Disease
|
Esophageal cancer |
Disease
|
Gastric cancer |
Stage of Disease/Treatment
|
Metastatic/advanced |
Prior Therapy
|
No designated number of regimens |
Type of Study
|
Phase II, single arm |
Primary Endpoint
|
Overall response rate |
Secondary Endpoints
|
Toxicity, progression‐free survival, overall survival |
Additional Details of Endpoints or Study Design
|
The response rate of interest in this trial was 15%. If one response was observed in the first 15 subjects, an additional 15 subjects would be enrolled for a total of 30. Observing zero responses in the first 15 subjects would exclude response rates as low as 15% with a 90% one‐sided upper confidence bound. If at least three responses were observed in a total of 30 evaluable patients, we would conclude that the drug is active and merited further study; if the true response rate was 15% or greater, three or more responses would be observed with a probability of at least 85%. If the true response rate was only 3%, three or more responses would be observed with a probability of only 6%. In addition to complete and partial responses, disease stabilization would be considered: if the proportion of patients with disease stabilization for 6 months exceeded 20%, we would conclude that the drug may warrant further investigation. With n = 30 subjects and a true response rate of 15%, the expected confidence interval width would be ±10.7% around the estimated proportion. Moreover, we would have 90% power to detect any unforeseen adverse effect that occurred in at least 7% of cases. |
Investigator's Analysis
|
Level of activity did not meet planned endpoint |