Receiving Modified Chemotherapy Followed With Radical Resection After Neoadjuvant Chemotherapy
Study Details
Study Description
Brief Summary
For patients undergoing postoperative therapy for locally advanced gastric cancer after neoadjuvant chemotherapy, we assessed the utility of graded histologic regression of <50% as the criterion of treatment change. Sixty patients will be enrolled to randomize into two groups:receiving modified chemotherapy and receiving the original chemotherapy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
For patients undergoing postoperative therapy for locally advanced gastric cancer after neoadjuvant chemotherapy, we assessed the utility of graded histologic regression of <50% as the criterion of treatment change. Sixty patients will be enrolled to randomize into two groups:receiving modified chemotherapy and receiving the original chemotherapy. Overall survival and disease-free survival will be observed between two groups.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: receiving modified chemotherapy Paclitaxel/DDP |
Drug: Paclitaxel/DDP
receiving the modified chemotherapy
Other Names:
|
Active Comparator: receiving the original chemotherapy XELOX/SOX |
Drug: XELOX/SOX
receiving the original chemotherapy
Other Names:
|
Outcome Measures
Primary Outcome Measures
- disease free survival [3 year]
DFS between two arms
Eligibility Criteria
Criteria
Inclusion Criteria:
-
TNM stage of T2-T4 or positive regional lymph nodes, according to the American Joint Committee on Cancer (AJCC) 7.0 staging system, verified by enhanced abdominal computed tomography (CT) and/or endoscopic ultrasound (EUS), positron emission tomography (PET)/CT scan), with no evidence of distant metastases;
-
ECOG performance status score ≤2 without serious heart, lung, liver, kidney, or hematological dysfunctions;
-
age ≥18 years old;
-
no previous chemotherapy, radiotherapy, or surgical treatment for gastric cancer;
-
gastrectomy was performed after preoperative chemotherapy if imaging studies did not confirm disease progression (according to the Response Evaluation Criteria in Solid Tumors (RECIST)) ;
-
signed the informed consent form.
Exclusion Criteria:
- All do not reach the inclusion criteria
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Medical Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences | Beijing | Beijing | China | 100032 |
Sponsors and Collaborators
- Peking Union Medical College Hospital
Investigators
- Study Director: Lin Zhao, Doctor, Department of Medical Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NAC-GC