Phase II Study of Oral S-1 Plus Irinotecan in Patients With Advanced Gastric Cancer
Study Details
Study Description
Brief Summary
To assess the usefulness of irinotecan plus S-1 therapy based on the antitumor effect and survival period. by performing a phase II study of this combination in patients with inoperable or with postoperative gastric cancer
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
A multicenter Open-label, single-arm, phase II clinical trial is conducted on patients with histological stage IV gastric cancer given irinotecan plus S-1. The usefulness of this regimens as 1st line therapy for gastric cancer was evaluated by the disease-free survival rate (DFR), overall survival rate (OS), incidence and severity of adverse event.
Study Design
Outcome Measures
Primary Outcome Measures
- objective tumor response []
Secondary Outcome Measures
- Response duration, time to progression, median survival time, and safety will also be assessed. []
Eligibility Criteria
Criteria
Inclusion Criteria:
・ Eligibility criteria
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Histological diagnosis of gastric adenocarcinoma.
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Measurable or assessable lesions.
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Age: 18 ~ 75 years.
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Performance Status (ECOG): 0 ~ 2.
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No prior chemotherapy or only one regimen of previous chemotherapy (with a washout period >4 weeks after the final day of the previous therapy). Adjuvant chemotherapy is not defined as previous therapy.
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No history of treatment with CPT-11 or S-1.
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No history of radiotherapy to the abdomen.
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Oral intake of S-1 is possible.
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Adequate function of major organs (bone marrow, heart, lungs, liver etc.). WBC 3,500/mm3 and 12,000/mm3. Hb 10.0 g/dl. Platelet count 100,000/mm3. GOT and GPT 2.5times the upper limit of normal (excluding liver metastasis). T-Bil 2.0mg/dl. Creatinine <1.5 mg/dl (but if it is 1.0 ~ 1.5 mg/dl, the dose of S-1 can be decreased according to the dose reduction criteria to allow registration in the trial). Normal ECG (not considering clinically unimportant arrhythmias and ischemic changes). (10) Predicted survival for >3 months.
(11) Able to give written informed consent
Exclusion Criteria:
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hokkaido University Hospital | Sapporo | Hokkaido | Japan | 060-8638 |
Sponsors and Collaborators
- Hokkaido Gastrointestinal Cancer Study Group
Investigators
- Study Chair: Yoshito Komatsu, MD, PhD, Hokkaido Gastrointestinal Cancer Study Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HGCSG0303