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临床试验/NL-OMON53113
NL-OMON53113招募中2 期

A multicentre randomised phase II trial of neo-adjuvant chemotherapy followed by surgery vs. neo-adjuvant chemotherapy and subsequent chemoradiotherapy followed by surgery vs. neo-adjuvant chemoradiotherapy followed by surgery in resectable gastric cancer - CRITICS-II

Antoni van Leeuwenhoek Ziekenhuis0 个研究点目标入组 207 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
207

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

  • TNM 8th ed IB- IIIC gastric cancer (histologically proven); tumour bulk has
  • to be in the stomach but may involve gastro-oesophageal junction
  • Age >= 18 yrs
  • Resectable adenocarcinoma of the stomach or gastro-oesophageal junction
  • No prior abdominal radiotherapy
  • Haematology: Hb >= 5.0 mmol/l; leukocytes >= 3.0x109/l, neutrophils >=
  • 1.5x109/l, thrombocytes * >= 100x109/l
  • Renal function: serum creatinine <= 1.25x ULN, creatinine clearance >= 50
  • ml/min (calculated by Cockcroft and Gault formula)
  • Liver function: total bilirubin <= 1.5x ULN, alkaline phosphatase and
  • ASAT/ALAT <= 3x ULN
  • At staging laparoscopy (mandatory) obtained biopsies of suspected peritoneal
  • lesions and/or substantial free peritoneal fluid if any should be
  • pathologically proven tumor negative
  • Start treatment within 15 working days after randomisation
  • Written informed consent
  • Expected adequacy of follow-up
  • Caloric intake >= 1500 kcal/day, verified by a dietician before registration.
  • -- if caloric intake is < 1500 kcal/day or if bodyweight has decreased
  • > 10% over the last 6 months or > 5% over the last month, dietary intervention
  • such as oral nutritional support or enteral tube feeding is mandatory

排除标准

  • T1N0 disease endoscopic ultrasound
  • Distant metastases
  • Irresectable patients; due to technical surgery-related factors or general
  • Previous malignancy, except adequately treated non-melanoma skin cancer or
  • in-situ cancer of the cervix uteri; in case of a previous other malignancy with
  • a disease-free period >= 5 years, inclusion can be accepted after consultation
  • of the principal investigator
  • 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
  • arrhythmias
  • Continuous use of immunosuppressive agents equivalent to >10 mg daily
  • Concurrent use of the antiviral agent sorivudine or chemically related
  • analogues, such as brivudine
  • Neurotoxicity > CTC grade 1
  • Pregnancy or breast feeding
  • Patients (M/F) with reproductive potential not implementing adequate
  • contraceptive measures
  • Gastric or gastro-esophageal stent within radiation field

研究者

发起方
Antoni van Leeuwenhoek Ziekenhuis

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