A Trial of Neoadjuvant TS-1 and Cisplatin for Type 4 and Large Type 3 Gastric Cancer
Randomized Phase III Trial of Surgery Plus Neoadjuvant TS-1 and Cisplatin Compared With Surgery Alone for Type 4 and Large Type 3 Gastric Cancer: Japan Clinical Oncology Group Study (JCOG 0501)
2 other identifiers
interventional
316
1 country
35
Brief Summary
The aim of this study is to evaluate survival benefit of TS-1 plus cisplatin as a neoadjuvant chemotherapy in gastric cancer patient with resectable type 4 (linitis plastica type) and large type 3 tumor in comparison with surgery alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Nov 2005
Longer than P75 for phase_3
35 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2005
CompletedFirst Submitted
Initial submission to the registry
November 10, 2005
CompletedFirst Posted
Study publicly available on registry
November 11, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2015
CompletedSeptember 22, 2016
September 1, 2016
9.4 years
November 10, 2005
September 20, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
overall survival
during the study conduct
Secondary Outcomes (5)
progression free survival (PFS)
during the study conduct
response rate
during the study conduct
proportion of protocol achievement
during the study conduct
proportion of curative resection
during the study conduct
adverse events
during the study conduct
Study Arms (2)
1
ACTIVE COMPARATORProcedure/Surgery: Gastrectomy with more than D2 dissection
2
EXPERIMENTALDrug: Neoadjuvant chemotherapy(TS-1+CDDP) followed by gastrectomy
Interventions
Neoadjuvant chemotherapy(TS-1+CDDP) followed by gastrectomy
Eligibility Criteria
You may qualify if:
- histologically proven adenocarcinoma of stomach
- Borrmann type 4 or large (\>=8 cm) type 3
- no evidence of distant metastasis including liver(M0)
- no evidence of para-aortic and/or retropancreatic lymph node metastasis(N0-2)
- no peritoneal metastasis and negative peritoneal lavage cytology (PLS) with laparoscopic confirmation
- no involvement of the esophagus with \> 3cm
- an age of 20-75 years
- an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
- no prior chemotherapy, radiotherapy for any malignancy
- no prior surgery for gastric cancer except for endoscopic membrane resection (EMR)
- no breeding from primary tumor or gastrointestinal stenosis
- sufficient oral intake
- adequate organ function
- written informed consent
You may not qualify if:
- synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ
- pregnant or breast-feeding women
- severe mental disease
- systemic administration of corticosteroids, flucytosine, phenytoin or warfarin
- other severe complications such as paralytic ileus, intestinal pneumonitis, pulmonary fibrosis, or ischemic heart disease
- myocardial infarction within six disease-free months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Haruhiko Fukudalead
- Ministry of Health, Labour and Welfare, Japancollaborator
Study Sites (35)
Aichi Cancer Center Hospital
Nagoya,Chikusa-ku,Kanokoden,1-1, Aichi-ken, 464-8681, Japan
Fujita Health University
Toyoake,Kutsukake-cho,Dengakugakubo,1-98, Aichi-ken, 470-1192, Japan
National Cancer Center Hospital East
Kashiwa,Kashiwanoha,6-5-1, Chiba, 277-8577, Japan
National Hospital Organization Shikoku Cancer Center
Matsuyama,Horinouchi,13, Ehime, 790-0007, Japan
Gifu Municipal Hospital
Gifu,Kashima-cho,7-1, Gifu, 500-8323, Japan
Hiroshima City Hospital
Hiroshima,Naka-ku,Motomachi,7-33, Hiroshima, 730-8518, Japan
Itami City Hospital
Itami,Koyaike,1-100, Hyōgo, 664-8540, Japan
Iwate Medical University
Morioka,Uchimaru,19-1, Iwate, 020-8505, Japan
Kagoshima University,Faculty of Medicine
Kagoshima,Sakuragaoka,8-35-1, Kagoshima-ken, 890-8520, Japan
Kanagawa Cancer Center
Yokohama,Asahi-ku,Nakao,1-1-2, Kanagawa, 241-0815, Japan
Kyoto Second Red Cross Hospital
Kamigyo-ku,Kamanza-Marutamachi,355-5, Kyoto, 602-8026, Japan
Miyagi Cancer Center
Natori,Medeshima-Shiode,Nodayama,47-1, Miyagi, 981-1293, Japan
National Hospital Organization, Sendai Medical Center
Sendai,Miyagino-ku,Miyagino,2-8-8, Miyagi, 983-8520, Japan
Nagaoka Chuo General Hospital
Nagaoka,Kawasaki,2041, Niigata, 940-8653, Japan
Niigata Cancer Center Hospital
Niigata,Kawagishi-cho,2-15-3, Niigata, 951-8566, Japan
Tsubame Rosai Hospital
Tsubame,Sawatari,633, Niigata, 959-1228, Japan
Oita University Fuculty of Medicine
Oita,Hasama-machi,Oogaoka,1-1, Oita Prefecture, 879-5593, Japan
Osaka National Hospital
Osaka,Chuo-ku,Hoenzaka,2-1-14, Osaka, 540-0006, Japan
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka,Higashinari-ku,Nakamichi,1-3-3, Osaka, 537-8511, Japan
Kinki University School of Medicine
Osaka-Sayama,Ohno-higashi,377-2, Osaka, 589-8511, Japan
Sakai Municipal Hospital
Sakai,Minamiyasuicho,1-1-1, Osaka, 590-0064, Japan
Osaka Medical College
Takatsuki,Daigakucho,2-7, Osaka, 569-0801, Japan
Toyonaka Municipal Hospital
Toyonaka,Shibaharacho,4-14-1, Osaka, 560-0055, Japan
Saitama Cancer Center
Kita-adachi,Ina,Komuro,818, Saitama, 362-0806, Japan
National Defense Medical College
Tokorozawa,Namiki,3-2, Saitama, 359-8513, Japan
Shizuoka General Hospital
Shizuoka,Aoi-ku,Kitaando,4-27-1, Shizuoka, 420-8527, Japan
Tokyo Metropolitan Komagome Hospital
Bunkyo-ku,Honkomagome,3-18-22, Tokyo, 113-8677, Japan
Tokyo Medical and Dental University Hospital
Bunkyo-ku,Yushima,1-5-45, Tokyo, 113-8519, Japan
National Cancer Center Hospital
Chuo-ku,Tsukiji,5-1-1, Tokyo, 104-0045, Japan
Cancer Institute Hospital
Koto-ku,Ariake,3-10-6, Tokyo, 135-8550, Japan
International Medical Center of Japan
Shinjuku-ku,Toyama,1-21-1, Tokyo, 162-8655, Japan
Tokyo Metropolitan Bokutoh Hospital
Sumida-ku,Koutoubashi,4-23-15, Tokyo, 130-8575, Japan
Toyama Prefectural Central Hospital
Toyama,nishinagae,2-2-78, Toyama, 930-8550, Japan
Wakayama Medical University, School of Medicine
Wakayama,Kimiidera,811-1, Wakayama, 641-8510, Japan
Yamagata Prefectural Central Hospital
Yamagata,Aoyagi,1800, Yamagata, 990-2292, Japan
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Mitsuru Sasako, MD, PhD
Hyogo Medical University
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- JCOG Data Center
Study Record Dates
First Submitted
November 10, 2005
First Posted
November 11, 2005
Study Start
November 1, 2005
Primary Completion
April 1, 2015
Study Completion
April 1, 2015
Last Updated
September 22, 2016
Record last verified: 2016-09