Status:

COMPLETED

Pre-Operative Or Peri-Operative Dox Regimen In Patients With Locally Advanced Resectable Gastric Cancer

Lead Sponsor:

Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS

Conditions:

Gastric Cancer

Locally Advanced Malignant Neoplasm

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

Study design: Multicenter, randomized, open label phase II study Arm A: DOX 4 cycles - Surgery - Follow-up Arm B: DOX 2 cycles - Surgery - DOX 2 cycles - Follow-up Population: Male or female, 18-75...

Detailed Description

Title: A randomised phase II study of pre-operative or peri-operative docetaxel, oxaliplatin, capecitabine (DOX) regimen in patients with locally advanced resectable gastric cancer. Clinical Phase: I...

Eligibility Criteria

Inclusion

  • Signed written informed consents
  • Male or female 18-75 years of age
  • Diagnosis of histologically confirmed, potentially resectable adenocarcinoma of the stomach
  • cT3 subserosal - cT4a - cT4b (7th edition UICC TNM) or bulky lymph node metastases independently of T
  • ECOG performance status of 0-1 at study entry
  • Laboratory requirements (≤ 7 days prior chemotherapy start):
  • Hematology:
  • I) Neutrophils \> 1.5 x 109 /L II) Platelets \> 100 x 109 /L III) Hemoglobin \> 10g/dL
  • Hepatic function I) Total bilirubin \< 1.25 UNL II) AST (SGOT) and ALT (SGPT) \< 2.5xUNL III) Alkaline phosphatase \< 2.5xUNL
  • Renal function I) Creatinine \<1.5 UNL In the event of border-line values, the calculated creatinine clearance should be \> 60 mL/min;
  • Written informed consent signed and dated before randomization procedures, including expected cooperation of patients for treatment and follow-up, must be obtained and documented according to local regulatory requirements.
  • Effective contraception for both male and female patients if the risk of conception exists

Exclusion

  • Early gastric cancer (if N0)
  • T2 (according to 7th edition of UICC TNM) if N0
  • Linitis plastica
  • Positive peritoneal cytology
  • Distant metastases
  • Neoplasm involving the gastro-esophageal junction
  • Pertoneal involvement
  • Concurrent chronic systemic immune therapy
  • Any investigational agent(s) administered 4 weeks prior to entry
  • Clinically relevant coronary artery disease, a history of myocardial infarction or of hypertension not controlled by therapy within the last 12 months
  • Known grade 3 or 4 allergic reaction to any of the components of the treatment
  • Known drug abuse/alcohol abuse
  • Legal incapacity or limited legal capacity
  • Medical or psychological condition which, in the opinion of the investigator, would not permit the patient to complete the study or sign meaningful informed consent
  • Women who are pregnant or breastfeeding
  • Acute or subacute intestinal occlusion
  • Any concurrent malignancy other than non-melanoma skin cancer, or carcinoma in situ of the cervix. (Patients with a previous malignancy but without evidence of disease for ≥ 5 years will be allowed to enter the trial)

Key Trial Info

Start Date :

September 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 15 2022

Estimated Enrollment :

106 Patients enrolled

Trial Details

Trial ID

NCT01876927

Start Date

September 1 2010

End Date

September 15 2022

Last Update

January 9 2025

Active Locations (20)

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Page 1 of 5 (20 locations)

1

Azienda Ospedaliero - Universitaria Ospedali Riuniti Umberto I - GM Lancisi

Ancona, AN, Italy

2

USL 8 Arezzo - Presidio Ospedaliero Zona Casentino - Ospedale di Bibbiena

Bibbiena, AR, Italy

3

USL 8 Arezzo - Ospedale "Santa Maria alla Gruccia"

Montevarchi, AR, Italy

4

UO Oncologia , Spedali Civili di Brescia

Brescia, BS, Italy, 25123