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临床试验/NCT03223740
NCT03223740Unknown3 期

A Phase III Trial of Preoperative or Postoperative Chemoradiation Therapy for Potentially Resectable Adenocarcinoma of Stomach Cancer

Sichuan Provincial People's Hospital3 个研究点 分布在 1 个国家目标入组 450 人开始时间: 2016年9月1日最近更新:
适应症
干预措施

试验速览

阶段
3 期
发起方
入组人数
450
试验地点
3
主要终点
Progression Free Survival

研究概览

简要总结

Based upon RTOG 9904, this study is to investigate the role of preoperative chemo and chemoradiation for locally advanced gastric cancer.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with potentially resectable adenocarcinoma of the stomach with histologic proof.
  • EUS or MRI stage T3-4, any N, M
  • Adequate bone marrow (defined as peripheral absolute granulocyte count of > 2,000/μL, and platelet count of>100,000/μL), liver (bilirubin < 1.5 mg/dl), and renal functions (creatinine < 1.5 mg/dl).
  • Absence of peritoneal disease by laparoscopic staging; no positive cytology of pleural, or pericardial effusion.
  • No prior major surgery or radiotherapy to the stomach, or immunotherapy or chemotherapy for any reason.
  • Patients must have a life expectancy of at least 16 weeks.
  • Performance status of < 2 (Zubrod scale).
  • No biopsy proof of lymph node metastases outside the study field.
  • No evidence of metastatic disease to distant organs.
  • No presence of concurrent or previous malignancies < 5 years, other than noninvasive skin cancer.
  • No uncontrolled or severe cardiac disease, diabetes or hypertension.
  • Signed study-specific consent form prior to study entry.

排除标准

  • Evidence of metastatic disease
  • Prior chemotherapy or radiotherapy
  • Patients with a past history of cancer
  • Patients with other significant underlying medical conditions that may be aggravated by the study treatment or are not controlled
  • Pregnant or lactating females or female patients of childbearing potential who have not been surgically sterilized or are without adequate contraceptive measures
  • Cardiac failure or Sever Pulmonary disease
  • Patients with impaired gastrointestinal absorption for whatever reason
  • Patients medically unfit for cisplatin or taxol chemotherapy

研究组 & 干预措施

Arm 1 pre-operative chemoradiation

Experimental

Chemo1 x 2 followed by ChemRT followed by Surgery followed by Chemo2 x 2

干预措施: Arm 1 pre-operative chemoradiation (Other)

Arm 2 post operative chemoradiation

Active Comparator

Surgery followed by Chemo1 x 2 followed by ChemRT followed by Chemo2 x 2

干预措施: Arm 2 post operative chemoradiation (Other)

结局指标

主要结局

Progression Free Survival

时间窗: up to 5 year

次要结局

  • R0 Resection Rate(At time of surgery)
  • Overall Survival(up to 5 year)

研究者

发起方
Sichuan Provincial People's Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

ming zeng, MD

Director of Cancer Center

Sichuan Provincial People's Hospital

研究点 (3)

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