UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014071
Receipt number R000016370
Scientific Title A phase II study of capecitabin plus cisplatin therapy for advanced gastric cancer with multiple lymph node metastases (OGSG 1401)
Date of disclosure of the study information 2014/05/26
Last modified on 2022/09/25 16:38:31

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Basic information

Public title

A phase II study of capecitabin plus cisplatin therapy for advanced gastric cancer with multiple lymph node metastases
(OGSG 1401)

Acronym

A phase II study of capecitabin plus cisplatin therapy for advanced gastric cancer with multiple lymph node metastases
(OGSG 1401)

Scientific Title

A phase II study of capecitabin plus cisplatin therapy for advanced gastric cancer with multiple lymph node metastases
(OGSG 1401)

Scientific Title:Acronym

A phase II study of capecitabin plus cisplatin therapy for advanced gastric cancer with multiple lymph node metastases
(OGSG 1401)

Region

Japan


Condition

Condition

Gastric cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To confirm the efficacy and safety of capecitabin plus cisplatin combined chemotherapy (XP therapy) for advanced gastric cancer with highly metastatic nodes which cannot be resected curatively

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Response Rate

Key secondary outcomes

Overall Survival (OS)
Curative operation rate
Preoperative treatment completion rate
Surgical operation completion rate
Hole treatment schedule completion rate
Histological response rate
Safety check (AE, postoperative complication)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

It takes three weeks for a one course of Cisplatin plus capecitabin combination therapy
Standard treatment is two courses before surgical operation
Cisplatin (80 mg/m2) is administered on day 1 and day 21
Capecitabin (2000 mg/m2/day: see a conversion table) is administered daily between day 1 and day 15followed by 7 days rest, and repeat one more cycle.
If the response is immature, patients can receive two more courses before surgery.
After surgical operation, TS-1 is administered for one year.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Histologically proven gastric carcinoma by endoscopic detection
2)HER2 negative or unknown
3)With any lesion written below by upper abdominal enhanced CT:
1.Paraaortic node metastases (#16a2/16b1) larger than 10mm
2.Bulky lymph node metastases located at celiac axis, common hepatic artery, splenic artery and/or upper mesenteric vein which make a huge bulk larger than 3.0 cm and/or multiple
large bulks larger than 1.5 cm
3.Paraaortic and bulky metastatic nodes
4)Without any lesions written below by thoratic, upper abdominal and pelvic enhanced CT:
1.mediastinal node metastases
2.lung metastases
3.peritoneal metastases
4.liver metastases
5.pleural fluid and/or ascites
6.paraaortic nodes metastases (# 16a1 and/or #16b2)
7.Other distant nodes metastases and/or CY1
5) Not a large type 3 or type 4 gastric cancer
Large: the size of cancer is larger than 8 cm
6)Without esophageal invasion longer than 3 cm
7)Not a remnant gastric cancer
8)Without cervical nodes metastases and/or distant metastases
9)Age between 20 and 75 years old
10)An Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
11) Without any prior chemotherapy, radiation therapy and/or hormone therapy for the gastric cancer and/or any other cancers
12)Without prior surgical therapy except EMR/ESD and/or bypass
13) Patients can take food orally with /without bypass
14) With good functions of important organs by a data taken within 2 weeks
of registration
a) WBC: =>4000/mm3
b) Neutrophil: =>1,500/mm3
c) Hemoglobin: =>8.0 g/dl without blood transfusion
d) Platelet: =>100,000/mm3
e) AST, ALT: =< 100 IU/L
f) T.bil.: =<1.5 mg/dL
g) S-cleatinine: =<1.2mg/dL
h) Creatinine clearance: =>60 ml/min/body
CC by Cockcroft-Gault method is available:=>60mL/min 15) With written Informed Consent

Key exclusion criteria

1)With active double cancers excluding carcinoma in situ and/or prior cancer cured with longer than 5 year interval period
2)Pregnant or nursing female
3)Male expecting pregnancy of partner
4)Impossible to register to the study due to a psychological disorder by physician in charge's decision
5)Under continuous steroids medication
6)Patients who receives systemic continuous administration of flucytosine, phenytoin or warfarin
7)With neuropathy on peripheral motor and/or sensory nerves: -> glade 2 of CTCAE v4.0
8)With interstitial pneumonitis, pulmonary fibrosis and/or severe pulmonary
emphysema
9)With active bacterial/fungal infectious disease (with a fever over 38 centigrade)
10)With a history of cardiac infarction and/or anxiety angina pectoris within 6 months
11)With uncontrollable blood hypertension
12)With uncontrollable DM
13)Any other patients whom the physician in charge of the study judges to
be unsuitable

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yutaka Kimura

Organization

Kindai University School of Medicine

Division name

Department of Surgery

Zip code


Address

377-2, Ohnohigashi , Osakasayama, Osaka, 589-8511, Japan

TEL

072-366-0221

Email

you-kimura@surg.med.kindai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiroshi Furukawa

Organization

Kinki University School of Medicine

Division name

Department of surgery

Zip code


Address

377-2, Onohigashi, Osakasayama, Osaka, 589-8511,Japan

TEL

072-366-0221

Homepage URL


Email

hiroshi.furukawa@tokushukai.jp


Sponsor or person

Institute

Osaka Gastrointestinal cancer chemotherapy Study Group(OGSG)

Institute

Department

Personal name



Funding Source

Organization

Osaka Clinical Study Supporting Organization

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

関西労災病院(兵庫県)、大阪医療センター(大阪府)


Other administrative information

Date of disclosure of the study information

2014 Year 05 Month 26 Day


Related information

URL releasing protocol

http://www.pieronline.jp/content/article/0385-0684/47030/481;jsessionid=108u3erjag4ai.x-sunmedia-liv

Publication of results

Published


Result

URL related to results and publications

http://www.pieronline.jp/content/article/0385-0684/47030/481;jsessionid=108u3erjag4ai.x-sunmedia-liv

Number of participants that the trial has enrolled

4

Results

The study terminated after the enrollment of 4 cases.
The test was safe to conduct, but difficult to assess its efficacy.

Results date posted

2022 Year 07 Month 24 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Average age 62 years old (56-71)

Participant flow

4 cases registered
Surgery performed in 2 cases

Adverse events

Pre-operation (G3 and above)
 1 case of neutropenia
 1 case of decreased hemoglobin
Perioperative period (G3 and above)
 1 case of intra-abdominal abscess
 1 case of pancreatic leak

Outcome measures

50% response rate (1 case of PR , 2 cases of NE)
75% of radical resection (3 cases of RO/R1, 1 case of non-excision)
25% histological response rate (1 case of GO, 1 case of G1a, 1 case of G2a, 1 case of NE)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2014 Year 03 Month 23 Day

Date of IRB

2014 Year 05 Month 13 Day

Anticipated trial start date

2015 Year 04 Month 07 Day

Last follow-up date

2017 Year 11 Month 17 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2018 Year 01 Month 29 Day


Other

Other related information



Management information

Registered date

2014 Year 05 Month 26 Day

Last modified on

2022 Year 09 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016370


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name