CClinicalTrials.gg
TerminatedNCT02005484Updated Aug 11, 2014Results posted

A Study of Herceptin (Trastuzumab) in Patients With Metastatic or Advanced Gastric Cancer With Disease Progression

A Phase 2 interventional study of Trastuzumab in Gastric Cancer, sponsored by Hoffmann-La Roche. Terminated at 12 sites in 2 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2014-08-11.

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

Why this study was terminated
Study terminated due to slow patient recruitment.
Phase
Phase 2
Study type
Interventional
Enrollment
6
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study will evaluate the efficacy and safety of Herceptin in patients with metastatic or advanced gastric cancer with disease progression during platinum-based or 5-fluoropyrimidine-based chemotherapy. The anticipated time on study treatment is until disease progression.

02

Conditions studied

  • Gastric Cancer
03

In context

Stomach Neoplasms

2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.

This study's enrollment of 6 is below the median of 67 across 2,096 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • adult patients 18-75 years of age;
  • metastatic or advanced gastric cancer;
  • disease progression under or after 1 prior platinum-based or 5-fluoropyrimidine-based chemotherapy for metastatic disease;
  • >=4 weeks from last platinum-based or fluoropyrimidine-based chemotherapy;
  • >=1 measurable lesion;
  • HER2 overexpression (IHC [2+] or [3+]).

Exclusion criteria

Exclusion Criteria:

  • concurrent chemotherapy or immunotherapy;
  • brain or meningeal metastases;
  • clinically significant cardiac disease, advanced pulmonary disease or severe dyspnoea;
  • co-existing malignancies or malignancies diagnosed within last 5 years, except basal cell cancer or cervical cancer in situ;
  • women who are pregnant or breastfeeding.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Trastuzumab Monotherapy

    Initial dose of 4 milligrams (mg) per (/) kilogram (kg) by body weight (BW), followed by 2 mg/kg BW at each subsequent visit

    Drug: Trastuzumab

Interventions

  • DrugTrastuzumab

    4 mg/kg initial dose, followed by 2 mg/kg

    Also known as: Herceptin

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With a Response by Response Evaluation Criteria In Solid Tumors (RECIST) Category

    Tumor response assessed according to RECIST. Complete response (CR): complete disappearance of all target and non-target lesions, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than \[\<\]10 millimeters \[mm\]); no new lesions. Partial response (PR): greater than or equal to (≥)30 percent (%) decrease under baseline of sum of diameters of all target lesions. Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions. Stable disease (SD): not qualifying for CR, PR, or progressive disease (PD). Participants who could not be classified per RECIST were allocated as follows: early death from malignant disease (death due to cancer), early death because of other cause (death not related to toxicity or cancer disease), and unknown (for not fitting into the above categories).

    Time frame: Weekly throughout study

Secondary outcomes

  1. Percentage of Participants With Clinical Benefit

    Participants were classified as having a clinical benefit if they had a best overall tumor response of CR, PR, or SD. Tumor response assessed according to RECIST. CR: complete disappearance of all target and non-target lesions, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis \<10 mm); no new lesions. PR: ≥30% decrease under baseline of sum of diameters of all target lesions. Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions. Stable SD: not qualifying for CR, PR, or PD.

    Time frame: Weekly throughout the study

  2. Percentage of Participants With a Best Overall Response of CR or PR

    Tumor response assessed according to RECIST. CR: complete disappearance of all target and non-target lesions, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis \<10 mm); no new lesions. PR: ≥30% decrease under baseline of sum of diameters of all target lesions. Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions.

    Time frame: Weekly throughout the study

  3. Overall Survival - Number of Participants Who Died

    OS was defined as the time, in months, from the date of study entry to the date of the death due to any cause. If a participant's date of death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

    Time frame: Weekly throughout the study

  4. Overall Survival

    Overall survival (OS) was defined as the time, in months, from the date of study entry to the date of the death due to any cause. If a participant's date of death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

    Time frame: Weekly throughout the study

  5. Time to Progression - Number of Participants With an Event

    Time to progression was defined as the time, in months, from the date of study entry to the date of disease progression or death due to any cause. If a participant's date of disease progression or death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

    Time frame: Weekly throughout the study

  6. Time to Progression

    Time to progression was defined as the time, in months, from the date of study entry to the date of disease progression or death due to any cause. If a participant's date of disease progression or death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

    Time frame: Weekly throughout the study

07

Results

Posted Aug 11, 2014
Limitations and caveats
Due to slow patient recruitment, the study was prematurely terminated.

Participant flow

Participant flow — Overall Study
MilestoneTrastuzumab Monotherapy
Started6
Completed2
Not completed4
Withdrew: Death1
Withdrew: Disease progression1
Withdrew: Changed to a different study1
Withdrew: Sponsor decision1

Outcome measures

PrimaryPercentage of Participants With a Response by Response Evaluation Criteria In Solid Tumors (RECIST) Category

Tumor response assessed according to RECIST. Complete response (CR): complete disappearance of all target and non-target lesions, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than \[\<\]10 millimeters \[mm\]); no new lesions. Partial response (PR): greater than or equal to (≥)30 percent (%) decrease under baseline of sum of diameters of all target lesions. Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions. Stable disease (SD): not qualifying for CR, PR, or progressive disease (PD). Participants who could not be classified per RECIST were allocated as follows: early death from malignant disease (death due to cancer), early death because of other cause (death not related to toxicity or cancer disease), and unknown (for not fitting into the above categories).

