The purpose of this trial is to compare the effects of TAS-102 and best supportive care (BSC) with Placebo (an inactive drug) and best supportive care on metastatic gastric cancer.
This is a multinational, double-blind, two-arm, parallel, randomized, Phase 3 study evaluating the efficacy and safety of TAS-102 plus BSC versus placebo plus BSC in participants with metastatic gastric cancer who have previously received at least 2 prior regimens for advanced disease. Eligible participants will be centrally randomized (2:1) to TAS-102 + BSC (experimental arm) or placebo + BSC (control arm).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
507
Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death due to any cause. Participants without documented death were censored at last follow-up or cut-off date, whichever comes first. OS was estimated by Kaplan-Meier method.
Time frame: From the date of randomization to the data cut-off date (maximum duration: up to approximately 46 months)
Progression-Free Survival (PFS)
PFS was defined as the time from randomization until the date of first occurrence of investigator-assessed radiological disease progression or death due to any cause, whichever came first. Disease progression as per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) for target lesions were defined as target lesions with at least 20 % relative increase in the sum of diameters with reference to the smallest sum on study, including the baseline sum and this sum demonstrated an absolute increase of at least 5 millimeter (mm) or the appearance of one or more new lesions or Unequivocal progression of existing non-target lesions. All alive participants with no disease progression as of the analysis cut-off date were censored at the last tumor assessment. PFS was estimated by Kaplan-Meier method.
Time frame: From the date of randomization to the cut-off date (maximum duration: up to approximately 46 months)
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAE)
Any untoward medical condition that occurs in a participants while participating in a clinical study and does not necessarily have a causal relationship with the use of the study medication was considered an adverse event (AE). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. TEAEs/TESAEs were defined as events that started on or after treatment or started before treatment and worsened after the start of treatment through 30 days after the last dose of study treatment.
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Banner MD Anderson Cancer Center
Gilbert, Arizona, United States
Alta Bates Summit Comprehensive Cancer Center
Berkeley, California, United States
St. Jude Heritage Healthcare
Fullerton, California, United States
Los Angeles Cancer Network
Los Angeles, California, United States
University of Southern California - Keck School of Medicine
Los Angeles, California, United States
USC/Norris Comprehensive Cancer Center
Los Angeles, California, United States
California Pacific Medical Center
San Francisco, California, United States
21st Century Oncology
Jacksonville, Florida, United States
Mount Sinai Hospital Medical Center
Chicago, Illinois, United States
Rush University Medical Center
Chicago, Illinois, United States
...and 129 more locations
Time frame: From the first dose of study treatment until 30 days after the last dose of study treatment (maximum duration: up to approximately 46 months)