Unique ID issued by UMIN | UMIN000004729 |
---|---|
Receipt number | R000005630 |
Scientific Title | Phase I/II study of combination chemotherapy with Paclitaxel and TS-1 and Cisplatin for unresectable/ recurrent gastric cancer |
Date of disclosure of the study information | 2011/01/01 |
Last modified on | 2015/04/21 08:39:15 |
Phase I/II study of combination chemotherapy with Paclitaxel and TS-1 and Cisplatin for unresectable/ recurrent gastric cancer
Phase I/II study of combination chemotherapy with Paclitaxel and TS-1 and Cisplatin
Phase I/II study of combination chemotherapy with Paclitaxel and TS-1 and Cisplatin for unresectable/ recurrent gastric cancer
Phase I/II study of combination chemotherapy with Paclitaxel and TS-1 and Cisplatin
Japan |
unresectable or recurrent gastric cancer
Gastroenterology |
Malignancy
NO
In the phase I trial, primary objective is to estimate the maximum tolerated dose(MTD) and recommended dose(RD) of Paclitaxel and cisplatin with S-1 chemoradiotherapy for unresectable / recurrent gastric cancer.
In the phase II trial, primary objectives is to evaluate the efficacy and safety.
Safety,Efficacy
Confirmatory
Pragmatic
Phase I,II
[phase I]
Estimate the maximum tolerated dose (MTD) and recommended dose (RD) of PTX and CDDP
[phase II]
Response rate
[phase II]
Overall Survival, Progression Free Survival, Adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
S-1, CDDP and PTX combination chemotherapy is conducted. The S-1 is administered for 14 days followed by 14 days rest according to body surface area. CDDP and PTX is administered intravenously in each dosage of level at day 1 and 15.
20 | years-old | <= |
80 | years-old | > |
Male and Female
1)confirmed gastric cancer by endscopic biopsy
2)inoperable and recurrent gastric cancer
3)have measurable tumor region (preferable that patient have the target region which matched to RECIST guideline)
4)more than 10mm of longest diameter by spiral computed tomography or more than 20mm of longest diameter by computed tomography.
5) No prior chemotherapy. Only the case who has passed six months or more since chemotherapy ended assumes is acceptable.
6) No prior radiotherapy. The case who has received radiotherapy for non target region is acceptable.
7) age: >=20 and <75
8) Performance status 0 or 1
9) Expected to survive more than 3 months
10) sufficient function of important organs
1.WBC: >=4,000/mm3 and <=12,000/mm3
2.Neu: >=2000/mm3
3.Platelet: >=100,000/mm3
4.sT.bil: 1.5mg/dl
5.AST, ALT: 2.5 times of normal range in each institute
6.Haemoglobin: >=9.0g/dL
7.Serum creati: <=1.5mg/dL
8.Ccr: >=60 ml/min/body
11) possible to oral intake
12) written informed consent
1) with heart disease needed to treat (ex. ischemic cardiac disease, arrhythmia)
Left ventricular hypertrophy according to high blood pressure, slight left ventricle load, slight right bundle branch block are acceptable.
2) Cardiac infarction that developed within six months
3) Cirrhosis and hepatitis of briskness
4) Breathing difficulties that require oxygen administration by interstitial pneumonia and lungs fiber syndrome, etc.
5) Gut freshness hemorrhage that repeatedly requires transfusion
6) with clinically important mental disorder need to treat or treating with mind drug
7) with uncontrollable diabetes mellitus
8) with intestinal obstruction and sub-intestinal obstruction
9) infection with fever or doubt it
10) Double cancer of briskness
11) brain metastasis with symptom
12) Acute inflammatory disorder
13) Peripheral neuropathy
14) history of severe drug anaphylaxis
15) history of severe anaphylaxis to drug included Cremohor EL or Stiffening castor oil
16) pregnant woman, breast-feeding woman, and possibility of pregnancy
17) doctor's decision not to be registered to this study
40
1st name | |
Middle name | |
Last name | Tsunehiro Takahashi |
School of Medicine, Keio University
Department of surgery, Department of internal medicine
35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
1st name | |
Middle name | |
Last name |
School of Medicine, Keio University
Department of surgery
tsunehiro-t@a8.keio.jp
School of Medicine, Keio University
none
Self funding
NO
2011 | Year | 01 | Month | 01 | Day |
Published
Completed
2009 | Year | 09 | Month | 28 | Day |
2009 | Year | 10 | Month | 01 | Day |
2010 | Year | 12 | Month | 15 | Day |
2015 | Year | 04 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005630