Receiving Modified Chemotherapy Followed With Radical Resection After Neoadjuvant Chemotherapy

Sponsor
Peking Union Medical College Hospital (Other)
Overall Status
Recruiting
CT.gov ID
NCT03322969
Collaborator
(none)
60
1
2
71.3
0.8

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

Study Type:
Interventional
Anticipated Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Receiving Modified Chemotherapy Followed With Radical Resection After Neoadjuvant Chemotherapy Versus Receiving the Original Chemotherapy in Locally Advanced Gastric Cancer: a Randomized Controlled Study
Actual Study Start Date :
Aug 23, 2017
Anticipated Primary Completion Date :
Aug 1, 2022
Anticipated Study Completion Date :
Aug 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: receiving modified chemotherapy

Paclitaxel/DDP

Drug: Paclitaxel/DDP
receiving the modified chemotherapy
Other Names:
  • Group A
  • Active Comparator: receiving the original chemotherapy

    XELOX/SOX

    Drug: XELOX/SOX
    receiving the original chemotherapy
    Other Names:
  • Group B
  • Outcome Measures

    Primary Outcome Measures

    1. disease free survival [3 year]

      DFS between two arms

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    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.
    Responsible Party:
    Peking Union Medical College Hospital
    ClinicalTrials.gov Identifier:
    NCT03322969
    Other Study ID Numbers:
    • NAC-GC
    First Posted:
    Oct 26, 2017
    Last Update Posted:
    Feb 26, 2021
    Last Verified:
    Feb 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Feb 26, 2021