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Panitumumab, Paclitaxel, Carboplatin and 5FU in the Treatment of Potentially Resectable Gastroesophageal Adenocarcinoma

Information source: Accelerated Community Oncology Research Network
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Gastroesophageal Adenocarcinoma; Adenocarcinoma of the Distal Esophagus; Adenocarcinomas of the Gastroesophageal Junction; Adenocarcinoma of the Proximal Stomach

Intervention: Panitumumab (Drug); Paclitaxel (Drug); Carboplatin (Drug); 5FU (Drug)

Phase: Phase 2

Status: Terminated

Sponsored by: Accelerated Community Oncology Research Network

Official(s) and/or principal investigator(s):
Robert Hermann, MD, Principal Investigator, Affiliation: Accelerated Community Oncology Research Network


This is an open-label, Phase II, single-stage study evaluating the use of panitumumab, paclitaxel, carboplatin and 5FU as an induction regimen in subjects with gastroesophageal adenocarcinoma. The expectation is that this combination will both increase potential overall survival by incorporating novel biologic therapy in the neoadjuvant setting and decrease potential surgical mortality by eliminating pre-operative radiation therapy.

Clinical Details

Official title: A Phase II Study of Pre-operative Panitumumab, Paclitaxel, Carboplatin and Continuous Infusion 5FU in the Treatment of Potentially Resectable Gastroesophageal Adenocarcinoma

Study design: Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: Response Rate

Secondary outcome:

Pathologic Response Rate

Resection Rate of Surgery

Thirty-day Surgical Mortality



Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.


Inclusion Criteria:

- Biopsy-proven adenocarcinoma of the distal esophagus, gastroesophageal junction, or

proximal stomach (within 5cm of gastroesophageal junction)

- No prior treatment for this disease

- AJCC (American Joint Committee on Cancer) clinical stage II to IVA, potentially

resectable disease

- Measurable disease per RECIST 1. 0 criteria

- Medically fit for surgery; surgical consultation is encouraged prior to initiation of


- ECOG (Eastern Cooperative Oncology Group) performance status of 0 or 1

- Male or female; aged equal to or greater than 18 years

- Life expectancy of greater than 3 months

- Good organ, metabolic, bone marrow, and pulmonary function as specified in the


- Functioning central venous access device prior to treatment initiation

- Women of childbearing potential and men must agree to use adequate contraception

prior to study entry and for at least 6 months following the last administration of panitumumab

- Ability to understand and the willingness to sign a written IRB (Institutional Review

Board) approved informed consent Exclusion Criteria:

- Prior treatment for this disease

- History of another primary cancer except curatively treated in situ cervical cancer,

curatively resected nonmelanoma skin cancer, or other primary solid tumor curatively treated with no active disease present and no treatment administered for at least 5 years prior to enrollment

- History or known presence of central nervous system metastases

- History of allergic reactions attributed to compounds similar chemical or biologic

composition to panitumumab, paclitaxel, carboplatin, or 5FU

- Prior anti-EGFr-antibody therapy or treatment with small molecule EGFr inhibitors

- Systemic chemotherapy, hormonal therapy, immunotherapy, or experimental or approved

proteins/antibodies within 30 days prior to enrollment

- Chronic use of immunosuppressive agents with the exception of corticosteroids

- Any investigational agent or therapy within 30 days prior to enrollment

- Uncontrolled intercurrent illness including, but not limited to, ongoing or active

infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements

- History of interstitial lung disease, e. g., pneumonitis or pulmonary fibrosis or any

evidence of interstitial lung disease on baseline chest CT scan

- History of any medical or psychiatric condition or laboratory abnormality that in the

opinion of the investigator may increase the risks associated with study participation or investigational product(s) administration or may interfere with the interpretation of the results

- Unwilling or unable to comply with study requirements

- Female who tests positive for serum or urine pregnancy test or is breast feeding

- Known positive test(s) for human immunodeficiency virus infection, hepatitis C virus,

acute or chronic active hepatitis B infection

- Major surgery within 28 days or minor surgery within 7 days prior to treatment.

Placement of a central venous access device less than one day prior to treatment start

- Male or female of childbearing potential (women who are post-menopausal less than 52

weeks, not surgically sterilized, or not abstinent) not consenting to use adequate contraception prior to study entry and for at least 6 months following the last administration of panitumumab

- Arterial ischemic event (myocardial infarction, stroke) within 3 months prior to


- Ongoing therapeutic anticoagulation

Locations and Contacts

Clopton Clinic, Jonesboro, Arkansas 72401, United States
Additional Information

Starting date: April 2011
Last updated: November 29, 2012

Page last updated: August 23, 2015

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