The Screening Protocol for The VIKTORY Trial

Sponsor
Samsung Medical Center (Other)
Overall Status
Completed
CT.gov ID
NCT02299648
Collaborator
(none)
651
2
1
93.7
325.5
3.5

Study Details

Study Description

Brief Summary

This protocol is a screening protocol only. No drug intervention study will be included in this protocol. However, based on the molecular profiling, patients may be eligible for targeted agents. However, the molecular profiling doesn't guarantee the enrollment onto the clinical trial. Currently, the available drugs are AKT inhibitor, MEK inhibitor, Wee1 inhibitor, MET inhibitor. ATR inhibitor and other agents may be available in the context of clinical trials depending on the availability.

Condition or Disease Intervention/Treatment Phase
  • Other: Molecular profiling
N/A

Detailed Description

To screen metastatic GC patients who failed or progressed on first-line chemotherapy. Patients will undergo biopsy of their tumor and will be analyzed using cancer panel/nanostring CNV and immunohistochemistry. This protocol is a screening protocol and informed consent form will be obtained again according to the biomarker profiled on this protocol if eligible. Informed consent will be obtained from patients with gastric adenocarcinoma and analysis of fresh tissue or archival FFPE at Samsung Medical Center will be performed. Patients who have prior to or completed or during the first-line chemotherapy (fluoropyramidine/platinum-based) will be eligible for screening.

After the analysis, pathologic and molecular biologic verification process about validity of the result will proceed. The biopsies will be performed before or after or during first-line treatment for molecular analysis. The patients who are screened through this protocol will undergo baseline biopsy before or after or during first-line therapy.

Study Objectives

  1. Primary Objective: To screen metastatic GC patients who failed or progressed on first-line chemotherapy. Patients will undergo biopsy of their tumor and will be analyzed using cancer panel/nanostring CNV and immunohistochemistry.

  2. Secondary Objective

Planned subgroup analyses:
  1. OS (biomarker negative vs biomarker postivie metastatic GC patients)

  2. PFS (biomarker negative vs biomarker postivie metastatic GC patients)

  3. OS/PFS (EBV negative vs positive metastatic GC patients)

Study Design

Study Type:
Interventional
Actual Enrollment :
651 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Screening
Official Title:
The Screening Protocol for The VIKTORY Trial- Targeted Agent eValuation in gastrIc Cancer basKeT KORea studY: SMC-AZ GC Basket Trial Screening Protocol
Actual Study Start Date :
Jul 25, 2014
Actual Primary Completion Date :
Dec 30, 2021
Actual Study Completion Date :
May 17, 2022

Arms and Interventions

Arm Intervention/Treatment
Other: Single arm

molecular profiling, patient derived cells

Other: Molecular profiling
molecular profiling, patient derived cells, fresh or FFPE

Outcome Measures

Primary Outcome Measures

  1. molecular screening ( biopsy of their tumor and will be analyzed using cancer panel/nanostring CNV and immunohistochemistry) [from data of start of targeted tretment oriented by molecular screening until the date of first progression or date of death form any cause, whichever came first, assessed up to 1 year]

    To screen metastatic GC patients who failed or progressed on first-line chemotherapy. Patients will undergo biopsy of their tumor and will be analyzed using cancer panel/nanostring CNV and immunohistochemistry.

Secondary Outcome Measures

  1. OS [1years]

    OS (biomarker negative vs biomarker postivie metastatic GC patients)

  2. PFS [1years]

    PFS (biomarker negative vs biomarker postivie metastatic GC patients)

  3. OS/PFS [1years]

    OS/PFS (EBV negative vs positive metastatic GC patients)

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Pathologically confirmed Metastatic or recurrent esophageal, gastroesophageal or gastric adenocarcinoma

  • Progressed and/or completed one platinum/fluoropyrimidine-based cytotoxic chemotherapy regimen (any adjuvant treatment will not be considered as one palliative regimen): patients who have prior to or completed or during first-line chemotherapy will be eligible for screening.

  • Tissue specimens: surgical specimens, endoscopic biopsies, colono/sigmoidoscopic biopsies, liver biopsies, lymph node biopsies, malignant cells isolated from ascites/pleural effusion/pericardial effusion/other malignancy related body fluids with sufficient number of malignant cells for DNA/RNA extractions will be allowed.

  • Age ≥ 20 years 5) ECOG performance status 0-1 6) Written informed consent - Life expectancy ≥ 3 months

  • Patients with available archival tissues for molecular analysis or patients who agreed with biopsy for molecular analysis (however, fresh frozen tissue will be considered first)

Exclusion Criteria:
  • Prior history of taxane treatment as palliative chemotherapy

  • Uncontrolled systemic illness and infection

  • Pregnant or nursing women

Contacts and Locations

Locations

Site City State Country Postal Code
1 Samsung Medical center Seoul Korea, Republic of 135-710
2 Samsung Medical Center Seoul Korea, Republic of

Sponsors and Collaborators

  • Samsung Medical Center

Investigators

  • Principal Investigator: Jeeyun Lee, MD, Samsung Medical Center

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Jeeyun Lee, Professor, Samsung Medical Center
ClinicalTrials.gov Identifier:
NCT02299648
Other Study ID Numbers:
  • 2014-04-119-009
First Posted:
Nov 24, 2014
Last Update Posted:
Jun 15, 2022
Last Verified:
Jun 1, 2022
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 15, 2022