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CTRI Number  CTRI/2013/03/003461 [Registered on: 07/03/2013] Trial Registered Retrospectively
Last Modified On: 07/03/2013
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Observational Prospective 
Study Design  Other 
Public Title of Study   Incidence of Her 2 testing on pathology of patients with gastric cancer 
Scientific Title of Study   "An observational study to determine the incidence of Her2 positivity in 100 consecative gastric cancers" 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
1077  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bhawna Sirohi 
Designation  Consultant Medical Oncologist 
Affiliation  Consultant Medical Oncologist  
Address  TATA MEMORIAL HOSPITAL DR E BORGES MARG PAREL

Mumbai
MAHARASHTRA
400012
India 
Phone  91-9930033980  
Fax    
Email  bhawna.sirohi@btinternet.com  
 
Details of Contact Person
Scientific Query
 
Name  Bhawna Sirohi 
Designation  Consultant Medical Oncologist 
Affiliation   
Address  TATA MEMORIAL HOSPITAL DR E BORGES MARG PAREL

Mumbai
MAHARASHTRA
400012
India 
Phone  91-9930033980  
Fax    
Email  bhawna.sirohi@btinternet.com  
 
Details of Contact Person
Public Query
 
Name  Bhawna Sirohi 
Designation  Consultant Medical Oncologist 
Affiliation   
Address  TATA MEMORIAL HOSPITAL DR E BORGES MARG PAREL

Mumbai
MAHARASHTRA
400012
India 
Phone  91-9930033980  
Fax    
Email  bhawna.sirohi@btinternet.com  
 
Source of Monetary or Material Support  
Roche India private limited. The study is Extramural and have unrestricted Educational grants from Roche India private limited  
 
Primary Sponsor  
Name  Tata Memorial centre 
Address  Tata Memorial Centre Dr Ernest Borges Marg Parel Mumbai 400012 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Bhawna Sirohi  Tata Memorial hospital  Dr Bhawna sirohi consultant medical oncologist GI and Breast unit Room No 1105 Homibhaba building Dr Earnest Borges Marg Parel Mumbai:-400012
Mumbai
MAHARASHTRA 
91-9930033980

bhawna.sirohi@btinternet.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board Tata Memorial centre   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  gastric cancer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  100 consecutive patients with gastric cancer who have a pathology specimen at our site  
 
ExclusionCriteria 
Details  If histopathology blocks were not available 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Rate of Her2 positivity in 100 consecutive Gastric cancer patients   Total duration of 6 month 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not Applicable 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/03/2013 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   To be updated after completion of study 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Gastric cancer remains a major health  issue and a  leading cause of cancer death worldwide, although  the prevalence and mortality of  the disease have gradually decreased. We have very few options for patients with advanced disease.

The trastuzumab for Gastric Cancer (ToGA) trial, a pivotal randomized clinical trial of patients with HER-2 positive advanced, mostly metastatic, gastric cancer, proved the efficacy of  trastuzumab  (anti-Her 2 therapy)  in combination with chemotherapy.  The median overall  survival was  significantly prolonged   in  the  trastuzumab-containing arm  (13.8 vs. 11.1 months; HR 0.74; p=0.0046) without unexpected  toxicity including cardiac events. The survival benefit was most pronounced in the subgroup of high HER-2/neu protein overexpression  (median overall  survival of 16 months). Only 20% of the patients screened and subsequently enrolled for this study were found to be HER2-positive when utilizing both immunohistochemistry and FISH. Her2 testing is recommended for all patients with advanced gastric cancers and type III oesophageal adenocarcinomas. 


Data on Indian patients is lacking. Hence, we plan to test for Her 2 in 100 patients with IHC and FISH in 2+ and 3+ patients.

Study

Population

N

Histology type

 

 

Location

 

 

 

 

Intestinal  (% +)

Diffuse (%+)

Mixed/Uk (%+)

GEJ

Stomach

Tanner (1)

Finland

231

21.5

2

5

24

12

Gravalos (2)

Spain

166

16

7

14

25

9.5

Lordick (3)

International

1527

34

6

20

32

18

Matsubara (4)

Japan

87

32.5

6

 

 

 

Park (5)

Korea

161

8

1

 

 

 

 

 

 

 

 

 

 

 

 

 
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