TIROX2: A Phase II Study of Irinotecan, Oxaliplatin, Plus TS-1 in Untreated Metastatic Gastric Cancer
Study Details
Study Description
Brief Summary
Patients will be treated with irinotecan (150mg/m2) followed by oxaliplatin (85mg/m2)on day 1 and S-1(80mg/m2/day) from day 1 to 14 every 3 weeks. Patients will receive up to a planned treatment of maximum 12 cycles of chemotherapy. Response assessement will be performed every 2 cycles of chemotherapy.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- Maximal overall response rate [During chemotherapy]
Secondary Outcome Measures
- Progression-free survival,Overall survival,Toxicity assessment,&genetic polymorphism and association with chemical outcomes [during study period]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically or cytologically confirmed gastric adenocarcinoma with recurrent or metastatic disease
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Age ≥18 years
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Eastern Cooperative Oncology Group (ECOG) performance status 0-2
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Disease status must be that of measurable disease as defined by RECIST criteria:Measurable lesions: Lesions that can be accurately measured in at least one dimension by any of the following: - CT of abdomen, pelvis or thorax, if the longest diameter to be recorded is at least 10 mm with spiral CT- Chest x-ray, if the lung lesion to be recorded is clearly defined and surrounded by aerated lung and the diameter to be recorded is at least 20 mm- Physical examination, if the clinically detected lesions are superficial (e.g., skin nodule and palpable lymph nodes) and at least 10 mm
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No prior treatment for recurrent or metastatic disease; prior adjuvant/neoadjuvant therapy is allowed if at least 12 months have elapsed between completion of adjuvant/neoadjuvant therapy and enrolment into the study. However, prior oxaliplatin and/or irinotecan as adjuvant therapy are not allowed.
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Adequate major organ function including the following: Hematopoietic function: ANC ³ 1,500/mm3, Platelet ³ 100,000/mm3Hepatic function: serum bilirubin 1.5 mg/dl, AST/ALT levels 2.5 x UNL ( 5 x UNL if liver metastases are present)Renal function: serum creatinine UNL
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Patients should sign a written informed consent before study entry
Exclusion Criteria:
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Prior history of peripheral neuropathy
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Inadequate cardiovascular function:New York Heart Association class III or IV heart diseaseUnstable angina or myocardial infarction within the past 6 monthsHistory of significant ventricular arrhythmia requiring medication with antiarrhythmics or significant conduction system abnormality
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Serious concurrent infection or nonmalignant illness that is uncontrolled or whose control may be jeopardized by complications of study therapy
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Other malignancy within the past 3 years except non-melanomatous skin cancer or carcinoma in situ of the cervix
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Psychiatric disorder that would preclude compliance
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Pregnant, nursing women or patients with reproductive potential without contraception
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Patients receiving a concomitant treatment with drugs interacting with S-1 such as flucytosine
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | National Cancer Center Korea | Goyang | Gyeonggi | Korea, Republic of |
Sponsors and Collaborators
- National Cancer Center, Korea
Investigators
- Principal Investigator: Sook Ryun Park, M.D., National Cancer Center, Korea
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NCCCTS-07-264