Efficacy of Docetaxel, Capecitabine, Cisplatin, and Bevacizumab in Patients With Unresectable Advanced Gastric Cancer
A Phase II Study of Neoadjuvant Chemotherapy With Docetaxel, Capecitabine, Cisplatin, and Bevacizumab in Patients With Unresectable Advanced Gastric Cancer
1 other identifier
interventional
31
1 country
1
Brief Summary
The purpose of this study is to determine whether docetaxel, capecitabine, cisplatin, and bevacizumab are effective in the treatment of unresectable advanced gastric cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jul 2010
Longer than P75 for phase_2
1 active site
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
July 1, 2010
CompletedFirst Submitted
Initial submission to the registry
July 18, 2011
CompletedFirst Posted
Study publicly available on registry
November 15, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2018
CompletedJanuary 7, 2020
January 1, 2020
7.4 years
July 18, 2011
January 6, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
R0 resection rate
R0 resection means complete resection of tumor.
Up to 4 weeks after surgery
Secondary Outcomes (4)
Overall survival
Up to 3 years
Progression-free survival
Up to 3 years
Adverse Event
Up to 28 days after end of treatment
Angiogenetic biomarkers
Baseline and 6 weeks after treatment
Study Arms (1)
neoadjuvant
EXPERIMENTALInterventions
Bevacizumab 7.5mg/kg IV (D1) Docetaxel 60 mg/m2 IV (D1) Cisplatin 60 mg/m2 IV (D1) Xeloda 1,875 mg/m2/day/bid PO (D1-D14)
Eligibility Criteria
You may qualify if:
- Histologically documented adenocarcinoma of the stomach or gastroesophageal junction.
- Invasion to adjacent organ (T4) proven by endoscopic ultrasonography (EUS) or presence of paraaortic lymph node metastasis by CT and PET(short-axis diameter \> 1 cm showing hot uptake in PET scan).
- Age 18-70 years old
- ECOG performance status 0-2
- Adequate hepatic function(serum bilirubin \<1.5mg/dl, AST (SGOT) and ALT (SGPT) \< 2.5 x UNL, alkaline phosphatase \< 5 x UNL)
- Adequate renal function(serum creatinine \<1.5mg/dl)
- Adequate bone marrow function (WBC ≥4000 cell/㎕ with ANC ≥1500 cell/㎕, platelet count ≥100,000 cell/㎕)
- HER2 negative (HER2 immunohistochemistry 0 or 1+, immunohistochemistry 2+ but FISH negative)
- Informed consent
You may not qualify if:
- Other histologic type than adenocarcinoma
- Metastasis in other sites than paraaortic lymph nodes, like in liver or peritoneum.
- Presence or history of other cancers
- History of prior chemotherapy, antiangiogenic agents, or radiation.
- Patients with definite ascites in abdomen CT scan
- Presence of not adequately controlled CNS metastasis
- Bowel obstruction
- Evidence of gastrointestinal bleeding
- Other serious illness or medical conditions including hypertension uncontrolled by medication.
- Pregnant or lactating women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Asan Medical Centerlead
- Roche Pharma AGcollaborator
Study Sites (1)
Asan Medical Center
Seoul, 138-736, South Korea
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yoon-Koo Kang, MD, PhD
Asan Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 18, 2011
First Posted
November 15, 2011
Study Start
July 1, 2010
Primary Completion
December 1, 2017
Study Completion
July 1, 2018
Last Updated
January 7, 2020
Record last verified: 2020-01