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临床试验/KCT0004525
KCT0004525招募中未知

A Phase 3, Open-Label, Randomized Study to Compare Adjuvant Chemotherapy of Docetaxel/Capecitabine/Oxaliplatin versus Capecitabine/Oxaliplatin in Advanced Gastric Cancer Patients at Stage IIIB and IV (M0) (Based on AJCC Ed. 6) who Received Radical Resection

Asan Medical Center0 个研究点目标入组 286 人开始时间: 待定最近更新:

试验速览

阶段
未知
状态
招募中
入组人数
286

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional Study

入排标准

年龄范围
20(Year) 至 76(Year)(—)
性别
All

入选标准

  • 1. Patients who voluntarily provide written informed consent prior to entering into this study
  • 2. Newly definitely diagnosed with primary gastric or gastroesophageal junction adenocarcinoma histologically
  • 3. Patients who underwent radical resection (R0 resection) with wide lymph node dissection (D2 surgery)
  • 4. TNM stage of IIIB or IV (M0) on post-operative staging (based on AJCC Ed. 6)
  • 5. Patients who can be randomized within 6 weeks after surgery

排除标准

  • 1. Aged < 20 years or = 76 years
  • 2. Eastern Cooperative Oncology Group (ECOG) performance status =2
  • 3. Patients who underwent surgery for neoplasm in stomach in the past
  • 4. History of malignant disease
  • The following cases can be included in this study.
  • - Adequately treated basal cell or squamous cell skin cancer, cervical carcinoma in situ
  • - Other cancer for which more than 5 years have passed since chemotherapy was completed and disease-free status has been maintained for 5 years or more
  • 5. Gastric or gastroesophageal junction adenocarcinoma with distant metastasis (M1) including distant lymph node (behind the pancreas, along the aorta, portal vein, behind the peritoneum, mesenteric lymph node)
  • 6. Residual cancer on post-operative staging (R1 and R2 resection)
  • 7. Patients who received alleviator, adjuvant chemotherapy, or neoadjuvant chemotherapy and/or radiotherapy and/or immunotherapy in the past for treatment of gastric cancer
  • 8. Patients who participated in another clinical trial or received another investigational product within 30 days prior to providing informed consent
  • 9. Any of the following within 6 months prior to the study recruitment: Myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass, NYHA class III or IV congestive heart failure, stroke or transient ischemic attack, serious cardiac arrhythmia requiring treatment.
  • 10. Patients with past uncontrolled seizures, central nervous system or psychological disorder which makes it impossible to provide informed consent and is so clinically significant as to interfere with oral medication
  • 11. Uncontrolled active infection or sepsis
  • 12. Deep vein thrombosis within 4 weeks prior to providing informed consent
  • 13. Severe acute or chronic disease which may deteriorate the capability to participate in the study or make it difficult to interpret the study results
  • 14. Not fully recovered from surgery
  • 15. Patients who may have difficulty in absorbing orally administered study drug
  • - Intolerance to oral administration or malabsorption
  • - Lack of physical integrity of upper gastrointestinal tract is not recovered
  • - Absorption disorder for any reason
  • - Chronic inflammatory bowel disease
  • - Wide resection of small intestine or other disease limiting drug absorption (e.g., gastric dumping syndrome, features of rapid small bowel transit time, absorption disorder after intestine surgery)
  • 16. Patients of childbearing potential who do not agree to use generally accepted effective method of birth control during the study treatment period and for at least 6 months after the end of study treatment
  • 17. Pregnant women or breastfeeding women. Women of childbearing potential whose pregnancy test result is positive
  • 18. Bone marrow and organ function inappropriate for administration of study drug:
  • I. Absolute neutrophil count < 1.5 x 109/L
  • II. Platelet < 100 x 109/L
  • III. Hemoglobin = 9 g/dL
  • IV. AST> 2.5 x ULN, ALT> 2.5 x ULN
  • V. ALP > 2.5 x ULN
  • VI. Total bilirubin > 1.5 x ULN
  • VII. Serum creatinine > 1.5 x ULN or creatinine clearance = 50 mL/min
  • Creatinine clearance will be calculated by Cockcroft-Gault formula or collection of 24-hour urine, and patients with creatinine clearance of = 50 mL/min will be excluded.
  • 19. Peripheral neuropathy with clinical symptoms of Grade =2 (NCI CTCAE v4.03)
  • 20. History of hypersensitivity to the investigational products (Docetaxel, Capecitabine, and Oxaliplatin).

研究者

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