Taxotere New Indication - Gastric Cancer Treatment Registration Trial

Inclusion criteria

• Gastric adenocarcinoma including adenocarcinoma of the esophagogastric junction, histologically proven.
• Measurable and/or evaluable metastatic disease; if a single metastatic lesion is the only manifestation of the disease, cytology or histology is mandatory. Locally recurrent disease is accepted provided that there is at least one measurable lesion.
• Performance status Karnofsky index >70%
• Life expectancy of more than 3 months
• Adequate haematological parameters (Hb≥9g/dl, ANC≥2.0× 109/L, platelets ≥ 100× 109/L)
• Creatinine ≤ 1.25 UNL, serum magnesium should be within the normal value
• Total bilirubin ≤ 1 UNL, AST and ALT ≤ 2.5 UNL, alkaline phosphatase ≤ 5 UNL
• No prior palliative chemotherapy, previous adjuvant chemotherapy is allowed if more than 12 months has elapsed between the end of adjuvant therapy and first relapse.
• At least 6 weeks from prior radiotherapy and 3 weeks from surgery
• Complete initial work-up within two weeks prior to first infusion for clinical evaluation and biological work-up. Abdominal CT scan and chest X-rays are mandatory.

Exclusion criteria

• Pregnant or lactating women
• Patients with reproductive potential not implementing adequate contraceptive measures
• Other tumor type than adenocarcinoma
• Any prior palliative chemotherapy. Prior adjuvant chemotherapy with a first relapse within 12 months from the end of adjuvant
• Prior treatment with taxanes. Prior CDDP as adjuvant chemotherapy with cumulative dose > 300mg/m²
• Previous or current malignancies other than gastric carcinoma, with the exception of adequately treated in situ carcinoma of the cervix uteri or non melanoma skin cancer
• Patients with known brain or leptomeningeal metastases
• Symptomatic peripheral neuropathy ≥ grade 2 by NCIC-CTG criteria
• Other serious illness or medical conditions:

• unstable cardiac disease despite treatment, myocardial infarction within 6 months prior to study entry
• history of significant neurologic or psychiatric disorders including dementia or seizures
• active uncontrolled infection
• active disseminated intravascular coagulation
• other serious underlying medical conditions which could impair the ability of the patient to participate in the study
• Concurrent treatment with corticosteroids except as use for the prophylactic medication regimen, treatment of acute hypersensitivity reactions or unless chronic treatment at low doses
• Definite contraindications for the use of corticosteroids
• Hypercalcemia not controlled by bisphosphonates and more than 12mg/100ml
• Liver impairment with AST or ALT more than 1.5UNL associated with alkaline phosphatase more than 2.5UNL
• Concurrent or within 4 week period administration of any other experimental drugs
• Concurrent treatment with any other anti-cancer therapy

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.