Pharmacokinetic Study of Capecitabine After Total Gastrectomy for Stomach Adenocarcinoma | Stopped
Pharmacokinetic Study of Capecitabine After Total Gastrectomy for Stomach Adenocarcinoma

Trial Source

There is no location for this trial

Location data is sourced from multiple external providers and UKCTG is not responsible for and cannot guarantee the accuracy of data.

Health Conditions
  • Adenocarcinoma of the Stomach
Unfortunately contact details are not available for this trial.
Primary Contact Details
Stopped
Recruitment Status
NCT00871273
Primary Trial ID Number
Summary
The purpose of this study is to evaluate the pharmacokinetics (PK) of capecitabine in patients who have undergone a total gastrectomy.
Research Details
  • Primary Objective: - To establish the pharmacokinetics (PK) of capecitabine in patients who have undergone a total gastrectomy Secondary Objectives: - To compare the pharmacokinetic profile of capecitabine administered to patients with gastric cancer pre- and post-gastrectomy and to compare this to historical data of capecitabine PK values in patients with other cancer types. - To ensure equivalent capecitabine exposure when compared to PK data from the same patients prior to gastrectomy. This is a clinical trial to evaluate the pharmacokinetics (PK) of capecitabine in patients who have undergone a total gastrectomy. The study also aims to establish the toxicity profile of capecitabine in these patients, to identify any dose limiting toxicities (DLT), and to ensure equivalent capecitabine exposure when compared to PK data from the same patients prior to gastrectomy. Screening tests will consist of demographic details, complete medical history, physical exam, vital signs, tumour serum markers, haematology and biochemistry tests. There will also be an ECG, chest X-Ray or CT thorax, CT abdomen and a serum or urine pregnancy test (for women of childbearing potential). Haematology and Biochemistry will be repeated prior to each study drug administration. All patients will receive 6 cycles of oral capecitabine chemotherapy at a dose of 625 mg/m2, administered twice daily at 12 hourly intervals for 21 consecutive days. Total proposed duration of therapy is 3 cycles pre-operatively and 3 cycles post-operatively. Capecitabine and its metabolites (DFCR, DFUR and 5-FU) plasma levels will be measured during the 1st and 4th cycles in all patients. Treatment should continue for 6 cycles unless there is evidence of disease progression, or unacceptable toxicity.
Phase
Phase 4
Study Design
Endpoint Classification: Pharmacokinetics Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Basic Science
Study Type
Interventional
Intervention
Drug : capecitabine
Intervention Type
See Interventions above
Primary Outcome Measures
  • To establish the pharmacokinetics (PK) of capecitabine in patients who have undergone a total gastrectomy.; Samples collected predose and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 8, and 24 hours on day 1 of cycles 1 and 4
Secondary Outcome Measures
  • To compare the pharmacokinetic profile of capecitabine administered to patients with gastric cancer pre- and post-gastrectomy and to compare this to historical data of capecitabine PK values in patients with other cancer types.; 1 year; To ensure equivalent capecitabine exposure when compared to PK data from the same patients prior to gastrectomy.; 1 Year
Publication(s)
Sorry, this information is not available
Result Reports
This is available on the Clinicaltrials.gov website
Gender
Both
Age Range
18 Years - N/A
Who Can Participate
Patients
Number of Participants
Sorry, this information is not available
Participant Inclusion Criteria
  • Inclusion Criteria:
  • - Patients must have histologically confirmed gastric carcinoma suitable for
  • potentially curative resection.
  • - Surgery must be planned to involve a total gastrectomy.
  • - No concurrent mechanical or malabsorptive disorders precluding affective oral
  • administration of the drug (excluding early satiety related to the presence of the
  • malignancy).
  • - Age ≥ 18 years.
  • - World Health Organisation (WHO) performance status of ≤ 2 (Appendix 1).
  • - Haematological and biochemical indices (These measurements must be performed within
  • one week prior to the patient going on study.)
  • - Haemoglobin (Hb) ≥ 9.0 g/dl
  • - Neutrophils ≥ 1.5 x 109/L
  • - Platelets (Plts) ≥ 100 x 109/L
  • - Serum bilirubin ≤ 1.5 x upper normal limit
  • - Alanine amino-transferase (ALT) and / or aspartate amino-transferase (AST) ≤ 2.0 x
  • upper limit of normal (ULN). (If both are measured, both must be ≤ 2.0 x ULN)
  • - Calculated creatinine clearance ≥ 50 ml/min (uncorrected value) or isotope clearance
  • measurement ≥ 50ml/min
  • - Female patients of child-bearing potential must have a negative serum or urine
  • pregnancy test prior to enrolment and agree to use appropriate medically approved
  • contraception for four weeks prior to entering the trial, during the trial, and for
  • six months afterwards.
  • - Male patients must agree to use appropriate medically approved contraception during
  • the trial and for six months afterwards.
  • - Written, informed consent provided.
  • - Ability of the patient to co-operate with treatment and follow up must be ensured.
  • - Patients receiving oral anti-coagulation prior to entry into the study, must be
  • converted to low molecular weight heparin in light of the interaction between
  • capecitabine and warfarin.
  • Exclusion Criteria:
  • - Patients with gastric lymphoma or other histological diagnosis
  • - Any evidence of malignant ascites, peritoneal or liver metastasis, spread to other
  • distant abdominal or extra-abdominal organs.
  • - History of confirmed Ischaemic Heart Disease, concurrent congestive heart failure or
  • prior history of class III / IV cardiac disease (Appendix 2 - New York Heart
  • Association (NYHA) Scale)
  • - Concurrent mechanical or malabsorptive disorders precluding effective oral
  • administration of the drug
  • - Use of other concomitant chemotherapy
  • - Pregnancy or Lactation
  • - Patients known to be serologically positive for Hepatitis B, Hepatitis C or Human
  • Immunodeficiency Virus (HIV).
  • - Patients who are high medical risks because of non-malignant systemic disease
  • including active uncontrolled infection.
  • - Any other serious medical or psychological condition precluding adjuvant treatment
  • - Patients with any other condition which in the Investigator's opinion would not make
  • the patient a good candidate for the clinical trial.
Participant Exclusion Criteria
This is in the inclusion criteria above
Trial Location(s)
Edinburgh
Cambridge
Trial Contact(s)
Primary Trial Contact
Sorry, this information is not available
Other Trial Contacts
Sorry, this information is not available
Countries Recruiting
United Kingdom
Scientific Title
A Pharmacokinetic Study of Capecitabine in Patients Undergoing Peri-operative Chemotherapy and a Total Gastrectomy for Adenocarcinoma of the Stomach
EudraCT Number
Not available for this trial
Funder(s)
    Sorry, this information is not available
Other Study ID Numbers
CAP002
Sponsor(s)
Cambridge University Hospitals NHS Foundation Trust
Key Dates

Recruitment Start Date

Nov 2009

Recruitment End Date

Oct 2013

Trial Start Date
Date Not Available
Trial End Date
Date Not Available
Date Assigned

27 Mar 2009

Last Updated

18 Jul 2015