NCT01379482

Brief Summary

The aims of this study are to investigate whether multimodal treatment of peritoneal carcinomatosis from gastric cancer is feasible and to evaluate the clinical outcomes and clinical effectiveness of neoadjuvant systemic chemotherapy followed by cytoreductive surgery + hyperthermic intraperitoneal chemotherapy + early postoperative intraperitoneal chemotherapy, as compared to systemic chemotherapy only, in patients with peritoneal carcinomatosis from gastric cancer.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Jan 2005

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
completed

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

January 1, 2005

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2009

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

June 7, 2011

Completed
16 days until next milestone

First Posted

Study publicly available on registry

June 23, 2011

Completed
Last Updated

May 6, 2014

Status Verified

May 1, 2011

Enrollment Period

4.2 years

First QC Date

June 7, 2011

Last Update Submit

May 5, 2014

Conditions

Keywords

Peritoneal carcinomatosis from gastric cancer

Outcome Measures

Primary Outcomes (1)

  • Overall survival

    Jan 2005 until Mars 2009

Study Arms (1)

Multimodal treatment

EXPERIMENTAL

Neoadjuvant systemic chemotherapy followed by cytoreductive surgery, hyperthermic intraperitoneal chemotherapy and early postoperative intraperitoneal chemotherapy

Drug: Multimodal treatment

Interventions

3 months (range 2-4.5) with neoadjuvant systemic chemotherapy. Four weeks after receiving the last course of chemotherapy, patients will undergo laparotomy with the objective of performing cytoreduction + hyperthermic intraperitoneal chemotherapy. Early peritoneal chemotherapy though intrabdominal drains for the first five postoperative days. Neo-adjuvant chemotherapy: Irinotecan+Nordic FLv (6 pat.) EOX (6 pat.) FLOX (3 pat.) Docetaxel+Irinotecan+5-FU+LV (1 pat.) FOLFIRI (1 pat.) ECF (1 pat.) Hyperthermic intraoperative chemotherapy: Cisplatin+doxorubicin (5 pat.). Oxaliplatin +concomitant i.v. 5-FU+ i.v. LV (3 pat.) Early postoperative chemotherapy: 5-FU + i.v. LV (5 pat.) Paclitaxel (1 pat.)

Also known as: Irinotecan+Nordic FLv (6 pat.), EOX (6 pat.), FLOX (3 pat.), Docetaxel+Irinotecan+5-FU+LV (1 pat.), FOLFIRI (1 pat.), ECF (1 pat.), Cisplatin+doxorubicin (5 pat.)., Oxaliplatin +concomitant i.v. 5-FU+ i.v. LV (3 pat.), 5-FU + i.v. LV (5 pat.), Paclitaxel (1 pat.)
Multimodal treatment

Eligibility Criteria

AgeUp to 80 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed diagnosis of primary gastric cancer + histologically and/or radiologically confirmed peritoneal carcinomatosis diagnosis
  • Adequate renal-, hematopoietic- and liver functions
  • WHO performance status (WHO) of \< 2.

You may not qualify if:

  • Distant metastases
  • Surgically not resectable lymph-node metastasis
  • Contraindication to chemotherapy treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Uppsala University

Uppsala, Sweden

Location

MeSH Terms

Conditions

Peritoneal NeoplasmsStomach Neoplasms

Interventions

Combined Modality TherapyFluorouracilPaclitaxel

Condition Hierarchy (Ancestors)

Abdominal NeoplasmsNeoplasms by SiteNeoplasmsDigestive System NeoplasmsDigestive System DiseasesPeritoneal DiseasesGastrointestinal NeoplasmsGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

TherapeuticsUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Study Officials

  • Haile Mahteme, Ass prof

    Uppsala University, Sweden

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

June 7, 2011

First Posted

June 23, 2011

Study Start

January 1, 2005

Primary Completion

March 1, 2009

Study Completion

March 1, 2009

Last Updated

May 6, 2014

Record last verified: 2011-05

Locations