Unique ID issued by UMIN | UMIN000007589 |
---|---|
Receipt number | R000008929 |
Scientific Title | A feasibility study of neoadjuvant Oxaliplatin and S-1 for clinical T3 or T4 gastric cancer |
Date of disclosure of the study information | 2012/03/31 |
Last modified on | 2016/03/28 18:36:22 |
A feasibility study of neoadjuvant Oxaliplatin and S-1 for clinical T3 or T4 gastric cancer
A feasibility study of neoadjuvant Oxaliplatin and S-1 for clinical T3 or T4 gastric cancer
A feasibility study of neoadjuvant Oxaliplatin and S-1 for clinical T3 or T4 gastric cancer
A feasibility study of neoadjuvant Oxaliplatin and S-1 for clinical T3 or T4 gastric cancer
Japan |
gastric cancer
Gastroenterology | Gastrointestinal surgery |
Malignancy
NO
to evaluate the safety of neoadjuvant Oxaliplatin and S-1 for clinical T3 or T4 gastric cancer patients.
Safety
Confirmatory
Phase II
proportion of protocol completion
overall survival, relapse-free survival,response rate, pathological response rate,adverse events, operative morbidity, treatment related death
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
Preoperative chemotherapy with Oxaliplatin and S-1 followed by gastrectomy with D2 lymph node dissection
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) Histologically proven primary gastric adenocarcinoma.
2) Upper GI endoscopy and enhanced abdominal CT revealed having T3 or T4 tumor.
3) Enhanced CT revealed having no distant metastasis. No peritoneal metastasis and CY0 by laparoscopy.
4) Age between 20 and 75 at registration.
5) Performance Status(ECOG) 0 or 1.
6) No prior treatment of chemotherapy nor radiation therapy nor endocrine therapy against any other malignancies. No prior surgery for gastric carcinoma.
7) No bleeding from primary lesions nor obstruction.
8) Fair oral intake with or without bypass surgery.
9) CT revealed no interstitial pneumonia, pulmonary fibrosis, nor severe emphysema.
10) Adequate organ functions defined as indicated below;
i) WBC >= 3,000/mm3 and <=12,000/mm3.
ii) Hb >= 9.0 g/dL.
iii) Platelet >= 100,000/mm3.
iv) AST <= 50 IU/L.
v) ALT <= 50 IU/L.
vi) T.Bil <= 1.5 mg/dL.
vii) Creatinin <= 1.2 mg/dL .
viii) CCr >= 60mL/min/body
11) Written informed consent from patient.
1)Enhanced abdominal CT revealed no Bulky lymph node (>=3cmx1 or >=1.5cmx2).
2)No coagulation disorder.
3)Body temperature >=38 centigrade at the time of enrollment.
4) Active bacterial or fungal infection.
5) Interstitial pneumonia, pulmonary fibrosis, or severe emphysema.
6) History of hypersensitivity to L-OHP, Fluorouracil, Tegafur, Gimeracil, Oteracilo Potassium, Dexamethason,or 5-HT3 receptor antagonist.
7) Peripheral motor neuropathy or peripheral sensory neuropathy by any reason.
8) Synchronous or metachronous (within 5 years) malignancies other than carcinoma in situ or mucosal cancer.
9) Under treatment with flucytosine, phenytoin, or warfarin.
10) Women during pregnancy or breast-feeding.
11) Severe mental disease.
12) Under treatment with systemic steroid.
13) Uncontrollable diabetes mellitus or routine administration of insulin.
14) Uncontrollable hypertension.
15) Active gastrointestinal bleeding.
16) Past history of myocardial infarction or unstable angina pectoris within 6 months.
17) HBs antigen positive.
42
1st name | |
Middle name | |
Last name | Hitoshi Katai |
National Cancer Center Hospital
Gastric Surgery Division
5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045 Japan
03-3542-2511
1st name | |
Middle name | |
Last name | Yoshitaka Honma |
National Cancer Center Hospital
Gastrointestinal Oncology Division
5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045 Japan
03-3542-2511
National Cancer Center
National Cancer Center
Japan
NO
国立がん研究センター中央病院(東京都)
慶応義塾大学病院(東京都)
静岡県立静岡がんセンター(静岡県)
愛知県立がんセンター中央病院(愛知県)
2012 | Year | 03 | Month | 31 | Day |
Published
Completed
2012 | Year | 01 | Month | 20 | Day |
2012 | Year | 02 | Month | 01 | Day |
2016 | Year | 02 | Month | 01 | Day |
2012 | Year | 03 | Month | 28 | Day |
2016 | Year | 03 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008929