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临床试验/NL-OMON50400
NL-OMON50400招募中3 期

A multicenter randomized phase III trial of neo-adjuvant chemotherapy followed by surgery and chemotherapy or by surgery and chemoradiotherapy in resectable gastric cancer (CRITICS-study: ChemoRadiotherapy after Induction chemoTherapy In Cancer of the Stomach). - CRITICS

Antoni van Leeuwenhoek Ziekenhuis0 个研究点目标入组 500 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
500

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Ib-IVa (no distant metastases) gastric cancer (histologically proven); tumor
  • bulk has to be in the stomach but may involve gastro-esophageal junction
  • age >=18 yrs
  • Operable gastric cancer
  • No prior abdominal radiotherapy or chemotherapy
  • Hematology: Hb >= 5.0 mmol/l; leukocytes >= 3.0x109/l, neutrophils >= 1.5x109/l,
  • thrombocytes >= 100 x 109/l
  • Serum creatinine <= 1.25 ULN, creatinine clearance >= 60 ml/min (measured, or
  • calculated by Cockcroft and Gault formula) and urinary excretion of <=1.0 gram
  • protein/24 hours
  • Total bilirubin <=1.5x ULN, Alkaline phosphatase and ASAT/ALAT <= 3x ULN
  • Left ventricular ejection fraction > 50%
  • Tumornegative laparoscopy when CT suggests peritoneal carcinomatosis
  • Start treatment within 10 working days after registration
  • Written informed consent

排除标准

  • T1N0 disease (endoscopic ultrasound)
  • Distant metastases
  • Inoperable patients
  • Previous malignancy, except adequately treated non-melanoma skin cancer or
  • in-situ cancer of the cervix uteri.
  • Solitary functioning kidney that will be within the radiation field
  • Major surgery within 4 weeks prior to study treatment start, or lack of
  • complete recovery from the effects of major surgery
  • Uncontrolled (bacterial) infections
  • Significant concomitant diseases preventing the safe administration of study
  • drugs or likely to interfere with study assessments
  • Uncontrolled angina pectoris; cardiac failure or clinically significant
  • Continuous use of immunosuppressive agents
  • Concurrent use of the antiviral agent sorivudine or chemically related
  • analogues, such as brivudine
  • Hearing loss > CTC grade 1
  • Neurotoxicity > CTC grade 1
  • Pregnancy or breast feeding
  • Patients (M/F) with reproductive potential not implementing adequate
  • contraceptive measures

研究者

发起方
Antoni van Leeuwenhoek Ziekenhuis

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