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Imatinib Mesylate in Treating Patients With Refractory Metastatic and/or Unresectable Stomach or Gastroesophageal Junction Cancer

Basic Trial Information
Trial Description
     Summary
     Further Trial Information
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IITreatmentCompletedOver 18NCI, OtherCDR0000322257
P30CA033572, CCC-PHII-37, 2004-01-09, NCI-5734, 5734, NCT00068380

Trial Description

Summary

RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth.

PURPOSE: This phase II trial is studying how well imatinib mesylate works in treating patients with refractory metastatic and/or unresectable stomach or gastroesophageal junction cancer.

Further Study Information

OBJECTIVES:

  • Determine the response rate and time to tumor progression in patients with refractory metastatic and/or unresectable adenocarcinoma of the stomach treated with imatinib mesylate.
  • Determine the overall survival of patients treated with this drug.
  • Determine the toxic effects of this drug in these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to risk (good risk [chemonaïve] vs poor risk [1 prior chemotherapy regimen]).

Patients receive oral imatinib mesylate twice daily on days 1-28. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.

Patients are followed for 30 days.

PROJECTED ACCRUAL: A total of 21-41 patients will be accrued for this study within 1-1.5 years.

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of metastatic and/or unresectable adenocarcinoma of the stomach or gastroesophageal junction
  • Measurable disease by radiographic imaging
  • No brain metastasis

PATIENT CHARACTERISTICS:

Age

  • Over 18

Performance status

  • Karnofsky 70-100%

Life expectancy

  • More than 3 months

Hematopoietic

  • Granulocyte count greater than 1,500/mm^3
  • Platelet count greater than 100,000/mm^3
  • Hemoglobin at least 9 g/dL
  • No active bleeding disorder

Hepatic

  • Bilirubin no greater than 1.5 mg/dL
  • SGOT/SGPT less than 2.5 times upper limit of normal

Renal

  • Creatinine clearance greater than 60 mL/min

Gastrointestinal

  • No active peptic ulceration
  • No active gastrointestinal bleeding

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception during and for 3 months after study completion
  • No active infection
  • No known seizure disorder
  • No medical, social, or psychological factors that would preclude completion of study treatment
  • No serious concurrent illness that would preclude tolerance and completion of study treatment

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Recovered from prior chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • Recovered from prior radiotherapy

Surgery

  • More than 4 weeks since prior major surgery

Other

  • No concurrent therapeutic warfarin for anticoagulation
  • No concurrent highly active antiretroviral therapy for HIV-positive patients
  • No concurrent grapefruit juice

Trial Contact Information

Trial Lead Organizations/Sponsors

California Cancer Consortium

National Cancer Institute

Heinz-Josef LenzPrincipal Investigator

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00068380
Information obtained from ClinicalTrials.gov on December 14, 2011

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

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