NL-OMON31088
Not yet recruiting
Phase 2
EO-ADJUVANT RADIOTHERAPY-CHEMOTHERAPY IN STOMACH CANCER Induction therapy with carboplatin, paclitaxel and radiotherapy in patients with locally advanced gastric cancer - The NARCIS study
Antoni van Leeuwenhoek Ziekenhuis0 sites53 target enrollmentTBD
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- gastric cancer
- Sponsor
- Antoni van Leeuwenhoek Ziekenhuis
- Enrollment
- 53
- Status
- Not yet recruiting
- Last Updated
- last year
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •T4 tumors (extension into the esophagus is acceptable as long as the bulk (\>50%) of the tumor is in the stomach), and/or N2 nodes \> 7 suspected nodes on EUS or CT scan, and/or one large lymph node (mass or conglomerate), and/or \> 3 suspected lymph nodes in truncus / para\-aortal / spleen hilus. All lymphnodes have to be in cranial position of the renal arteries (in other words tumors that are not suitable for participation in the CRITICS (M06CRI) study)
- •\* stage Ib\-IVa (no distant metastases) gastric cancer (histologically confirmed); tumor bulk has to in the stomach but may involve the gastro\-esophageal junction
- •WHO \<\= 2
- •\* age 18\-70
- •\* gastric cancer should be operable according to one of the coordinating surgeons
- •\* tumornegative laparoscopy
- •\* no prior RT abdomen and/or chemotherapy
- •Hematology: Hb\>6\.5 mmol/l; leukocytes\>3\.5x109/l, neutrophils \> 1\.5x109/l, thrombocytes \> 100 x 109/l
- •Renal function: serum creatinine \<\= 1\.25 ULN and creatinine clearance \> 60 ml/min (measured, or calculated by Cockcroft and Gault formula)
- •Liver function: total bilirubin \<1\.5x ULN, Alk.phosph. and ASAT/ALAT \<\= 3x ULN
Exclusion Criteria
- •Distant metastasis; i.e. lymph node metastasis that are encompassed in the radiation portals are acceptable
- •Suspected lymph nodes below the renal arteries
- •Inoperable patients; due to technical surgery\-related aspects or general condition (ASA III or IV)
- •Previous malignancy, except adequately treated non\-melanoma skin cancer or in\-situ cancer of the cervix uteri. In case of other malignancies, the patients has to be disease\-free for \* 5 years to be eligible
- •Previous radiotherapy involving the planned treatment field or compromising bone marrow reserve
- •Previous chemotherapy except adjuvant chemotherapy for e.g. breast or coloncarcinoma, if \* 5 years before
- •Uncontrolled (bacterial) infections
- •Significant non\-malignant disease which in the opinion of the study coordinators is incompatible with the protocol
- •Neurotoxicity \> CTC grade 1
- •Pregnancy or breast feeding
Outcomes
Primary Outcomes
Not specified
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