Status:

COMPLETED

Genotype-drive Study of Irinotecan-Cisplatin Combination for Advanced Gastric Cancer

Lead Sponsor:

Chinese Academy of Medical Sciences

Conditions:

Gastric Cancer

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of first-line chemotherapy with cisplatin and irinotecan in advanced gastric cancer, and try to find out the optimal dosage of combinat...

Detailed Description

Open label single arm phase II study of cisplatin and irinotecan in patients with advanced gastric carcinoma not previously treated with palliative chemotherapy. 40 Patients will be enrolled in this l...

Eligibility Criteria

Inclusion

  • Histologically proven diagnosis of adenocarcinoma of the stomach (including adenocarcinoma of the gastroesophageal junction)
  • Stage III or Stage IV disease, according to American Joint Committee on Cancer criteria
  • Patients with UGT1A1\*28 genotype 6/6 or 6/7
  • Performance Status of 0-2 on the Eastern Cooperative Oncology Group (ECOG) performance status Scale
  • Previous adjuvant or pre-operative chemotherapy without containing irinotecan or platinum at least 6 months before enrollment
  • Adequate organ function including the following:
  • Bone marrow: absolute neutrophil count (ANC) \>or equal to 1.5 \* 109/L, platelets \>or equal to 100 \*109/L, hemoglobin \> or equal to 10 g/dL.
  • Hepatic: bilirubin \< or equal to 1.5 x ULN; alkaline phosphatase, aspartate transaminase (AST) and alanine transaminase (ALT) \< or equal to 3 x ULN (alkaline phosphatase, AST, ALT minor or equal to 5 x ULN is acceptable if liver has tumor involvement), serum albumin \> or equal to3g/dL.
  • Renal: Calculated creatinine clearance major or equal to 60 ml/min (using the standard Cockcroft-Gault formula).

Exclusion

  • No Prior palliative chemotherapy for advanced disease
  • Previous radiation therapy is allowed but should have been limited and must not have included whole pelvis radiation. Patients must have recovered from the toxic effects of the treatment prior to study enrollment (except for alopecia). Prior radiotherapy must be completed at least 30 days before study enrollment
  • Known or suspected brain metastasis
  • Second primary malignancy

Key Trial Info

Start Date :

April 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2014

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT01444521

Start Date

April 1 2011

End Date

May 1 2014

Last Update

May 6 2014

Active Locations (1)

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Page 1 of 1 (1 locations)

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Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Beijing, China, 100021

Genotype-drive Study of Irinotecan-Cisplatin Combination for Advanced Gastric Cancer | DecenTrialz