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Clinical Trials/NCT03718624
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

Hebei Medical University0 sites36 target enrollmentOctober 30, 2018

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

Registry
clinicaltrials.gov
Start Date
October 30, 2018
End Date
October 30, 2020
Last Updated
7 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

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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