Unique ID issued by UMIN | UMIN000010337 |
---|---|
Receipt number | R000012099 |
Scientific Title | A Phase III Study of Docetaxel plus S-1 versus S-1 Alone in the Treatment of Curatively Resected Stage III Gastric Cancer |
Date of disclosure of the study information | 2013/04/01 |
Last modified on | 2019/03/08 09:56:37 |
A Phase III Study of Docetaxel plus S-1 versus S-1 Alone in the Treatment of Curatively Resected Stage III Gastric Cancer
JACCRO GC-07 (START-2)
A Phase III Study of Docetaxel plus S-1 versus S-1 Alone in the Treatment of Curatively Resected Stage III Gastric Cancer
JACCRO GC-07 (START-2)
Japan |
Gastric Cancer
Gastroenterology | Hematology and clinical oncology | Gastrointestinal surgery |
Malignancy
NO
To compare the 3-years recurrence free survival, 5-year overall survival, 5-year recurrence free survival and safety of the test arm (docetaxel and S-1) to the control arm (S-1 only) in patients with curatively resected stage III gastric cancer.
Safety
Confirmatory
3-years recurrence free survival rate
3-years and 5-years overall survival
5-years recurrence free survival
time to treatment failure
adverse events
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Medicine |
1st Course (S-1 alone): S-1 80mg/m2 d1-14, q3w
2nd to 7th Course (S-1 plus docetaxel):Docetaxel: 40 mg/m2 (1 hour IV infusion) on Day 1 of each cycle
S-1: S-1 dosage is dependent upon BSA calculation on Days 1-14 of each cycle. No treatment on Days 15 through 21 of each cycle.Cycles repeated every 3weeks.
After 7th Course, S-1 alone continued until 1 year.
S-1: S-1 dosage is dependent upon BSA calculation on Days 1 through 28 of each cycle,no treatment on Days 29 through 42 of each cycle, cycles repeated until 1 year.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1. Histologically proven gastric cancer of IIIA, IIIB or IIIC (Histologically Common Type)
2. D2 lymph-node dissection with R0 surgery (with the result of no residual tumor)
3. No hepatic, peritoneal, or distant metastasis; no tumor cells in peritoneal fluid on cytologic analysis
4. Age 20 to 80 years.
5. No previous treatment for cancer except for the initial gastric resection for the primary lesion.
6. ECOG performance status 0 or 1.
7. Within 42 days after gastric resection and adequate self-supported nutritional intake.
8. Hgb>9.0 g/dL, WBC 4000-12,000/mm3, ANC> 1500/mm3, platelets> 100,000/mm3
9. Creatinine< 1.2 mg/dL, Creatinine clearance> 50mL/min
10. Total bilirubin< 1.5 X UNL
11. AST (SGOT) and ALT (SGPT)< 100 IU/L
12. Subjects must have fully recovered from surgical damage
13. Written informed consent
1. Active double cancer (except focal cancer in adenoma of colorectal cancer and carcinoma in situ of cervical cancer) and/or past history of other cancer.
2. Patients with severe postoperative complication (severe postoperative infections, anastomotic leakage, gastrointestinal bleeding).
3. Patients with severe complication (intestinal paralysis, intestinal obstruction, interstitial pneumonitis, pulmonary fibrosis, severe diabetes, uncontrolled hypertension, heart failure, renal failure, liver cirrhosis, liver failure, etc.).
4. Patient with active infectious desease.
5. Patient with positive HBs antigen or positive HCV antibody.
6. Definite contraindications for the use of corticosteroids.
7. History of hypersensitivity to fluoropyrimidines, docetaxel, or medications formulated with polysorbate 80, other severe drug induced allergy or .
8. History of allergy of both iodine and gadolinium.
9. Patient is taking flucytosine.
10. Pregnancy or lactation women, women with suspected pregnancy or men with willing to get pregnant.
11. Patient with psychosis or psychotic symptoms and judged to be difficult to determine participating clinical trial.
12. Any subject judged by the investigator to be unfit for any reason to participate in the study.
1100
1st name | |
Middle name | |
Last name | Yasuhiro Kodera |
Nagoya University
Department of Digestive Surgery
65, Tsurumai, Showa-ku, Nagoya, Japan
052-741-2111
ykodera@med.nagoya-u.ac.jp
1st name | |
Middle name | |
Last name | Masashi Fujii |
Japan Clinical Cancer Reseach Organization (JACCRO)
Office
7F, 1-14-5, Ginza, Chuoh-ku, Tokyo
03-5579-9882
gc07.dc@jaccro.or.jp
Japan Clinical Cancer Reseach Organization (JACCRO)
Japan Clinical Cancer Reseach Organization (JACCRO)
Non profit foundation
Japan
NO
名古屋大学医学部附属病院(愛知県)ほか、JACCRO参加施設
2013 | Year | 04 | Month | 01 | Day |
Partially published
Main results already published
2013 | Year | 03 | Month | 30 | Day |
2013 | Year | 04 | Month | 01 | Day |
2022 | Year | 12 | Month | 31 | Day |
2023 | Year | 02 | Month | 28 | Day |
2023 | Year | 03 | Month | 31 | Day |
2023 | Year | 06 | Month | 30 | Day |
2013 | Year | 03 | Month | 28 | Day |
2019 | Year | 03 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012099