Perioperative Panitumumab and Epirubicin, Oxaliplatin and Xeloda (EOX) in Patients With Gastroesophageal Adenocarcinoma

Exclusion Criteria

• •Evidence of distant metastatic disease.
• •T4 tumor on initial staging studies.
• •History of another primary cancer, except:
• •Curatively treated in situ cervical cancer
• •Curatively resected non-melanoma skin cancer
• •Other primary solid tumor curatively treated with no known active disease present and no treatment administered for ³ 5 years prior to enrollment
• •Relative or absolute contraindications to surgery which in the opinion of the investigator make the patient a poor candidate for surgical resection.
• •History of allergic reactions attributed to compounds of similar chemical or biologic composition to panitumumab or other agents used in study.
• •Subjects requiring chronic use of immunosuppressive agents (e.g., methotrexate, cyclosporine).
• •Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
• •History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or any evidence of interstitial lung disease on baseline chest CT scan.
• •History of any medical or psychiatric condition or laboratory abnormality that in the opinion of the investigator may increase the risks associated with the study participation or investigational product(s) administration or may interfere with the interpretation of the results.
• •Subject unwilling or unable to comply with study requirements.
• •Women who test positive for serum or urine pregnancy test \< 72 hours before randomization or are breast feeding.
• •Known positive test(s) for human immunodeficiency virus infection, hepatitis C virus, acute or chronic active hepatitis B infection.
• •Major surgery with 28 days or minor surgery within 14 days of study enrollment.
• •Men or women of child-bearing potential (women who are post-menopausal \< 52 weeks, not surgically sterilized, or not abstinent) not consenting to use adequate contraception (per institutional standard of care) during the course of the study and after the last investigational product(s) administration (24 weeks for women, 4 weeks for men).
• •Subjects with \> grade 1 neuropathy at baseline.
• •Contraindication to port-a-cath placement.