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
- 否
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
ming zeng, MD
Director of Cancer Center
Sichuan Provincial People's Hospital
研究点 (3)
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