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Best Supportive Care

Phase 3

Advanced Gastric Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Nov 3, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment656

FDA Designations

No designations recorded

Clinical trial landscape

Best Supportive Care · 1 trial · 1 indication

Phase 3 1
NCT00879333Safety and Efficacy of RAD001 (Everolimus) Monotherapy Plus Best Supportive Care in Patients With Advanced Gastric Cancer (AGC)Advanced Gastric Cancer
COMPLETED656 Analytics
PHASE3COMPLETED
Safety and Efficacy of RAD001 (Everolimus) Monotherapy Plus Best Supportive Care in Patients With Advanced Gastric Cancer (AGC)
Advanced Gastric CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS)
2.5 years

The primary objective of this study was to compare OS between everolimus + best supportive care (BSC) and placebo + BSC. OS, was defined as the time from date of randomization to the date of death due to any cause. If at the analysis cut-off date a patient was not known to have died, survival was censored at the date of the last contact. OS was analyzed using the Kaplan Meier estimates method.

Secondary Endpoints

Progression Free Survival (PFS)
2.5 years
Patient Reported Outcome (PRO): Time to Definitive Deterioration of European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire 30 (EORTC QLQ-C30) Scores
2.5 years
Time to Definitive Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) Score
2.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Everolimus + BSCEXPERIMENTALAll patients were randomized to receive everolimus + BSC. All patients orally took two 5 mg tablets of everolimus once daily. Therefore, all patients in the everolimus arm took a total daily dose of 10 mg. Best supportive care was in accordance with the local practice of an individual institution or center, and specifically excluded anti-cancer treatments.
Placebo + BSCPLACEBO_COMPARATORAll patients were randomized to receive placebo + BSC. All patients orally took two 5 mg tablets of matching placebo once daily. Therefore, all patients in the placebo receive matching tablets of total daily dose of 10 mg. Best supportive care was in accordance with the local practice of an individual institution or center, and specifically excluded anti-cancer treatments.

Interventions

NameTypeDescription
EverolimusDRUGEverolimus was formulated as tablets of 5 mg strength. In both treatment arms, the study drug was given by continuous oral daily dosing of 10 mg (2 tablets x 5 mg) each morning.
Everolimus placeboDRUGPlacebo was formulated to be indistinguishable from the everolimus tablets, also formulated as tablets of 5 mg strength. In both treatment arms, the study drug was given by continuous oral daily dosing of 10 mg (2 tablets x 5 mg) each morning.
Best Supportive Care (BSC)DRUGBest supportive care is defined as care in accordance with the local practice of an individual institution or center, specifically excluding anti-cancer treatments.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites122

Inclusion Criteria: * Male or female patients \> 18 years old * Histologically or cytologically confirmed and documented gastric adenocarcinoma * Documented progression after 1 or 2 prior chemotherapy treatments for advanced disease * ECOG Performance Status of \< 2 * Lab parameters within specific...

Countries:United StatesArgentinaAustraliaBelgiumCanadaChinaFranceGermanyHong KongIsraelItalyJapanMexicoNetherlandsNew ZealandPeruRussiaSouth KoreaSpainTaiwanThailandUnited Kingdom
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Competitive Landscape -Gastric Cancer 112 trials (matched to "Advanced Gastric Cancer")

Top 20 of 45 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN16PHASE3AZD0901, Ramucirumab, paclitaxel, Paclitaxel, Docetaxel
BeOne Medicines Ltd. Sponsored ADRONC4PHASE3Tislelizumab, Cisplatin, Leucovorin, 5-fluorouracil, Oxaliplatin
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Tislelizumab, Trastuzumab, Capecitabine, Oxaliplatin
Arcus Biosciences, Inc.RCUS2PHASE3Domvanalimab, Zimberelimab, Capecitabine, Fluorouracil, Leucovorin
Bristol-Myers Squibb CompanyBMY6PHASE2Pumitamig, Folfox, Capox, Nivolumab
Pfizer Inc.PFE7PHASE2disitamab vedotin, tucatinib
Agenus Inc.AGEN2PHASE3Balstilimab, Botensilimab, Folfox Protocol, XELOX, Nivolumab
AbbVie, Inc.ABBV2PHASE2Telisotuzumab Adizutecan, Budigalimab, Fluorouracil, Leucovorin, Oxaliplatin
Eli Lilly and CompanyLLY2PHASE2Ramucirumab, Paclitaxel
Compass Therapeutics, Inc.CMPX1PHASE2CTX-009, Paclitaxel
ALX Oncology Holdings, Inc.ALXO1PHASE2Evorpacept, Trastuzumab, Ramucirumab, Paclitaxel
GE Healthcare Technologies Inc.GEHC1PHASE2GEH300079 Positron-Emission Tomography/Computed Tomography
ImmunityBio IncIBRX1PHASE2N-803, Pembrolizumab
Apollomics Inc. Class AAPLM1PHASE2APL-101
Exelixis, Inc.EXEL2PHASE1cabozantinib, atezolizumab
Tango Therapeutics, Inc.TNGX2PHASE2Trifluridine/Tipiracil, Oxaliplatin, FOLFOX regimen, Nivolumab
Inhibrx Biosciences, Inc.INBX1PHASE1INBRX-106- Hexavalent OX40 agonist antibody, pembrolizumab, Carboplatin AUC-5, Pemetrexed/m2, Cisplatin/m2
Incyte CorporationINCY1PHASE2Capecitabine, Oxaliplatin, Retifanlimab
I-Mab Biopharma US LimitedIMAB2PHASE2Givastomig, Nivolumab, 5Fluorouracil, Leucovorin, Oxaliplatin
Enliven Therapeutics, Inc.ELVN1PHASE1ELVN-002, Trastuzumab, 5-Fluorouracil, Oxaliplatin, Capecitabine
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Frequently asked questions about Best Supportive Care

What is Best Supportive Care used for in Advanced Gastric Cancer?

Best Supportive Care is used as a control treatment in a Phase 3 clinical trial for patients with Advanced Gastric Cancer. It is being evaluated in combination with everolimus (RAD001) monotherapy to assess safety and efficacy in this patient population.

Who makes Best Supportive Care?

Best Supportive Care is developed by Novartis AG, which trades under the ticker NVS. The company is conducting a Phase 3 clinical trial of Best Supportive Care in combination with everolimus for Advanced Gastric Cancer.

What phase is Best Supportive Care in?

Best Supportive Care is in Phase 3 clinical development. It is being studied in a completed Phase 3 trial for Advanced Gastric Cancer, with 656 patients enrolled. The drug is investigational and not yet approved for this indication.

What clinical trials is Best Supportive Care in?

Best Supportive Care is associated with one completed Phase 3 trial, NCT00879333, titled "Safety and Efficacy of RAD001 (Everolimus) Monotherapy Plus Best Supportive Care in Patients With Advanced Gastric Cancer (AGC)." The trial enrolled 656 patients across multiple countries.

Is Best Supportive Care the same as everolimus?

No, Best Supportive Care is not the same as everolimus. In the clinical trial NCT00879333, Best Supportive Care is the control treatment, while everolimus (RAD001) is the investigational drug being tested in combination with Best Supportive Care for Advanced Gastric Cancer.