RATIONALE: Gefitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. It is not yet known whether gefitinib is more effective than a placebo in treating esophageal cancer. PURPOSE: This randomized phase III trial is studying gefitinib to see how well it works compared with a placebo in treating patients with esophageal cancer that is progressing after chemotherapy.
OBJECTIVES: Primary * To assess whether gefitinib vs placebo will improve overall survival of patients with esophageal or gastroesophageal junction cancer. Secondary * To assess the toxicity of gefitinib monotherapy in these patients. * To assess whether gefitinib vs placebo will have a significant positive or negative impact upon quality of life of these patients. * To assess the impact gefitinib vs placebo will have on progression-free survival of these patients. OUTLINE: This is a multicenter study. * Arm A: Patients receive oral gefitinib once daily. Treatment continues in the absence of disease progression or unacceptable toxicity. * Arm B: Patients receive oral placebo once daily. Treatment continues in the absence of disease progression or unacceptable toxicity. Blood samples are collected for genetic and translational studies. Patient's quality of life is assessed at baseline and periodically during the study with completion of EORTC Quality of Life Questionnaire (QLQ-C30) version 3.0. After completion of study treatment, patients are followed up every 8 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
450
New Cross Hospital
Wolverhampton, England, United Kingdom
Overall survival
Time frame: 4, 8, 12, 16 weeks then every 8 weeks
Toxicity and safety
Time frame: 4, 8, 12, 16 weeks then every 8 weeks
Quality of life
Time frame: 4, 8 and 12 weeks
Progression-free survival
Time frame: 4, 8, 12, 16 weeks then every 8 weeks
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