Adjuvant Capecitabine Versus Observation Alone in Curatively Resected Stage IB Gastric Cancer((KCSG ST14-05): CATALYSIS

Phase 3

Recruiting

• Conditions: Gastric Cancer
• Interventions: Drug: capecitabine

• Registration Number: NCT01917552
• Lead Sponsor: Asan Medical Center

Brief Summary

multi-center, prospective, randomized, open-label phase III

Detailed Description

This is a prospective, randomized, open-label phase III study of adjuvant chemotherapy after curative resection in patients with pathologic stage IB (by AJCC 6th edition) gastric cancer with at least one additional risk factor (additional risk factors for recurrence include age \>65 years, male gender, presence of lymphovascular invasion, presence of perineural invasion). The superiority design will compare the efficacy and safety profiles of adjuvant capecitabine (Arm A) versus observation alone (Arm B).

Study Timeline

• Study First Submitted: 2013-07-30
• Study First Submitted QC: 2013-08-05
• Study First Posted: 2013-08-06
• Study Start: 2013-08-19
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-27
• Last Update Posted: 2024-02-28
• Primary Completion: 2026-08-01
• Study Completion: 2026-08-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 870

Inclusion Criteria

• Curatively resected gastric or gastroesophageal junction adenocarcinoma
• Pathologic stage IB (by AJCC 6th edition) with at least one additional risk factor for recurrence (additional risk factors for recurrence include age >65 years, male gender, presence of lymphovascular invasion, presence of perineural invasion).
• Age: 18 -74years
• ECOG performance status: 0-2
• Adequate bone marrow function (ANC >1,500/uL, Platelets 100,000/uL, and Hb > 8.0 g/dL)
• Adequate renal function (serum creatinine < 1.5 mg/dL)
• Adequate hepatic function (bilirubin < 1.5 mg/dL, ALT and AST < 3 times upper limit of normal)
• Written informed consent

Exclusion Criteria

• Pregnant or lactating women.
• Women of childbearing potential with either a positive pregnancy test at baseline. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-child bearing potential.
• Sexually active males and females (of childbearing potential) unwilling to practice contraception during the study medication and until 3 months after discontinuation of the study medication.
• Any evidence of metastatic disease (including presence of tumor cells in the ascites).
• Previous chemotherapy or radiotherapy for the currently treated gastric cancer.
• No recovery from serious complications of gastrectomy.
• History of another malignancy within the last five years except cured basal cell carcinoma of skin and cured carcinoma in-situ of uterine cervix.
• History of uncontrolled seizures, central nervous system disorders or psychiatric disability judged by the investigator to be clinically significant precluding informed consent or interfering with compliance for oral drug intake.
• Clinically significant (i.e. active) cardiac disease: e.g. unstable angina, symptomatic coronary artery disease, New York Heart Association (NYHA) grade II or greater congestive heart failure or serious cardiac arrhythmia requiring medication or myocardial infarction within the last 6 months.
• Lack of physical integrity of the upper gastrointestinal tract or those who have malabsorption syndrome likely to influence absorption of capecitabine, or inability to take oral medication.
• Serious uncontrolled intercurrent infections or other serious uncontrolled concomitant disease.
• Organ allografts requiring immunosuppressive therapy.
• Received any investigational drug or agent/procedure, i.e. participation in another trial within 4 weeks before randomization.
• Requirement for concurrent use of the antiviral agent sorivudine (antiviral) or chemically related analogues, such as brivudine.
• Positive serologic test for HIV

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
capecitabine	capecitabine	capecitabine 1250 milligram (mg) / m² po bid (D1-14)

Primary Outcome Measures

Name	Time	Method
recurrence-free survival	8 years	To demonstrate that capecitabine is superior to observation only (control arm) in terms of recurrence-free survival in curatively resected stage IB gastric cancer.

Secondary Outcome Measures

Name	Time	Method
overall survival	8 years	To compare overall survival in the capecitabine arm compared with the control arm.
Safety profiles	8years	Toxicity profiles will be assessed with the patient 28 +/- 3 days after the last intake of study medication is required. (treatment arm only)

Trial Locations

Locations (1)

Asan Medical Center; 🇰🇷 Seoul, Songpa-gu, Korea, Republic of