NCT03718624
Unknown
Phase 2
A Study of Intraperitoneal and Intravenous Paclitaxel Plus Apatinib and S-1 Conversion Therapy for Gastric Cancer With Positive Exfoliative Cancer Cells
Overview
- Phase
- Phase 2
- Intervention
- apatinib
- Conditions
- Gastric Cancer With Positive Exfoliative Cancer Cells
- Sponsor
- Hebei Medical University
- Enrollment
- 36
- Primary Endpoint
- R0-resection rate
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to investigate the efficacy and safety of intraperitoneal and intravenous paclitaxel plus apatinib and S-1 in the conversion therapy of gastric cancer with positive exfoliative cancer cells
Investigators
Qun Zhao
Principal Investigator
Hebei Medical University
Eligibility Criteria
Inclusion Criteria
- •Untreated (e.g. chemotherapy, radiotherapy and other antitumor therapy);
- •Age:18 to 70 years old;
- •Man or female (except pregnant and lactating women);
- •Confirmed to gastric adenocarcinoma;
- •Proven gastric cancer of T stage was T3 and T4, and no distant metastasis was observed. The exfoliative cancer cells detection in peritoneal washes was positive;
- •Blood cell count has to meet the following criteria:
- •WBC≥3.5×109/L; ANC≥1.5×109/L; PLT≥100×109/L; HB≥90g/L;
- •Liver/kidney function has to meet the following criteria:
- •ALT and AST≤2.5\*ULN TBIL\<1.5\*ULN; Serum creatinine ≤1.5\*ULN;
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
Exclusion Criteria
- •Patients with other malignant tumors within 5 years;
- •Metastasis was found to be visible to the naked eye;
- •It has serious or uncontrolled heart diseases and infections (Including atrial fibrillation, angina pectoris, cardiac insufficiency, ejection fraction less than 50%, poor-controlled hypertension and so on);
- •History of psychiatric drugs abuse and can't quit or patients with mental disorders;
- •Patients with severe or uncontrollable mental illness;
- •Patients with tendency of gastrointestinal bleeding, including the following: a local active ulcerative lesions, and defecate occult blood (+ +).Has melena and hematemesis in two months;
- •Pregnant or lactating women;
- •It have serious harm to the patient's safety or affect the patients who have completed the research.
- •The researchers think inappropriate.
Arms & Interventions
paclitaxel,apatinib and S-1
Intervention: apatinib
paclitaxel,apatinib and S-1
Intervention: paclitaxel
paclitaxel,apatinib and S-1
Intervention: S-1
Outcomes
Primary Outcomes
R0-resection rate
Time Frame: within 3 weeks after surgery
There was no residual by the microscope
Conversion to negative rate
Time Frame: within 3 weeks after surgery
Exfoliative cytology positive gastric cancer conversion to negative rate.
Secondary Outcomes
- Overall survival (OS)(5years)
- Progression free survival (PFS)(5years)
- Adverse events(5 years)
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