NCT01160419

Brief Summary

The rationale of the NEO-FLOT-trial consists of an intensification of the neoadjuvant treatment. This strategy is based upon the clear advantage of perioperative treatment and the fact, that in former trials adjuvant treatment could only be given in half of the patients (Cunningham 2006, Boige 2007). In this study neoadjuvant chemotherapy is applied during a period of 12 weeks with an interim staging after 6 weeks.Due to the favourable efficacy and toxicity data the FLOT-regimen was chosen for the neoadjuvant treatment consisting of oxaliplatin, docetaxel, folinic acid and 5-Fluorouracil (Al-Batran 2008). Postoperative treatment according to the results of the MAGIC trail is not part of the trail and is given at the responsibility of the participating centres.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
49

participants targeted

Target at P25-P50 for phase_2 gastric-cancer

Timeline
Completed

Started Dec 2009

Typical duration for phase_2 gastric-cancer

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

October 22, 2009

Completed
1 month until next milestone

Study Start

First participant enrolled

December 1, 2009

Completed
7 months until next milestone

First Posted

Study publicly available on registry

July 12, 2010

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2011

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2014

Completed
Last Updated

October 28, 2010

Status Verified

December 1, 2009

Enrollment Period

1.4 years

First QC Date

October 22, 2009

Last Update Submit

October 27, 2010

Conditions

Outcome Measures

Primary Outcomes (1)

  • Collection of the R0-Resection rate

    after 6 cycles of biweekly FLOT chemotherapy and operation.

    12 weeks

Study Arms (1)

FLOT

OTHER

Docetaxel, Oxaliplatin, Folinic acid, 5-FU, q 2 weeks, application of 6 cycles

Drug: Docetaxel 50 mg/m2, 1-hour-Infusion, day 1Drug: Oxaliplatin 85 mg/m², 2-hour-Infusion, day 1Drug: Folinic acid 200 mg/m², 1-2-hour-Infusion, day 1Drug: 5-FU 2600 mg/m², 24-hour-Infusion, day 1

Interventions

50 mg/m2, 1-hour-Infusion, day 1

FLOT

85 mg/m², 2-hour-Infusion, day 1

FLOT

200 mg/m², 1-2-hour-Infusion, day 1

FLOT

2600 mg/m², 24-hour-Infusion, day 1

FLOT

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically Confirmed Adenocarcinoma of the Gastroesophageal Junction (AEG I-III) or Gastric Adenocarcinoma (every T, N+ or T3/T4, Nx, M0)
  • Written Informed Consent
  • Age ≥ 18 Years
  • Expected operability
  • ECOG ≤ 2
  • Adequate Hematological, Renal, Cardiac and Hepatic Function
  • Effective Contraception

You may not qualify if:

  • Prior Chemotherapy or Radiotherapy of the Adenocarcinoma of the Gastroesophageal Junction (AEG I-III) or Gastric Adenocarcinoma
  • Not Histologically Confirmed Primary Tumor
  • Distant Metastasis, Local Relapse
  • Known Hypersensitivity for 5-Fluorouracil, Leucovorin, Oxaliplatin or Docetaxel
  • Known Dihydropyrimidin-Dehydrogenase (DPD) - Deficiency
  • Peripheral Polyneuropathy ≥ Grade II (NCI-CTCAE, Version 3.0)
  • Myocardial Infarction in the last 3 Months, Cardiac Insufficiency Grade II-IV (NYHA)
  • Severe Comorbidity or Acute Infections
  • Pregnancy or Breast Feeding
  • Insufficient Contraception
  • Participation in another Clinical Trial (Simultaneously or 30 Days Prior to Enrollment)
  • Malignancy \<5 years (except: Carcinoma In Situ of the Cervix Uteri or Adequately Treated Basalioma of the Skin)
  • Lack of Legal Capacity

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Munich, Klinikum Grosshadern

Munich, Germany

Location

MeSH Terms

Conditions

Stomach Neoplasms

Interventions

DocetaxelOxaliplatinLeucovorinFluorouracil

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesCoordination ComplexesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsCoenzymesEnzymes and CoenzymesUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-Ring

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER

Study Record Dates

First Submitted

October 22, 2009

First Posted

July 12, 2010

Study Start

December 1, 2009

Primary Completion

May 1, 2011

Study Completion

May 1, 2014

Last Updated

October 28, 2010

Record last verified: 2009-12

Locations