Prospective randomised phase II clinical trial of epirubicin, cisplatin, continuous infusional 5-fluorouracil (ECF) versus epirubicin, cisplatin and capecitabin (ECX) in patients with advanced gastric cancer

ISRCTN ISRCTN72792659
DOI https://doi.org/10.1186/ISRCTN72792659
Secondary identifying numbers Slovenian Research Agency (ARRS) ref: P3-0321
Submission date
03/09/2008
Registration date
13/11/2008
Last edited
17/07/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Janja Ocvirk
Scientific

Institute of Oncology Ljubljana
Zaloska 2
Ljubljana
1000
Slovenia

Study information

Study designPhase II, randomised, single-centre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study objectivesNull hypothesis: There will be no statistically significant difference in efficacy, safety and survival of ECX (epirubicin, cisplatin, capecitabin) regimen compared to ECF (epirubicin, cisplatin, continuous infusional 5-fluorouracil) regimen in patients with advanced gastric cancer.
Ethics approval(s)The National Medical Ethics Committee, Ministry of Health. Date of approval: 11/06/2002 (ref: 92/06/02)
Health condition(s) or problem(s) studiedAdvanced gastric cancer
InterventionThis trial took place at the Institute of Ljubljana (single-centre trial).

Patients were randomised to ECF or ECX chemotherapy group in equal numbers:

ECF consisted of epirubicin 50 mg/m^2, cisplatin 60 mg/m^2 on Day 1 by intravenous injection, 5-FU 200 mg/m^2/day was administrated by continuous infusion on Day 1-14 of each cycle. Cycle was repeated every 3 weeks.

In ECX combination epirubicin 50 mg/m^2 and cisplatin 60 mg/m^2 were administrated on Day 1 by intravenous injection. Capecitabine 825 mg/m^2 twice daily was administrated orally on Day 1-14. Cycle was repeated every 3 weeks.

Treatment was continued until disease progression, unacceptable toxicity occurred or the patient refused further treatment.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Epirubicin, cisplatin, 5-fluorouracil, capecitabin
Primary outcome measureResponse rate, assessed by the Response Evaluation Criteria in Solid Tumors (RECIST)

The primary and secondary outcomes were assessed at baseline, 3 and 6 months during therapy, then follow-up was performed every 3 months until progression of disease.
Secondary outcome measures1. Safety
2. Progression-free survival (PFS)
3. Overall survival (OS)

The primary and secondary outcomes were assessed at baseline, 3 and 6 months during therapy, then follow-up was performed every 3 months until progression of disease.
Overall study start date01/01/2003
Completion date31/03/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants80
Key inclusion criteria1. Both males and females, age 18 years or older
2. Histologically confirmed advanced gastric cancer
3. Performance status of 0-2
4. Adequate bone marrow function
5. Adequate renal, hepatic function
7. Normal cardiac function
8. Estimated life expectancy more than 3 months
Key exclusion criteria1. Performance status more than 2
2. Patients not recovered from operation
3. Patients with unresolved intestinal obstruction
4. Malabsorption syndrome
5. Pregnancy
6. Breastfeeding or childbearing potential without using adequate contraception
7. Cardiovascular diseases (New York Heart Association [NYHA] III-IV)
8. Impaired renal function
9. Liver diseases
10. Active hepatitis (hepatitis B, hepatitis C)
11. HIV positive
12. Other active infection
Date of first enrolment01/01/2003
Date of final enrolment31/03/2007

Locations

Countries of recruitment

  • Slovenia

Study participating centre

Institute of Oncology Ljubljana
Ljubljana
1000
Slovenia

Sponsor information

Ministry of Higher Education, Science and Technology (Slovenia)
Government

Kotnikova 38
Ljubljana
1000
Slovenia

Website http://www.mvzt.gov.si/en
ROR logo "ROR" https://ror.org/0452h9305

Funders

Funder type

Government

Ministry of Higher Education, Science and Technology (Slovenia)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2012 Yes No