Unique ID issued by UMIN | UMIN000020864 |
---|---|
Receipt number | R000023978 |
Scientific Title | Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G) |
Date of disclosure of the study information | 2016/02/03 |
Last modified on | 2024/02/13 14:56:10 |
Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)
Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)
Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)
Randomized phase II study comparing S-1 plus oxaliplatin with S-1 monotherapy for elderly patients with advanced gastric cancer.(WJOG8315G)
Japan |
advanced gastric cancer.
Gastroenterology |
Malignancy
NO
To evaluate efficacy and safety of S-1 + oxaliplatin compared with S-1 alone for elderly patients with advanced gastric cancer
Safety,Efficacy
Phase II
overall survival
progression free survival,time to treatment failure,response rate,safety
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
Central registration
2
Treatment
Medicine |
S-1 monotherapy
S-1 was administered at 80mg/m2/BID (p.o.), on days 1-28 every 6 weeks until disease progression.
S-1 + oxaliplatin
S-1 plus oxaliplatin every 3 weeks until disease progression
S-1: 80mg/m2/BID (p.o.), on days 1-14
Oxaliplatin: 100mg/m2 (i.v.) on day 1
70 | years-old | <= |
Not applicable |
Male and Female
1) Histologically proven gastric or gastro-esophageal junction adenocarcinoma
2) Advanced unresectable or recurrent gastric cancer
3) The criteria for pre-treatment
i. If there is no history of surgery
No previous chemotherapy, immunotherapy and radiation therapy for cancer. However, irradiation for the pain caused by bone metastases is allowed.
ii. If there is a history of surgery
No previous chemotherapy, immunotherapy and radiation therapy for cancer. However, irradiation for the pain caused by bone metastases is allowed.
a) Recurrence after radical surgery
Preoperative or postoperative adjuvant chemotherapy with S-1 alone is allowed.
More than 24 weeks (168 days) from the last date of the oral S-1 administration to recurrence
b) The palliative surgery for unresectable cases
More than two weeks after surgery
Postoperative complications has improved
Do not allow the neoadjuvant chemotherapy
c) Exploratory laparotomy, bypass surgery, etc. for unresectable cases.
4) Massive pericardial effusion, pleural effusion or ascites*.
*except for patients if effusions and ascites did no accumulate for more than two weeks after drainage therapy.
*include patients if pleurosclerosis was performed with anti-cancer drugs except OK-432.
5) Symptomatic brain metastases or carcinomatous meningitis.
6) Her2 negative
7) Measurable or evaluable lesion
8) adequate oral intake and able to take oral medication
9) 70 years old or older
10) ECOG performance status 0-2.
11) Adequate bone marrow and organ function as defined as below:
neutrophil count >=1500/mm3
hemoglobin level >= 8.0 g/dL
platelet count >= 100,000/mm3
AST and ALT <= 100 IU/L, or AST and ALT <=200 IU/L with liver metastases
total bilirubin <= 1.5 mg/dL
serum creatinine <=2.0 mg/dL
creatinine clearance >=30mL/min
12) Written informed consent
1) Synchronous or metachronous (within 5 years) malignancies other than carcinoma in situ or mucosal carcinoma.
2) Active infection under treatment
3) Peripheral sensory neuropathy of grade >= 2 according to NCI-CTCAE version 4.0.
4) Diarrhea of grade >= 2 according to NCI-CTCAE version 4.0.
5) Pulmonary fibrosis or interstitial pneumonitis detected by chest x-ray.
6) Receiving flucytosine
7) Receiving phenytoin or warfarin potassium
8) Current treatment with corticosteroids.
9) Pregnant or lactating female.
10) Uncontrolled psychiatry disease
11) History of serious allergic reactions.
12) Evidence of any other serious disease, e.g. COPD, uncontrolled diabetes mellitus, uncontrolled hypertension, uncontrolled cardiovascular disease, Cerebral infarction within one year, active gastrointestinal hemorrhage, blood tests positive for HBs antigen or HVC antibody.
13) Judged inappropriate by the investigators.
160
1st name | |
Middle name | |
Last name | Akitaka Makiyama |
Japan Community Healthcare Organization Kyushu Hospital
Department of Hematology/Oncology
1-8-1 kishinoura, yahatanishi-ku, Kitakyushu, Fukuoka 806-8501, Japan
093-641-5111
makiyama20@hotmail.com
1st name | |
Middle name | |
Last name | Shinichiro Nakamura |
West Japan Oncology Group
WJOG datacenter
Namba Plaza Bldg.304-1-5-7,Motomachi Naniwa-ku,Osaka556-0016 JAPAN
06-6633-7400
datacenter@wjog.jp
West Japan Oncology Group
Japan Agency for Medical Research and Development
Non profit foundation
NO
2016 | Year | 02 | Month | 03 | Day |
Unpublished
Completed
2016 | Year | 01 | Month | 31 | Day |
2016 | Year | 03 | Month | 02 | Day |
2016 | Year | 04 | Month | 12 | Day |
2022 | Year | 12 | Month | 11 | Day |
2016 | Year | 02 | Month | 03 | Day |
2024 | Year | 02 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023978