NCT01406249

Brief Summary

The aim of this study is to elucidate the efficacy and safety of XP and SP for first-line treatment of Advanced Gastric Cancer.

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
100

participants targeted

Target at P75+ for phase_2 gastric-cancer

Timeline
Completed

Started Aug 2011

Longer than P75 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

July 28, 2011

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 1, 2011

Completed
Same day until next milestone

Study Start

First participant enrolled

August 1, 2011

Completed
6.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

July 27, 2017

Status Verified

July 1, 2017

Enrollment Period

6.3 years

First QC Date

July 28, 2011

Last Update Submit

July 26, 2017

Conditions

Keywords

unresectable gastric cancerrecurrent gastric cancerStageIV gastric canceradenocarcinoma of the stomachXPSP

Outcome Measures

Primary Outcomes (1)

  • Progression-free survival rate

    at 24weeks from patient enrollment

Secondary Outcomes (4)

  • Time-to treatment failure

    3year

  • Response rate

    3 year

  • Overall survival

    3 year

  • Safety

    3 year

Study Arms (2)

S-1,Cisplatin

ACTIVE COMPARATOR
Drug: SP

Capecitabine, Cisplatin

EXPERIMENTAL
Drug: XP

Interventions

SPDRUG

Drug: S-1: S-1 will be administered at 40 mg/m2 orally, twice daily (80 mg/m2 total daily dose) on Days 1 through 21 of each 35-day treatment cycle. Drug: Cisplatin: Cisplatin will be administered at 60 mg/m2 by intravenous infusion on Day 8 of each 35-day treatment cycle.

S-1,Cisplatin
XPDRUG

Drug: Capecitabine: Capecitabine will be administered at 1,000 mg/m2 orally, twice daily (2,000 mg/m2 total daily dose) on Days 1 through 14 of each 21-day treatment cycle. Drug: Cisplatin: Cisplatin will be administered at 80 mg/m2 by intravenous infusion on Day 1 of each 21-day treatment cycle.

Capecitabine, Cisplatin

Eligibility Criteria

Age20 Years - 74 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed gastric adenocarcinoma with unresectable metastatic or recurrent disease
  • Lesions confirmed on imaging within 28 days before registration (not required measurable lesions as defined in RECIST version 1.1)
  • No previous chemotherapy or radiotherapy. However, adjuvant chemotherapy is allowed the case of more than 6 months from the end of adjuvant chemotherapy
  • ECOG Performance Status of 0 to 2
  • Life expectancy of at least 3 months after registration
  • Written informed consent
  • Age of 20 to 74 years with either gender
  • Adequate Major organ functions within 14 days before registration

You may not qualify if:

  • Positive HER2 status
  • Previous history of fluoropyrimidines therapy within 6 months prior to registration
  • Previous treatment with platinum agents
  • Previous history of serious hypersensitivity to fluoropyrimidines or platinum agents
  • Previous history of adverse reactions suggestive of dihydropyrimidine dehydrogenase (DPD) deficiency
  • More than one cancer at the same time or more than one cancer at different times separated by a 5-year disease-free interval. However, multiple active cancers do not include carcinoma in situ or skin cancer which is determined to have been cured as a result of treatment.
  • Obvious infection or inflammation (pyrexia ≥ 38.0˚C)
  • Active hepatitis
  • Heart disease that is serious or requires hospitalization, or history of such disease within past year
  • Having complication that is serious or requires hospitalization (intestinal paralysis, intestinal obstruction, interstitial pneumonia or pulmonary fibrosis, poorly controlled diabetes mellitus, renal failure, liver disorders, or hepatic cirrhosis)
  • Being treated or in need of treatment with flucytosine, phenytoin or warfarin potassium
  • Chronic diarrhea (watery stool or ≥4 times/day)
  • Active gastrointestinal bleeding
  • Body cavity fluids requiring drainage or other treatment
  • Clinical suspicion or previous history of metastasis to brain or meninges
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Epidemiological and Clinical Research Information Network

Kyoto, 606-8392, Japan

Location

Related Publications (1)

  • Tsuburaya A, Morita S, Kodera Y, Kobayashi M, Shitara K, Yamaguchi K, Yoshikawa T, Yoshida K, Yoshino S, Sakamoto J. A randomized phase II trial to elucidate the efficacy of capecitabine plus cisplatin (XP) and S-1 plus cisplatin (SP) as a first-line treatment for advanced gastric cancer: XP ascertainment vs. SP randomized PII trial (XParTS II). BMC Cancer. 2012 Jul 23;12:307. doi: 10.1186/1471-2407-12-307.

MeSH Terms

Conditions

Stomach Neoplasms

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Study Officials

  • Akira Tsuburaya

    Shonan Kamakura Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 28, 2011

First Posted

August 1, 2011

Study Start

August 1, 2011

Primary Completion

December 1, 2017

Study Completion

December 1, 2017

Last Updated

July 27, 2017

Record last verified: 2017-07

Locations