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临床试验/NCT01468389
NCT01468389Unknown3 期

A Randomized Multicenter Phase III Study:Taxanes or Platinum in Combination With Capecitabine Followed by Capecitabine Alone vs.Taxanes or Platinum Combined With Capecitabine in Advanced Adenocarcinoma of the Stomach or Esophagogastric Junction.

The Affiliated Hospital of the Chinese Academy of Military Medical Sciences1 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2011年11月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
发起方
入组人数
300
试验地点
1
主要终点
Progression free survival

研究概览

简要总结

The purpose of this study is to investigate whether Taxanes or Platinum Plus Capecitabine With Capecitabine Maintenance Treatment as 1st line treatment in he advanced gastric cancer is effective and safe.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Having signed informed consent
  • Age≥ 18 years old
  • Histologically confirmed gastric adenocarcinoma
  • Unresectable recurrent or metastatic disease
  • Previous neo-adjuvant or adjuvant treatment for gastric cancer, if applicable, more than 6 months
  • Previous chemotherapy with oxaliplatin or cisplatin or paclitaxel or docetaxel, if applicable, more than 12 months.
  • Measurable disease according to the RECIST criteria
  • ECOG performance status ≤2
  • Life expectancy of ≥3 month
  • No prior radiotherapy except radiotherapy at non-target lesion of the study more than 4 weeks
  • ALT and AST≤2.5 times ULN (≤5 times ULN in patients with liver metastases) Serum albumin level ≥3.0g/dL Serum creatinine ≤1.5ULN Bilirubin level ≤ 1.5 ULN WBC>3,000/mm3, absolute neutrophil count ≥1500/mm3, platelet>90,000/mm3, Hb>8g/dl

排除标准

  • Brain metastasis (known or suspected)
  • Previous systemic therapy for metastatic gastric cancer
  • Inability to take oral medication
  • Previous therapy targeting at angiogenesis or vasculogenesis pathway or other targeted therapy
  • Surgery (excluding diagnostic biopsy) within 4 weeks prior to study entry
  • Allergic constitution or allergic history to any investigating agents.
  • Severe heart disease or such history as recorded congestive heart failure, uncontrolled cardiac arrhythmia, angina pectoris needing medication, cardiac valve disease, severe abnormal ECG findings, cardiac infarction , or retractable hypertension.
  • Pregnancy or lactation period
  • Any investigational agent within the past 28 days
  • Other previous malignancy within 5 year
  • Pre-existing neuropathy>grade 1
  • Legal incapacity

研究组 & 干预措施

Taxanes or Platinum in combination with Capecitabine

Active Comparator

The patients will received chemotherapy combining capecitabine with platinum or taxanes until progression.

干预措施: capecitabine (Drug)

chemotherapy followed by capecitabine alone

Experimental

The patients who has received 4 cycle chemotherapy combining capecitabine with platinum or taxanes and the result was SD or CR or PR,will be given capecitabine alone until progression.

干预措施: capecitabine (Drug)

结局指标

主要结局

Progression free survival

时间窗: 1 year

次要结局

  • Tumor response rate(1 year)
  • disease control rate(1 year)
  • overall survival(3 year)
  • adverse events(3 year)

研究者

发起方
The Affiliated Hospital of the Chinese Academy of Military Medical Sciences
申办方类型
Other
责任方
Principal Investigator
主要研究者

Xu jianming

The Affiliated Hospital of the Chinese Academy of Military Medical Sciences

The Affiliated Hospital of the Chinese Academy of Military Medical Sciences

研究点 (1)

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