A Phase 3 Study to Compare Efficacy and Safety of DHP107 Versus Taxol® in Patients With Metastatic or Recurrent Gastric Cancer After Failure of First-line Chemotherapy
Conditions
Stage IV Gastric Cancer
Conditions: official terms
Stomach Neoplasms
Conditions: Keywords
Stomach Neoplasms, Cancer of Stomach, Gastric Cancer, Gastric Neoplasms, Neoplasms, Gastric, Neoplasms, Stomach, Stomach Cancer, paclitaxel, Taxol
Study Type
Interventional
Study Phase
Phase 3
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: Paclitaxel Type: Drug
Name: Paclitaxel Type: Drug
Overall Status
Recruiting
Summary
The objective of this study is to evaluate the efficacy and safety of DHP107 (Oral paclitaxel) in comparison to Taxol®(IV paclitaxel) in Patients With Metastatic or Recurrent Gastric Cancer After Failure of 1st Line Chemotherapy With Fluoropyrimidine +/- Platinum.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 20 Years
Gender: Both
Criteria: Inclusion Criteria:

1. ≥20 years of age

2. Histologically or cytologically confirmed unresectable, recurrent or metastatic gastric cancer

3. Failure of a first line therapy with fluoropyrimidine +/- platinum for metastatic or recurrent disease.(Adjuvant chemotherapy is not considered as a first line chemotherapy unless recurrence developed within 6 months of completion of adjuvant therapy.)

4. Adequate bone marrow, liver and renal functions

5. INR ≤ 2.0

6. ECOG performance status ≤ 2

7. Neuropathy grade ≤ 1

8. Life expectancy of at least 3 months

9. Measurable lesion according to RECIST version 1.1 on CT scan

10. Written informed consent

11. Patients of child bearing age have to agree to the usage of adequate contraception from before the registration to the study, during the participation period and 90 days after the end of treatment. Female of child bearing age has to show negative for urin pregnancy test within 7 days from beginning of the start of administration. Amenorrhea status has to be sustained for at least 12 months to be considered non-pregnant in case of postmenstrual women.

Exclusion Criteria:

1. Major infectious disease, neurological disorder, or bowel obstruction.

2. Patients with CNS metastases(confirmed through brain imaging if there are symptoms)

3. Patient diagnosed with another cancer type (except non-melanoma skin cancer, cervical cancer, or any other cancer that did not recur or metastasized for more than 5 years and considered as complete remission can be registered)

4. Patient who received radiation therapy within past 2 weeks or who had major surgery including organ resection within past 4 weeks from random assignment date

5. Patient with the history of failure to the taxane chemotherapy

6. Patient who need chronic concomitant use of P glycoprotein, immune suppressor, proton pump inhibitor, or H2-receptor antagonist during the period of clinical trial

7. Chronic treatment using steroid (except oral, local injection, or for externally applied) or other immune suppressor

8. Patient with myocardial infarction, congestive heart failure, arrhythmia showing abrupt change in the ECG, severe or unstable angina, or other serious heart disease

9. Patient with other serious internal disease (chronic obstructive or chronic inhibitory lung disease including shortness of breathe at rest due to all reasons, uncontrollable diabetes and hypertension)

10. History of abuse of a drug or alcohol within 3 months

11. Lactating or pregnant women, or patient (or spouse) who has no intension of using, or cannot use very effective mean of contraception

12. Patient who has or is suspected to have problem in bile acid secretion

13. Patient with active gastrointestinal bleeding, or taking oral anti- vitamine K (With the exception of low dose of Warfarin and acetylsalicylic acide when INR≤2.0)

14. History of serious hypersensitive reaction to the main ingredient or the excipient of the investigational drug

15. History of being seropositive for HIV (HIV test is not a prerequisite).

16. Patients with gastrointestinal dysfunction or on enteral feeding

17. Other patients who are deemed inadequate to participate in the clinical trial by the investigator
Locations
Inje University Haeundae Paik Hospital
Busan, Korea, Republic of
Status: Recruiting
Contact: Myung Joo Kang, M.D. - 82-51-797-0001 - daniel0602@hanmail.net
Kyungpook National University Medical Center
Daegu, Korea, Republic of
Status: Recruiting
Contact: Jong Gwang Kim, M.D, Ph.D. - 82-53-200-2623 - jkk21c@knu.ac.kr
National Cancer Center
Goyang-si, Gyeonggi-do, Korea, Republic of
Status: Recruiting
Contact: Young-Iee Park, M.D., Ph.D. - 82-31-920-1672 - youngiee@ncc.re.kr
Chonnam National University Hwasun Hospital
Jeollanam-do, Korea, Republic of
Status: Recruiting
Contact: Ik Joo Chung, M.D., Ph.D. - 82-61-379-7632 - ijchung@chonnam.ac.kr
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, Korea, Republic of
Status: Recruiting
Contact: Jin Won Kim, M.D - 82-31-787-7053 - jwkim@snubh.org
Asan Medical Center
Seoul, Korea, Republic of
Status: Recruiting
Contact: Yoon-Koo Kang, M.D., Ph. D. - 82-2-3010-8771 - ykkang@amc.seoul.kr
Korea University Guro Hospital
Seoul, Korea, Republic of
Status: Recruiting
Contact: Sang Cheul Oh, M.D., Ph.D. - 82-2-2626-3060 - sachoh@korea.ac.kr
Samsung Medical Center
Seoul, Korea, Republic of
Status: Recruiting
Contact: Se Hoon Park, M.D., Ph.D. - 82-2-3410-1767 - hematoma@skku.edu
Seoul St. Mary's Hospital
Seoul, Korea, Republic of
Status: Recruiting
Contact: Young Seon Hong, M.D., Ph.D. - 82-2-2258-6042 - y331@catholic.ac.kr
Yonsei University Gangnam Severance Hospital
Seoul, Korea, Republic of
Status: Recruiting
Contact: Jae Yong Cho, M.D., Ph.D. - 82-2-2019-4363 - chojy@yuhs.ac
Yonsei University Severance Hospital
Seoul, Korea, Republic of
Status: Recruiting
Contact: Sun Young Rha, M.D., Ph.D. - 82-2-2228-8050 - RHA7655@yuhs.ac
Ajou University Hospital
Suwon, Korea, Republic of
Status: Recruiting
Contact: Seok Yun Kang, M.D. - 82-31-219-4911 - kangsy01@ajou.ac.kr
Start Date
March 2013
Completion Date
August 2015
Sponsors
Daehwa Pharmaceutical Co., Ltd.
Source
Daehwa Pharmaceutical Co., Ltd.
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page