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Post-operative treatment trastuzumab mono therapy

Phase 2

Adenocarcinoma of the Gastroesophageal Junction | Monoclonal antibody | Oncology |Roche Holding AG|Trials Updated: Jun 19, 2017

Post-operative treatment trastuzumab mono therapy development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Nov 2011

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment53

FDA Designations

No designations recorded

Post-operative treatment trastuzumab mono therapy clinical trials

Post-operative treatment trastuzumab mono therapy · 1 trial · 2 indications

Phase 2 1
NCT01472029Explorative Phase II Study of Perioperative Treatment in Patients With Adenocarcinoma of the Gastroesophageal Junction or StomachAdenocarcinoma of the Gastroesophageal Junction
COMPLETED53 Analytics
PHASE2COMPLETED
Explorative Phase II Study of Perioperative Treatment in Patients With Adenocarcinoma of the Gastroesophageal Junction or Stomach
Adenocarcinoma of the Gastroesophageal JunctionUnlock trial analytics

Study Endpoints

Primary Endpoints

Rate of complete pathological responses (percentage of patients with pCR referring to the total number of enrolled and eligible patients), as evaluated centrally by a reference pathologist.
From enrollment to surgery after pre-operative treatment (4 cycles = 8 weeks) for 9 weeks.

The experimental therapy would be rated as insufficiently active, if the observed pCR rate is 10 % or lower, as this corresponds to the expectations after chemotherapy alone. The experimental therapy would be considered to be a promising candidate for further development (e.g. in a phase III trial), if the true pCR rate amounted to 20% or more.

Secondary Endpoints

R0 resection rate
From enrollment to surgery after pre-operative treatment (4 cycles = 8 weeks) for 9 weeks.
Relapse-free survival
From enrollment to end of follow up assessed up to 58 months
Overall survival
From enrollment to end of follow up assessed up to 58 months.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
5-FU, leucovorin, docetaxel, oxaliplatin (FLOT), trastuzumabEXPERIMENTAL -

Interventions

NameTypeDescription
5-FU, leucovorin, docetaxel, oxaliplatin (FLOT), trastuzumabDRUGPre-operative treatment 4 cycles and post-operative treatment 4 cycles: Trastuzumab 4 mg/kg BW (6 mg loading dose at 1st administration), iv over 1 h on day 1 of each 14 day cycle Docetaxel 50 mg/m², iv over 2 h on day 1 of each 14 day cycle Oxaliplatin 85 mg/m² in 500 ml G5%, iv over 2h on day 1 of each 14 day cycle Leucovorin 200 mg/m² in 250 ml NaCl 0,9%, iv over 1 h on day 1 of each cycle 5-FU 2600 mg/m², iv over 24 h on day 1 of each 14 day cycle
Post-operative treatment trastuzumab mono therapyDRUGTrastuzumab mono therapy for 9 cycles: Trastuzumab 6 mg/kg BW, iv over 1 h on day 1 of each 21 day cycle
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: \- Histologically confirmed adenocarcinoma of the gastroesophageal junction (AEG I-III) or the stomach (uT2, uT3, uT4, any N category, M0), or any T N+ M0 patient, with the following specifications: Endosonography and an esophageal-gastro-duodenoscopy; Categorization of gastroes...

Countries:Germany
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Frequently asked questions about Post-operative treatment trastuzumab mono therapy

What is post-operative treatment trastuzumab mono therapy?

Post-operative treatment trastuzumab mono therapy is an investigational monoclonal antibody given after surgery to patients with adenocarcinoma of the gastroesophageal junction. It was studied as a single-agent treatment in a Phase 2 trial of perioperative therapy. It is not described as approved and remains a clinical-stage asset.

What is post-operative treatment trastuzumab mono therapy used for in adenocarcinoma of the gastroesophageal junction?

It is used in the post-operative setting for adenocarcinoma of the gastroesophageal junction, and the same trial also enrolled patients with adenocarcinoma of the stomach. The Phase 2 study evaluated it as perioperative treatment in biomarker-selected patients. It is investigational and not an established standard of care.

Who is developing post-operative treatment trastuzumab mono therapy?

Roche Holding AG is the developer of post-operative treatment trastuzumab mono therapy. The company trades under the ticker RHHBY. The asset was studied in a Roche-sponsored Phase 2 trial conducted in Germany.

What phase is post-operative treatment trastuzumab mono therapy in?

Post-operative treatment trastuzumab mono therapy is in Phase 2 development. The single registered trial, NCT01472029, is a completed Phase 2 study. There are no active trials listed for this asset, and it is not described as FDA approved.

What clinical trials is post-operative treatment trastuzumab mono therapy in?

Post-operative treatment trastuzumab mono therapy was studied in NCT01472029, an explorative Phase 2 trial of perioperative treatment in patients with adenocarcinoma of the gastroesophageal junction or stomach. The trial enrolled 53 patients in Germany, was uncontrolled, was not randomized or double blinded, and has completed.

Is post-operative treatment trastuzumab mono therapy biomarker selected?

Yes. The Phase 2 trial NCT01472029 for post-operative treatment trastuzumab mono therapy was biomarker selected, meaning enrollment was restricted to patients whose tumors met a prespecified biomarker criterion. The study enrolled 53 patients aged 18 years and older of any sex, and it has completed.