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Trial registered on ANZCTR
Registration number
ACTRN12606000163505
Ethics application status
Approved
Date submitted
13/09/2005
Date registered
9/05/2006
Date last updated
16/12/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
ATTAX
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Scientific title
ATTAX: A randomised phase II study evaluating tumour response rates of a weekly schedule of docetaxel with cisplatin and 5-FU (wTCF) or with Capecitabine (wTX) in advanced oesophago-gastric cancer.
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Secondary ID [1]
258
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Australasian Gastro-Intestinal Trials Group: AG0603G
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Universal Trial Number (UTN)
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Trial acronym
ATTAX
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Locally recurrent or metastatic oesophago-gastric cancer
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Condition category
Condition code
Cancer
1215
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0
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Oesophageal (gullet)
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Cancer
1216
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0
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Stomach
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study has two treatment arms:
Weekly TCF consisting of Docetaxel 30 mg/m2 d1, d8; Cisplatin 60 mg/m2 d1 and protracted venous infusion fluorouracil (5-FU) 200 mg/m2/d for 21d
Weekly TX consisting of Docetaxel 30 mg/m2 d1, d8; Capecitabine 800 mg/m2 bd orally d1-14.
Each cycle administered 3 weekly for a total of 8 cycles.
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Intervention code [1]
562
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Treatment: Drugs
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Comparator / control treatment
This study has two treatment arms, which are not compared, therefore there is no comparator/control.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To evaluate tumour response rates of weekly docetaxel, cisplatin and 5-FU or weekly docetaxel and capecitabine in the treatment of patients with metastatic or locally recurrent oesophago-gastric cancer. Treatment will continue for 24 weeks and tumour response will be assessed according to Response Evaluation Criteria in Solid Tumours (RECIST) guidelines.
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Assessment method [1]
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Timepoint [1]
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Assessed every 6 weeks.
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Secondary outcome [1]
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To assess comparative overall survival, progression-free survival, treatment related toxicity, disease associated symptoms and quality of life using treatment with weekly docetaxel, cisplatin and 5-FU or weekly docetaxel and capecitabine.
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Assessment method [1]
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Timepoint [1]
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Overall survival will be measured from date of patient entry onto the study to date of death from any cause. At completion of protocol treatment patients will be followed up every 12 weeks until disease progression.
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Eligibility
Key inclusion criteria
Histological diagnosis of metastatic or locally recurrent oesophago-gastric cancer (squamous cell, adenocarcinoma or undifferentiated carcinoma)-Any primary oesophago-gastric site (oesophagus, oesophago-gastric junction (OGJ) or stomach)-Unidimensional measurable disease as assessed by CT scan (RECIST criteria)- No prior radiation except for; Adjuvant radiation (radiation alone or chemo-radiation allowed) which must have been completed >12 months ago. For patients who have received adjuvant radiotherapy, the site(s) of measurable disease should include at least one which was not encompassed by the radiation field(s) unless this site has demonstrated clear progression.Palliative radiotherapy provided there was no concurrent chemotherapy administered, all radiation toxicities have resolved to grade 1 or less and at least 14d has elapsed from the last dose of radiotherapy until the start of chemotherapy in ATTAX. For patients who have received palliative radiotherapy, the site(s) of measurable disease should include at least one which was not encompassed by the radiation field(s)-No prior chemotherapy agents, except adjuvant chemotherapy > 12 months ago.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Metastatic disease of the central nervous system.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by fax
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified urn model with stratification by Site and Eastern Conference Oncology Group (ECOG) status. Randomisation lists were generated by computer and the randomisation process was done manually.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/06/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Educational Grant from Sanofi-Aventis
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Address [1]
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12-24 Talavera Road, Macquarie Park NSW 2113
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Gastro-Intestinal Trials Group A(AGITG)
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Address
92-94 Parramatta Road, Camperdown, NSW, 2050
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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NHMRC Clinical Trials Centre, University of Sydney
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Address [1]
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92-94 Parramatta Road, Camperdown, NSW, 2050
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal North Shore Hospital
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Ethics committee address [1]
2653
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
2653
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Approval date [1]
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24/05/2005
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Ethics approval number [1]
2653
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AG0603G
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Ethics committee name [2]
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Westmead
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Ethics committee address [2]
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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15/03/2005
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Ethics approval number [2]
2654
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Ethics committee name [3]
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Nepean Cancer Care Centre
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Ethics committee address [3]
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
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Approval date [3]
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22/11/2004
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Ethics approval number [3]
2655
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Ethics committee name [4]
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Prince of Wales Hospital
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Ethics committee address [4]
2656
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Ethics committee country [4]
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Australia
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Date submitted for ethics approval [4]
2656
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Approval date [4]
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02/12/2004
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Ethics approval number [4]
2656
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Ethics committee name [5]
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Saint Vincent's Hospital Darlinghurst
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Ethics committee address [5]
2657
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Ethics committee country [5]
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Australia
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Date submitted for ethics approval [5]
2657
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Approval date [5]
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14/10/2004
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Ethics approval number [5]
2657
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Ethics committee name [6]
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Condord
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Ethics committee address [6]
2658
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Ethics committee country [6]
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Australia
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Date submitted for ethics approval [6]
2658
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Approval date [6]
2658
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18/07/2005
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Ethics approval number [6]
2658
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Ethics committee name [7]
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Campelltown-Liverpool Hospital
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Ethics committee address [7]
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Ethics committee country [7]
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Australia
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Date submitted for ethics approval [7]
2659
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Approval date [7]
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27/09/2004
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Ethics approval number [7]
2659
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Ethics committee name [8]
2660
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Bankstown-Lidcombe Hospital
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Ethics committee address [8]
2660
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Ethics committee country [8]
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Australia
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Date submitted for ethics approval [8]
2660
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Approval date [8]
2660
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26/07/2004
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Ethics approval number [8]
2660
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Ethics committee name [9]
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Newcastle Mater Misericordia Hospital
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Ethics committee address [9]
2661
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Ethics committee country [9]
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Australia
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Date submitted for ethics approval [9]
2661
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Approval date [9]
2661
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22/09/2004
