Unique ID issued by UMIN | UMIN000005857 |
---|---|
Receipt number | R000006919 |
Scientific Title | Phase II Study to Evaluate Efficacy and Safety of Capecitabine + Cisplatin Combination Therapy in Gastric Cancer Patients Who Relapsed After S-1 Adjuvant Chemotherapy |
Date of disclosure of the study information | 2011/06/30 |
Last modified on | 2019/01/10 16:25:54 |
Phase II Study to Evaluate Efficacy and Safety of Capecitabine + Cisplatin Combination Therapy in Gastric Cancer Patients Who Relapsed After S-1 Adjuvant Chemotherapy
XParTS study
Phase II Study to Evaluate Efficacy and Safety of Capecitabine + Cisplatin Combination Therapy in Gastric Cancer Patients Who Relapsed After S-1 Adjuvant Chemotherapy
XParTS study
Japan |
Gastric Cancer
Gastroenterology | Hematology and clinical oncology | Gastrointestinal surgery |
Malignancy
NO
To evaluate the efficacy and safety of capecitabine + cisplatin combination therapy in first line treatment of gastric cancer patients who relapsed less than 6 months after S-1 based adjuvant chemotherapy.
Safety,Efficacy
Progression-free survival (PFS)
Overall survival (OS), Overall response rate (ORR), Time to treatment failure (TTF), Severity and incidence of adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
capecitabine + cisplatin combination therapy
20 | years-old | <= |
75 | years-old | > |
Male and Female
1)Recurrent gastric cancer histologically confirmed as being adenocarcinoma
2)Between the ages of 20 and 74 years at the time informed consent is obtained
3)Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
4)Lesions confirmed on imaging within 28 days before registration (not required measurable lesions)
5)Post-gastrectomy adjuvant chemotherapy including S-1 for at least 12 weeks including interruption period
6)Less than 6 months treatment free interval from completion of adjuvant therapy
7)Treatment-naive recurrent gastric cancer
8)Life expectancy of at least 3 months after registration
9)Personal written informed consent obtained after study fully explained
10)Major organ functions meet the criteria within 14 days before registration
1)Positive HER2 status
2)Previous treatment with platinum agents
3)Previous history of serious hypersensitivity to fluoropyrimidines or platinum agents
4)Previous history of adverse reactions suggestive of dihydropyrimidine dehydrogenase (DPD) deficiency
5)More than one cancer at the same time or more than one cancer at different times separated by a 5-year disease-free interval. However, multiple active cancers do not include carcinoma in situ or skin cancer which is determined to have been cured as a result of treatment.
6)Obvious infection or inflammation
7)Active hepatitis
8)Heart disease that is serious or requires hospitalization, or history of such disease within past year
9)Concurrent illness that is serious or requires hospitalization (intestinal paralysis, intestinal obstruction, interstitial pneumonia or pulmonary fibrosis, poorly controlled diabetes mellitus, renal failure, liver disorders, or hepatic cirrhosis)
10)Being treated or in need of treatment with phenytoin or warfarin potassium
11)Chronic diarrhoea (watery stool or 4 times or more/day)
12)Active gastrointestinal haemorrhage
13)Body cavity fluids requiring drainage or other treatment
14)Clinical suspicion or previous history of metastases to brain or meninges
15)Women who are pregnant, breastfeeding, or potentially (hoping to become) pregnant
16)Unwillingness to practice contraception
17)Poor oral intake
18)Psychiatric disorders which are being or may need to be treated with psychotropics
19)Otherwise determined by investigators or site principal investigators to be unsuitable for participation in study
40
1st name | |
Middle name | |
Last name | Akira Tsuburaya |
Kanagawa Cancer Center
Department of Gastrointestinal Surgery
1-1-2 Nakao, Asahi-ku, Yokohama-shi, Kanagawa 241-0815
045-261-5656
tuburayaa@gmail.com
1st name | |
Middle name | |
Last name | Yumi Miyashita |
Epidemiological and Clinical Research Information Network (ECRIN)
Aichi Devision
Sanshuya bldg. 2F, 348, Kouseicho, Okazaki, Aichi 444-0052
0564-66-1220
miya@ecrin.or.jp
Epidemiological and Clinical Research Information Network (ECRIN)
Epidemiological and Clinical Research Information Network (ECRIN)
Non profit foundation
YES
NCT01412294
US National Institutes of Health
2011 | Year | 06 | Month | 30 | Day |
Published
https://link.springer.com/article/10.1007%2Fs10120-018-0815-0
Forty patients (median age: 64) were enrolled; of those, 37 (92.5%) received adjuvant S-1 monotherapy. Median PFS was 4.4 months, which was longer than the 2-month protocol-specified threshold (p<0.001). Median OS was 13.7 months (95% CI, 9.0-17.7) and ORR was 8/30 (26.7%). Most common grade=>3 adverse events were neutropenia (23%), anemia (18%), elevated serum creatinine (18%), fatigue (13%), diarrhea (7.5%), and anorexia (7.5%).
Conclusions: XP was safe and effective in patients with early relapse after S-1 adjuvant chemotherapy for curatively resected gastric cancers.
Completed
2011 | Year | 05 | Month | 25 | Day |
2011 | Year | 06 | Month | 01 | Day |
2016 | Year | 04 | Month | 30 | Day |
2011 | Year | 06 | Month | 27 | Day |
2019 | Year | 01 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006919