UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000278
Receipt number R000000353
Scientific Title Neoadjuvant chemotherapy using the TXL and CDDP followed by surgery for advanced gastric cancer - Phase II
Date of disclosure of the study information 2005/11/09
Last modified on 2009/12/21 21:06:01

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Basic information

Public title

Neoadjuvant chemotherapy using the TXL and CDDP followed by surgery for advanced gastric cancer - Phase II

Acronym

TC-NAC-P2

Scientific Title

Neoadjuvant chemotherapy using the TXL and CDDP followed by surgery for advanced gastric cancer - Phase II

Scientific Title:Acronym

TC-NAC-P2

Region

Japan


Condition

Condition

advanced gastric cancer

Classification by specialty

Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this trial is to evaluate the efficacy and safety of neoadjuvant chemotherapy using paclitaxel and cisplatin regimen for advanced gastric cancer, which is not able to be completely resected without neoadjuvant chemotherapy or has an extremely poor prognosis if we could resect.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

pathorogical response rate for all eligibility population

Key secondary outcomes

three year survival rate, pathorogical response rate for patients who completed the protocol treatment, the proportion of complete resection, the proportion of patients who completed the protocol treatment, response rate of neoadjuvant chemotherapy, adverse event


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

This nepadjuvant chemotherapy (NAC) regimen is as follows: 80mg/m2 TXL and 25mg/m2 CDDP is administered on days 1, 8, 15 with a 1-week rest, and is totally administered between 2 and 4 courses. After NAC, patients undergo surgery. If patients have a pathological response or cytological response, they are submitted to the same postoperative chemotherapy regimen for totally 4 courses with NAC.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically proven gastric carcinoma
2) Upper gastrointestinal endoscopy, examinations, or CT revealed the following criteria: i)cStage IIIb-IV and H0 and M0 and P0, ii) Esophageal invasion and cStage IIIa, iii) scirrhous gastric cancer (type3 or type4) and cStage IIIa
3) Thoracic/ abdominal/ pelvic enhanced CT revealed none of the following: mediastinal lymph node metastais, cervical lymph node metastasis, lung metastasis, peritoneal metastasis, liver metastasis, pleural effusion, ascites beyond the pelvis, and other distant metastasis
4) Clinically no sign of distant metastasis
5) No peritoneal metastasis and CY0 by laparoscopy
6) Age between 20 and 80 at registration
7) Performance Status(ECOG) 0 or 1
8) No prior chemotherapy or radiotherapy
9) No prior surgery for gastric carcinoma except for bypass surgery and endoscopic mucosal resection
10) Fair oral intake with or without bypass surgery
13) Blood test
i) WBC >= 4,000/mm3, Neu >= 2,000/mm3 and WBC <= 12,000/mm3
ii) Hb >= 8.0 g/dl
iii) Platelet >= 100,000/mm3
iv) GOT <= 100IU
v) GPT <= 100IU
vi) T.bil <= 2.0 mg/dl
vii) Creatinin <= 1.5mg/dl
viii) ECG: normal
11) Written informed consent

Key exclusion criteria

1) Serious complications
2) Active multiple cancer
3) Obvious infection or acute inflammatory condition
4) Under treatment with systemic steroid
5) Probable pregnancy, and the period of lactation
6) Difficulty to join the trial due to psychosis or psychotic symptoms
7) Allergy to drugs containing Cremophor EL (including cyclosporin)
8) History of severe drug allergic reaction
9) History of alcoholic allergic reaction
10) Peripheral neuropathy
11) Not fit to the protocol treatment by the physicion's dicision

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Naoki Nagata

Organization

University of Occupational & Environment Health

Division name

Department of Surgery I

Zip code


Address

1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu-shi, 807-8555, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroko Fukushima

Organization

Kyoto University

Division name

Epidemiological & Clinical Research Information Management

Zip code


Address


TEL

075-752-1519

Homepage URL


Email



Sponsor or person

Institute

TC therapy for gastric cancer study group

Institute

Department

Personal name



Funding Source

Organization

Epidemiological & Clinical Research Information Management

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 11 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 10 Month 21 Day

Date of IRB


Anticipated trial start date

2005 Year 10 Month 01 Day

Last follow-up date

2010 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2005 Year 11 Month 08 Day

Last modified on

2009 Year 12 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000353