Time frame:
Weekly throughout study
Reported as:
Number · percentage of participants
Percentage of Participants With a Response by Response Evaluation Criteria In Solid Tumors (RECIST) Category
percentage of participantsTrastuzumab Monotherapy
CR0
PR33.3
SD0
PD50.0
Early death from malignant disease0
Early death because of other cause16.7
Unknown0
SecondaryPercentage of Participants With Clinical Benefit

Participants were classified as having a clinical benefit if they had a best overall tumor response of CR, PR, or SD. Tumor response assessed according to RECIST. CR: complete disappearance of all target and non-target lesions, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis \<10 mm); no new lesions. PR: ≥30% decrease under baseline of sum of diameters of all target lesions. Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions. Stable SD: not qualifying for CR, PR, or PD.

Time frame:
Weekly throughout the study
Reported as:
Number · percentage participants
Percentage of Participants With Clinical Benefit
percentage participantsTrastuzumab Monotherapy
Percentage of Participants With Clinical Benefit33.3
SecondaryPercentage of Participants With a Best Overall Response of CR or PR

Tumor response assessed according to RECIST. CR: complete disappearance of all target and non-target lesions, with exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis \<10 mm); no new lesions. PR: ≥30% decrease under baseline of sum of diameters of all target lesions. Short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions; no unequivocal progression of non-target disease; no new lesions.

Time frame:
Weekly throughout the study
Reported as:
Number · percentage participants
Percentage of Participants With a Best Overall Response of CR or PR
percentage participantsTrastuzumab Monotherapy
Percentage of Participants With a Best Overall Response of CR or PR33.3
SecondaryOverall Survival - Number of Participants Who Died

OS was defined as the time, in months, from the date of study entry to the date of the death due to any cause. If a participant's date of death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

Time frame:
Weekly throughout the study
Reported as:
Number · participants
Overall Survival - Number of Participants Who Died
participantsTrastuzumab Monotherapy
Overall Survival - Number of Participants Who Died2
SecondaryOverall Survival

Overall survival (OS) was defined as the time, in months, from the date of study entry to the date of the death due to any cause. If a participant's date of death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

Time frame:
Weekly throughout the study
Reported as:
Median · months
Overall Survival
monthsTrastuzumab Monotherapy
Overall Survival6.39 (1.4 to 18.7)
SecondaryTime to Progression - Number of Participants With an Event

Time to progression was defined as the time, in months, from the date of study entry to the date of disease progression or death due to any cause. If a participant's date of disease progression or death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

Time frame:
Weekly throughout the study
Reported as:
Number · participants
Time to Progression - Number of Participants With an Event
participantsTrastuzumab Monotherapy
Time to Progression - Number of Participants With an Event5
SecondaryTime to Progression

Time to progression was defined as the time, in months, from the date of study entry to the date of disease progression or death due to any cause. If a participant's date of disease progression or death was unknown, or had not occurred, the last date of examination, treatment, and follow-up dates were included in the analysis.

Time frame:
Weekly throughout the study
Reported as:
Median · months
Time to Progression
monthsTrastuzumab Monotherapy
Time to Progression1.78 (1.4 to 7.4)

Adverse events

Collected over Weekly throughout the study.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Trastuzumab Monotherapy—3/6 (50%)6/6 (100%)
Most frequent serious events
Most frequent serious events
EventTrastuzumab Monotherapy
Gastrointestinal haemorrhageGastrointestinal disorders1/6
General physical health deteriorationGeneral disorders1/6
HyperkalaemiaMetabolism and nutrition disorders1/6
Renal failureRenal and urinary disorders1/6
Stent placementSurgical and medical procedures1/6
Oesophageal stent insertionSurgical and medical procedures1/6
Oesophageal haemorrhageGastrointestinal disorders1/6
HypersensitivityImmune system disorders1/6
Most frequent other events
Showing 10 of 34
Most frequent other events
EventTrastuzumab Monotherapy
Abdominal painGastrointestinal disorders3/6
NauseaGastrointestinal disorders3/6
DiarrhoeaGastrointestinal disorders2/6
ChillsGeneral disorders2/6
PyrexiaGeneral disorders2/6
AscitesGastrointestinal disorders1/6
ConstipationGastrointestinal disorders1/6
DysphagiaGastrointestinal disorders1/6
FlatulenceGastrointestinal disorders1/6
RetchingGastrointestinal disorders1/6

Baseline characteristics

Intent-to-treat (ITT) population: all participants who signed informed consent for the study.

Age, Continuous
Age, Continuous(years)Trastuzumab Monotherapy
Mean62.49 ± 9.79
Sex: Female, Male
Sex: Female, Male(Participants)Trastuzumab Monotherapy
Female1
Male5
08

Study locations

12 sites
  • Wien, 1090, Austria
  • Dresden, 01307, Germany
  • Erlangen, 91054, Germany
  • Essen, 45122, Germany
  • Grenzach-wyhlen, 79639, Germany
  • Halle, 06120, Germany
  • Kassel, 34125, Germany
  • Kiel, 24105, Germany
  • Mannheim, 68167, Germany
  • München, 81377, Germany
  • München, 81675, Germany
  • Oldenburg, 26133, Germany
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02005484
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Dec 9, 2013
Start date
Jan 2004
Primary completion
Feb 2008
Completion
Feb 2008
Results posted
Aug 11, 2014
Last update
Aug 11, 2014

Study contacts

Clinical Trials
study chair · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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