Randomized Phase III Study of TS-1 Alone Versus TS-1 Plus CDDP in Advanced Gastric Cancer
1 other identifier
interventional
300
1 country
1
Brief Summary
This study aimed to verify the survival benefit of TS-1 plus CDDP combination chemotherapy compared with the monotherapy by TS-1 alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 gastric-cancer
Started Mar 2002
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2002
CompletedFirst Submitted
Initial submission to the registry
September 7, 2005
CompletedFirst Posted
Study publicly available on registry
September 8, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2006
CompletedJuly 7, 2011
July 1, 2011
4.8 years
September 7, 2005
July 6, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall survival
every course for first three courses, then every other course
Secondary Outcomes (1)
Overall response rate, lesion-directed response rate, time to treatment failure (TTF), hospitalization-free survival period within the periods of TTF, and safety profile
every course for first three courses, then every other course
Study Arms (2)
1
EXPERIMENTALTS-1 and cisplatin
2
ACTIVE COMPARATORTS-1
Interventions
TS-1(40-60 mg per body surface area) was given orally, twice daily for 3 consecutive weeks, and 60 mg/m2 cisplatin was given intravenously on day 8, followed by a 2-week rest period, within a 5-week cycle.
TS-1(40-60 mg per body surface area) was given orally, twice daily for 4 consecutive weeks, followed by a 2-week rest period, within a 6-week cycle.
Eligibility Criteria
You may qualify if:
- Histologically confirmed adenocarcinoma
- Unresectable and recurrent gastric cancer
- Age 20 to 74
- Performance status 0, 1, or 2 (ECOG)
- Life expectancy 3 months
- No prior chemotherapy or radiotherapy for gastric cancer
- Able to take oral medication
- Evaluable or not evaluable lesion had already checked more than 28 days before participated in this study
- Hematopoietic Absolute granulocyte count lower limit of normal-12,000/mm\^3 Platelet ≥ 100,000/mm\^3 Hemoglobin ≥ 8.0 g/dL
- Hepatic AST and ALT ≤ 100 U/L ALP ≤ 2 times upper limit of normal (ULN) Bilirubin ≤ 1.5 mg/dL
- Renal Plasma creatinine ≤ ULN Creatinine clearance ≥ 50 mL/min
You may not qualify if:
- Pregnant or nursing
- Bleeding from gastrointestinal tract or no diarrhea
- Hypersensitivity to TS-1 or CDDP
- Psychiatric disorder that would preclude study compliance or giving informed consent
- Severe acute or chronic medical or psychiatric condition or laboratory abnormality
- Serious illness or medical condition
- Brain metastasis
- Ascites requiring drainage
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
East Hospital, Kitasato University
2-1-1, Asamizodai, Sagamihara, Kanagawa, Japan
Related Publications (2)
Koizumi W, Narahara H, Hara T, Takagane A, Akiya T, Takagi M, Miyashita K, Nishizaki T, Kobayashi O, Takiyama W, Toh Y, Nagaie T, Takagi S, Yamamura Y, Yanaoka K, Orita H, Takeuchi M. S-1 plus cisplatin versus S-1 alone for first-line treatment of advanced gastric cancer (SPIRITS trial): a phase III trial. Lancet Oncol. 2008 Mar;9(3):215-21. doi: 10.1016/S1470-2045(08)70035-4. Epub 2008 Feb 20.
PMID: 18282805RESULTArai H, Takeuchi M, Ichikawa W, Shitara K, Sunakawa Y, Oba K, Koizumi W, Sakata Y, Furukawa H, Yamada Y, Takeuchi M, Fujii M. Correlation of multiple endpoints in the first-line chemotherapy of advanced gastric cancer: Pooled analysis of individual patient data from Japanese Phase III trials. Cancer Med. 2024 Jan;13(1):e6818. doi: 10.1002/cam4.6818. Epub 2023 Dec 23.
PMID: 38140879DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wasaburo Koizumi, MD, PHD
East Hospital, Kitasato University
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 7, 2005
First Posted
September 8, 2005
Study Start
March 1, 2002
Primary Completion
December 1, 2006
Study Completion
December 1, 2006
Last Updated
July 7, 2011
Record last verified: 2011-07