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Efficacy of HIPEC in the Treatment of Patients With Locally Advanced Gastric Cancer

Phase 3
Conditions
Advanced Gastric Adenocarcinoma
Registration Number
NCT02240524
Lead Sponsor
Affiliated Cancer Hospital & Institute of Guangzhou Medical University
Brief Summary

The purpose of this study is to study the efficacy of hyperthermic intraperitoneal chemotherapy in the treatment of patients with locally advanced gastric cancer after radical gastrectomy with D2 lymphadenectomy. It is a multicentric and randomised phase III trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
582
Inclusion Criteria
  • 18 < age ≤ 65 years old
  • Male or Non pregnant female
  • The Eastern Cooperative Oncology Group (ECOG) status ≤ 2
  • Histologically diagnosed as T4 gastric adenocarcinoma (determined from data obtained by endoscopic ultrasound or CT scan)
  • Have not received cytotoxic chemotherapy, radiotherapy or immunotherapy
  • White blood cells > 4,000/mm3
  • neutrophils ≥ 1,500/mm3
  • platelets ≥ 100,000/mm3
  • hemoglobin>9g/l
  • Alanine transaminase (ALT) and aspartate aminotransferase (AST) < or = 2.5 times upper limit of nominal (ULN)
  • total bilirubin (TBIL) < 1.5 times ULN
  • serum creatinine < 1 times ULN
  • Having given written informed consent prior to any procedure related to the study
Exclusion Criteria
  • Existence of macroscopic peritoneal implants
  • Prior malignant tumors with detectable signs of recurrence or distant metastasis
  • Poorly controlled disease e.g. atrial fibrillation, stenocardia, cardiac insufficiency, persistent hypertension despite medicinal treatment, ejection fraction<50%
  • Receiving other cytotoxic chemotherapy
  • High grade of intra-abdominal adhesions
  • Contraindication to any therapy contained in this regimen specific to the study Without given written informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Overall survival5 years

From the date of surgery to the date of death or to the end of follow-up

Secondary Outcome Measures
NameTimeMethod
Hepatic metastases-free survival5 years

From the date of surgery to the date of recurrence or to the end of follow-up

Recurrence-free survival5 years

From the date of surgery to the date of recurrence or to the end of follow-up

Locoregional-free survival5 years

From the date of surgery to the date of locoregional recurrence or to the end of follow-up

Trial Locations

Locations (1)

Department of Abdominal Surgery (Section 2), Affiliated Tumor Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

Department of Abdominal Surgery (Section 2), Affiliated Tumor Hospital of Guangzhou Medical University
🇨🇳Guangzhou, Guangdong, China
zhiyuan fang, Ph.D
Contact
86020666736662012
fangjnu@gmail.com
shuzhong cui, Ph.D
Principal Investigator

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