Status:

WITHDRAWN

Neoadjuvant Therapy for the Treatment of Gastroesophageal Junction and Gastric Cancers

Lead Sponsor:

Ohio State University Comprehensive Cancer Center

Conditions:

Clinical Stage I Gastric Cancer AJCC v8

Clinical Stage II Gastric Cancer AJCC v8

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This phase I trial tests the safety, side effects studies chemotherapy followed by chemotherapy at the same time as radiation therapy (chemoradiation) before surgery (neoadjuvant) in treating patients...

Detailed Description

PRIMARY OBJECTIVES: I. To evaluate the feasibility of delivering tailored targeted neoadjuvant therapy with chemotherapy followed by chemoradiation and surgery in patients with gastroesophageal junct...

Eligibility Criteria

Inclusion

  • Patients with histologically proven, cT2N0-T4aN3M0 (TNM 8th edition), gastric or Siewert II-III GEJ adenocarcinoma
  • Evaluation with endoscopic ultrasound (EUS) and staging laparoscopy prior to enrollment is strongly recommended.
  • Patient should be a candidate for neoadjuvant chemotherapy with fluorouracil, leucovorin, oxaliplatin and docetaxel (FLOT) or fluorouracil and oxaliplatin (FOLFOX).
  • Patients should be \>= 18 years old
  • Eastern Cooperative Oncology Group (ECOG) performance status =\< 2
  • Patient should be eligible for surgical intervention
  • T1 N0 disease (assessed by endoscopic ultrasound)

Exclusion

  • Evidence of distant metastatic disease
  • Solitary functioning kidney within the potential radiation field
  • Peripheral polyneuropathy \> National Cancer Institute (NCI) grade II

Key Trial Info

Start Date :

December 31 2025

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2025

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT05296005

Start Date

December 31 2025

End Date

December 31 2025

Last Update

February 7 2025

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