Randomized Controlled Trials on Adjuvant Intraperitoneal Chemotherapy for Resectable Local Advanced Gastric Cancer
IPchemo-AGC
1 other identifier
interventional
79
1 country
1
Brief Summary
Gastric cancer is the leading cause of death from a intestinal tract cancer in China.In most cases, the high death rate is due to tumor that has spread beyond the gastric cancer at the time of diagnosis. In China, the standard chemotherapy for the initial treatment of gastric cancer is a combination of a platinum analogue with 5-Fu.With modern surgical interventions and contemporary chemotherapy, most patients attain better clinical remission.The majority of them, however, will eventually have a relapse and die of the disease. The peritoneal cavity is the principal site of disease in gastric cancer.Although the intensity of intravenous chemotherapy is limited mainly by myelotoxicity, several active drugs can be administered directly into the peritoneal cavity. The rationale for intraperitoneal therapy in gastric cancer is that the peritoneum, the predominant site of tumor, receives sustained exposure to high concentrations of antitumor agents while normal tissues, such as the bone marrow, are relatively spared. The investigators conducted this trial to investigate the efficacy and safety of intraperitoneal chemotherapy in advanced gastric cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Aug 2009
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
August 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 8, 2009
CompletedFirst Posted
Study publicly available on registry
October 9, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedSeptember 8, 2010
September 1, 2010
2.2 years
October 8, 2009
September 7, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Metastasis in Peritoneum and peritoneal cavity
1 year
Secondary Outcomes (3)
Liver metastasis
1 year
Refraction-free survival
1 year
Overall survival
1 year
Study Arms (2)
control arm
NO INTERVENTIONadjuvant intravenous system chemotherapy
IP Chemo arm
EXPERIMENTALadjuvant system intravenous chemotherapy combined with adjuvant intraperitoneal chemotherapy
Interventions
cisplatin,60mg,plus 5-Fu,1.0g,intraperitoneal administration,once a week for 3 times
Eligibility Criteria
You may qualify if:
- DISEASE CHARACTERISTICS
- Histologically confirmed primary adenocarcinoma of the stomach
- weeks after radical operation for gastric cancer
- Stage of the gastric cancer was T3-4NxM0
- PATIENT CHARACTERISTICS:
- Age: 18 - 70years old
- Life expectancy:
- Longer than 3 months
- Hematopoietic:
- Granulocyte count at least 1,500/mm3
- Platelet count at least 100,000/mm3
- Hemoglobin at least 80\*10\^12/mm3
- Hepatic:
- \- AST no greater than 2.5 times ULN
- Renal:
- +14 more criteria
You may not qualify if:
- Haven't recovery from operation or complication of operation
- With the following risk factors: Uncontrolled or severe cardiovascular disease (e.g., myocardial infarction within the past 6 months, congestive heart failure treated with medications, or uncontrolled hypertension)
- Pregnant or nursing
- Other currently active malignancy except nonmelanoma skin cancer
- Uncontrolled or severe bleeding,diarrhea,intestinal obstruction,adhesion of intestine
- metastasis before enrollment
- Received other chemotherapy or radiotherapy after operation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fudan Universitylead
Study Sites (1)
Fudan University Cancer Hospital
Shanghai, Shanghai Municipality, 200032, China
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Jin Li, MD
member of Fudan University Cancer Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
October 8, 2009
First Posted
October 9, 2009
Study Start
August 1, 2009
Primary Completion
October 1, 2011
Study Completion
December 1, 2011
Last Updated
September 8, 2010
Record last verified: 2010-09