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5-Fluoruracil

Phase 3

Gastric Cancer | Small molecule | Oncology |Roche Holding AG|Last Updated: Nov 2, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment564

FDA Designations

No designations recorded

Clinical trial landscape

5-Fluoruracil · 1 trial · 1 indication

Phase 3 1
NCT01662869A Study of Onartuzumab in Combination With mFOLFOX6 in Participants With Metastatic HER2-Negative and MET-Positive Gastroesophageal CancerGastric Cancer
COMPLETED564 Analytics
PHASE3COMPLETED
A Study of Onartuzumab in Combination With mFOLFOX6 in Participants With Metastatic HER2-Negative and MET-Positive Gastroesophageal Cancer
Gastric CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall survival (OS) in the MET Immunohistochemistry (IHC) 2+/3+ Participant Subgroup
Baseline until death (up to approximately 38 months overall)
OS in the Intent-To-Treat (ITT) Population
Baseline until death (up to approximately 38 months overall)

Secondary Endpoints

Duration of Response, as Assessed by Investigator Using RECIST v1.1
Baseline up to disease progression or death due to any cause, whichever occurs first (assessed every 6 weeks for 12 months and thereafter every 12 weeks up to approximately 38 months overall)
Percentage of Participants with a Tumor Response of CR or PR or Stable Disease (SD, Maintained for At Least 6 Months) as Determined by the Investigator Using RECIST v1.1
Baseline up to disease progression or death due to any cause, whichever occurs first (assessed every 6 weeks for 12 months and thereafter every 12 weeks up to approximately 38 months overall)
Percentage of Participants with Adverse Events
Baseline up to approximately 38 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Onartuzumab+mFOLFOX6EXPERIMENTALParticipants will receive onartuzumab 10 milligrams per kilogram (mg/kg) intravenous (IV) infusion + mFOLFOX6 (oxaliplatin, folinic acid, and 5-fluoruracil) regimen. Participants will receive a maximum of 12 cycles (each cycle is 14 days) of mFOLFOX6 with onartuzumab. Participants whose disease has not progressed after 12 cycles of mFOLFOX6 with onartuzumab will continue treatment with onartuzumab until disease progression, unacceptable toxicity, or death.
Placebo+mFOLFOX6PLACEBO_COMPARATORParticipants will receive onartuzumab matching placebo + mFOLFOX6. Participants will receive a maximum of 12 cycles (each cycle is 14 days) of mFOLFOX6 with placebo. Participants whose disease has not progressed after 12 cycles of mFOLFOX6 with placebo will continue treatment with placebo until disease progression, unacceptable toxicity, or death.

Interventions

NameTypeDescription
5-FluoruracilDRUGParticipants will receive 5-fluorouracil 400 milligrams per square meter (mg/m\^2) IV bolus and then 2400 mg/m\^2 as a continuous IV infusion over 46-48 hours on Day 1 of every cycle until disease progression or at the maximum of 12 cycles, whichever occurs first.
Folinic acidDRUGParticipants will receive folinic acid 400 mg/m\^2 IV infusion over 2 hours on Day 1 of every cycle until disease progression or at the maximum of 12 cycles, whichever occurs first.
OnartuzumabDRUGParticipants will receive onartuzumab 10 mg/kg IV infusion on Day 1 of every cycle (each cycle = 14 days) until disease progression, unacceptable toxicity, or participant or physician decision to discontinue treatment.
OxaliplatinDRUGParticipants will receive oxaliplatin 85 mg/m\^2 IV infusion over 2 hours on Day 1 of every cycle until disease progression or at the maximum of 12 cycles, whichever occurs first.
PlaceboDRUGParticipants will receive onartuzumab matching placebo on Day 1 of every cycle (each cycle = 14 days) until disease progression, unacceptable toxicity, or participant or physician decision to discontinue treatment.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites125

Inclusion Criteria: * Adenocarcinoma of the stomach or gastroesophageal junction with inoperable, metastatic disease, not amenable to curative therapy * Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 * Life expectancy greater than (\>) 3 months * Presence of tissue sample for I...

Countries:United StatesAustraliaBelgiumCanadaCzechiaFranceGermanyGuatemalaHong KongIsraelItalyMalaysiaMexicoPanamaPolandRussiaSingaporeSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)United Kingdom
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Competitive Landscape -Gastric Cancer 112 trials

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 5-Fluoruracil

What is 5-Fluoruracil used for in gastric cancer?

5-Fluoruracil is a small molecule used in the treatment of gastric cancer. It is being studied in combination with mFOLFOX6 for patients with metastatic HER2-negative and MET-positive gastroesophageal cancer. The drug is currently in Phase 3 clinical development for this indication.

What does 5-Fluoruracil target?

5-Fluoruracil is a small molecule that works by inhibiting thymidylate synthase, an enzyme involved in DNA synthesis. By blocking this enzyme, the drug disrupts the production of DNA in cancer cells, leading to their death. This mechanism makes it effective in treating gastric cancer.

Who makes 5-Fluoruracil?

5-Fluoruracil is developed by Roche Holding AG, a multinational healthcare company. The company is conducting clinical trials to evaluate the drug's efficacy in treating gastric cancer. Roche's ticker symbol is RHHBY.

What phase is 5-Fluoruracil in?

5-Fluoruracil is currently in Phase 3 clinical development for gastric cancer. It is an investigational drug and has not yet been approved by regulatory authorities. The Phase 3 trial is completed, with results expected to inform potential regulatory submissions.

What clinical trials is 5-Fluoruracil in?

5-Fluoruracil is being studied in a Phase 3 clinical trial with the identifier NCT01662869. This trial, titled 'A Study of Onartuzumab in Combination With mFOLFOX6 in Participants With Metastatic HER2-Negative and MET-Positive Gastroesophageal Cancer,' enrolled 564 participants and has been completed.

Is 5-Fluoruracil the same as fluorouracil?

Yes, 5-Fluoruracil is the same as fluorouracil. It is a chemotherapy drug used in the treatment of various cancers, including gastric cancer. The drug is being evaluated in combination with other agents to improve outcomes for patients with gastroesophageal cancer.