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Ethics approval number [9]
2661
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Ethics committee name [10]
2662
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Peter MacCallum Cancer Centre
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Ethics committee address [10]
2662
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Ethics committee country [10]
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Australia
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Date submitted for ethics approval [10]
2662
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Approval date [10]
2662
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07/09/2004
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Ethics approval number [10]
2662
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Ethics committee name [11]
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Saint Vincent's Hospital Melbourne
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Ethics committee address [11]
2663
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Ethics committee country [11]
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Australia
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Date submitted for ethics approval [11]
2663
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Approval date [11]
2663
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15/10/2004
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Ethics approval number [11]
2663
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Ethics committee name [12]
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Frankston Hospital
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Ethics committee address [12]
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Ethics committee country [12]
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Australia
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Date submitted for ethics approval [12]
2664
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Approval date [12]
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19/10/2004
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Ethics approval number [12]
2664
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Ethics committee name [13]
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Austin Health
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Ethics committee address [13]
2665
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Ethics committee country [13]
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Australia
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Date submitted for ethics approval [13]
2665
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Approval date [13]
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18/05/2004
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Ethics approval number [13]
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Ethics committee name [14]
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Monash Medical Centre
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Ethics committee address [14]
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Ethics committee country [14]
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Australia
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Date submitted for ethics approval [14]
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Approval date [14]
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20/12/2004
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Ethics approval number [14]
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Ethics committee name [15]
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Border Medical Oncology
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Ethics committee address [15]
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Ethics committee country [15]
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Australia
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Date submitted for ethics approval [15]
2667
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Approval date [15]
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16/06/2004
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Ethics approval number [15]
2667
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Ethics committee name [16]
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Princess Alexandra Hospital
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Ethics committee address [16]
2668
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Ethics committee country [16]
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Australia
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Date submitted for ethics approval [16]
2668
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Approval date [16]
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06/07/2004
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Ethics approval number [16]
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Ethics committee name [17]
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Queen Elizabeth Hospital
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Ethics committee address [17]
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Ethics committee country [17]
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Australia
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Date submitted for ethics approval [17]
2669
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Approval date [17]
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17/05/2005
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Ethics approval number [17]
2669
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Ethics committee name [18]
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Sir Charles Gairdner Hospital
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Ethics committee address [18]
2670
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Ethics committee country [18]
2670
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Australia
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Date submitted for ethics approval [18]
2670
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Approval date [18]
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23/06/2004
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Ethics approval number [18]
2670
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Ethics committee name [19]
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Royal Perth Hospital
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Ethics committee address [19]
2671
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Ethics committee country [19]
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Australia
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Date submitted for ethics approval [19]
2671
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Approval date [19]
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03/08/2004
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Ethics approval number [19]
2671
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Ethics committee name [20]
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Fremantle Hospital
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Ethics committee address [20]
2672
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Ethics committee country [20]
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Australia
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Date submitted for ethics approval [20]
2672
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Approval date [20]
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27/09/2004
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Ethics approval number [20]
2672
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Ethics committee name [21]
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Royal Hobart
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Ethics committee address [21]
2673
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Ethics committee country [21]
2673
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Australia
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Date submitted for ethics approval [21]
2673
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Approval date [21]
2673
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16/03/2005
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Ethics approval number [21]
2673
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Ethics committee name [22]
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Christchurch
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Ethics committee address [22]
2674
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Ethics committee country [22]
2674
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New Zealand
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Date submitted for ethics approval [22]
2674
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Approval date [22]
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22/06/2004
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Ethics approval number [22]
2674
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Summary
Brief summary
Most cases of oesophageal and gastric cancer are locally advanced or metastatic at presentation. Chemotherapy prolongs survival and improves quality of life in such patients, but standard chemotherapy for this disease has not been defined. Doxetaxel is a taxane with promising single agent activity in oesophago-gastric cancer. Combination chemotherapy regimens based on docetaxel may therefore have significant activity with a more favourable toxicity profile. This randomised phase II study explores the activity and toxicity of two novel docetaxel based regimens; weekly docetaxel, cisplatin and infused 5-FU (wTCF) and weekly docetaxel plus capecitabine (wTX) in patients with metastatic oesophago-gastric cancer. Based on the results achieved in this study, the AGITG would aim to test the best regimen in a future phase III study comparing it with ECF or another accepted standard regimen.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ms Burcu Cakir
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Address
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National Health and Medical Research Council (NHMRC) Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
9751
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Australia
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Phone
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+61 2 95625000
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Fax
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+61 2 95625094
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Niall Tebbutt
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Address
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Department of Medical Oncology
Austin Hospital
Studley Road
Heidelberg VIC 3084
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Country
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Australia
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Phone
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+61 3 94963217
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Fax
679
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+61 3 94576698
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Email
679
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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