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 |
Neoadjuvant chemotherapy using the TXL and CDDP followed by surgery for advanced gastric cancer - Phase II
TC-NAC-P2
Neoadjuvant chemotherapy using the TXL and CDDP followed by surgery for advanced gastric cancer - Phase II
TC-NAC-P2
Japan |
advanced gastric cancer
Hematology and clinical oncology | Gastrointestinal surgery |
Malignancy
NO
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.
Safety,Efficacy
pathorogical response rate for all eligibility population
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
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.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
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
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
50
1st name | |
Middle name | |
Last name | Naoki Nagata |
University of Occupational & Environment Health
Department of Surgery I
1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu-shi, 807-8555, Japan
1st name | |
Middle name | |
Last name | Hiroko Fukushima |
Kyoto University
Epidemiological & Clinical Research Information Management
075-752-1519
TC therapy for gastric cancer study group
Epidemiological & Clinical Research Information Management
Self funding
NO
2005 | Year | 11 | Month | 09 | Day |
Unpublished
Completed
2005 | Year | 10 | Month | 21 | Day |
2005 | Year | 10 | Month | 01 | Day |
2010 | Year | 10 | Month | 01 | Day |
2005 | Year | 11 | Month | 08 | Day |
2009 | Year | 12 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000353