Phase I,II Study of First Line Intraperitoneal Paclitaxel With Systemic Capecitabine and Oxaliplatin Combination Therapy in Patients With Advanced Gastric Cancer With Peritoneal Metastasis
Overview
- Phase
- Phase 1
- Intervention
- Paclitaxel
- Conditions
- Stomach Neoplasms
- Sponsor
- Seoul St. Mary's Hospital
- Enrollment
- 61
- Locations
- 1
- Primary Endpoint
- 6-month progression free survival (6-month PFS)
- Status
- Recruiting
- Last Updated
- 4 years ago
Overview
Brief Summary
IPXELOX will investigate the safety, tolerability, and antitumor activity of intraperitoneal paclitaxel in combination with chemotherapy in patients with advanced gastric cancer with peritoneal metastasis.
Study hypotheses: Intraperitoneal paclitaxel administered to subjects at the recommended phase 2 dose will show manageable safety and tolerability and anti-tumor efficacy with systemic capecitabine and oxaliplatin in advanced gastric cancer with peritoneal metastasis.
Investigators
In-ho Kim
Associate proffessor
Seoul St. Mary's Hospital
Eligibility Criteria
Inclusion Criteria
- •ECOG(Eastern Cooperative Oncology Group) performance status 0 or 1
- •pathologically proven primary gastric adenocarcinoma
- •peritoneal metastasis confirmed by laparoscopy or diagnostic imaging
- •written informed consent
- •adequate function of important organs (within 14 days before registration)
- •Absolute neutrophil count ≥1.5 x 10\^9/L, Platelet \>=100,000/mm3, Hemoglobin \>=8.0g/dL, Total bilirubin \<= ≤ 2.0mg/dl or ULN(Upper Limit of Normal) x 1.5, AST(aspartate aminotransferase) \<=100IU/L(International Unit/Liter), ALT(alanine transaminase) \<=100IU/L, Creatinine clearance ≥ 50mL/min (milliliter/minute),
Exclusion Criteria
- •other active concomitant malignancies
- •HER2(human epidermal growth factor receptor 2) positive (Immunohistochemistry 3+ or 2+ with in situ hybridization positive)
- •no investigational anticancer therapy within 30 days prior to the first dose of study treatment
- •recent (within 6 months) acute coronary syndrome, severe heart failure or severe pulmonary disease
- •uncontrolled acute or chronic disease
- •uncontrolled infection or inflammation
- •uncontrolled psychiatric disorder or central neurologic disease
- •not fully recovered from previous surgery
- •prior anticancer therapy (chemotherapy, immunotherapy, radiation) within 6 months
- •intolerable to oral administration or a lack of physical integration of the upper gastrointestinal tract or with a malabsorption syndrome
Arms & Interventions
Intraperitoneal paclitaxel + XELOX
Intraperitoneal paclitaxel Day1, Day8 + \*XELOX \*XELOX ; Capecitabine 2000mg/m2/day(Day1-14) Oxaliplatin 100mg/m2 IV Day1 q 3 weeks
Intervention: Paclitaxel
Outcomes
Primary Outcomes
6-month progression free survival (6-month PFS)
Time Frame: 6 months after start of treatment
PFS is the time from date of first dose until the date of objective disease progression or death
Secondary Outcomes
- Objective Response Rate (ORR)(6 months after start of treatment)
- Conversion surgery rate(6 months after start of treatment)
- 1-year overall survival (1-year OS)(1 year after start of treatment)
- Ascites response(6 months after start of treatment)