The Maintenance Therapy of Capecitabine of Advanced Gastric Cancer
Phase 2
- Conditions
- Advanced Gastric Cancer
- Interventions
- Registration Number
- NCT02038621
- Lead Sponsor
- The Second People's Hospital of Sichuan
- Brief Summary
To confirm the efficacy and safety of XELOX with capecitabine maintenance in treatment of advanced gastric cancer (AGC)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 224
Inclusion Criteria
- Age ≥ 18 years old
- male or female
- Patients with stage IV gastric cancer by pathology or cytology and imaging diagnosis , or after previous surgery or radiotherapy or chemotherapy in patients with stage IV gastric cancer progression , there RECIST criteria evaluable lesions ;
- ECOG performance status score 0-2 ;
- Expected survival time more than three months ;
- Adequate hematologic parameters and liver and kidney function ;
- Bone marrow : absolute neutrophil count (ANC) ≥ 1.5 × 109 / L, platelets ≥ 75 × 109 / L, hemoglobin ≥ 80g / L;
- Liver: bilirubin ≤ 1.5 times the upper limit of normal , ALT AST values ≤ 2.5 times the upper limit of normal ;
- Renal : serum creatinine ≤ ULN ;
- Informed consent of patients or their agents , and signed informed consent.
Exclusion Criteria
- For patients allergic to capecitabine ;
- Patients with CNS metastases
- Undermine the integrity of the upper gastrointestinal tract , malabsorption syndrome , or unable to take oral medication ;
- Patients with coronary heart disease , angina , myocardial infarction , arrhythmia, cerebral thrombosis, stroke and other serious cardiovascular and cerebrovascular disease ;
- Or in combination with other anti-tumor therapy in patients participating in clinical trials of other interventions ;
- Pregnancy or breast-feeding patients , or fertility without taking adequate contraceptive measures were ;
- The researchers believe that this test is not suitable for those who participate .
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description A Oxaliplatin and Capecitabine Capecitabine: 1000mg/m\^2 bid, days 1-14, every 3 weeks until progression/intolerance. A Paclitaxel Capecitabine: 1000mg/m\^2 bid, days 1-14, every 3 weeks until progression/intolerance. B Paclitaxel Observation until progression B Oxaliplatin and Capecitabine Observation until progression
- Primary Outcome Measures
Name Time Method Progression Free Survival (PFS) From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months
- Secondary Outcome Measures
Name Time Method overall survival (OS) from the date of randomization until death from any cause or up to 1 year adverse events (AE) from date of randomization to 28 days after the last chemo dosage health-related quality of life (HRQOL evaluate every 6 weeks from the date of randomization until 28 days after the last chemo dosage
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie capecitabine's efficacy in advanced gastric cancer maintenance therapy?
How does capecitabine maintenance therapy compare to standard-of-care treatments for advanced gastric cancer in terms of progression-free survival and overall survival?
Are there specific biomarkers that can predict patient response to capecitabine maintenance therapy in advanced gastric cancer?
What are the most common adverse events associated with capecitabine maintenance therapy in advanced gastric cancer patients, and how are they managed?
What combination therapies or alternative drugs show promise in the maintenance treatment of advanced gastric cancer alongside or instead of capecitabine?