contraception (male patient should also use an appropriate method of contraception)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
YoHan Kim, M.D.
Organizational Affiliation
Hanmi Pharmaceutical Company Limited
Official's Role
Study Director
Facility Information:
Facility Name
Seoul National University Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

A Phase I-II Study of HM781-36B Combined With Paclitaxel and Trastuzumab in HER-2 Positive Advanced Gastric Cancer

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