XELOX for 4 Months Versus 6 Months in Gastric Cancer (LOMAC)
1 other identifier
interventional
1,024
1 country
9
Brief Summary
Our study aims to compare the efficacy and safety of 4-month versus 6-month adjuvant chemotherapy with capecitabine and oxaliplatin following D2 gastrectomy in patients with gastric cancer. Hypothesis: In patients with gastric cancer who have undergone D2 gastrectomy, a 4-month regimen of capecitabine and oxaliplatin demonstrates noninferiority to a 6-month regimen in terms of disease-free survival (DFS) and safety.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 gastric-cancer
Started Nov 2017
Longer than P75 for phase_3 gastric-cancer
9 active sites
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
November 17, 2017
CompletedFirst Submitted
Initial submission to the registry
January 8, 2018
CompletedFirst Posted
Study publicly available on registry
January 16, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 25, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 25, 2026
January 27, 2026
January 1, 2026
8.7 years
January 8, 2018
January 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
DFS
Disease-free survival
3-year
Secondary Outcomes (2)
Adverse Events
6-month
OS
3-year
Study Arms (2)
XELOX for 4 months
EXPERIMENTALAdjuvant chemotherapy with capecitabine and oxaliplatin after surgery consists of 5 to 6 cycles, each lasting 3 weeks: oral capecitabine at 1000 mg/m² twice daily on days 1-14, combined with intravenous oxaliplatin at 130 mg/m² on day 1, administered for 5 to 6 months or until disease progression.
XELOX for 6 months
ACTIVE COMPARATORAdjuvant chemotherapy with capecitabine and oxaliplatin after surgery consists of eight 3-week cycles: oral capecitabine at 1000 mg/m² twice daily on days 1-14, combined with intravenous oxaliplatin at 130 mg/m² on day 1, administered for 6 months or until disease progression.
Interventions
Eligibility Criteria
You may qualify if:
- Age between 18 and 80 years.
- Histologically confirmed primary adenocarcinoma of the stomach, staged as II, IIIA, or IIIB according to pathological findings.
- R0 resection and D2 gastrectomy performed.
- No other concurrent malignancies.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- No contraindications to chemotherapy.
You may not qualify if:
- Receipt of preoperative treatment, including radiation therapy, chemotherapy, or immunotherapy.
- Patients with stage I, IIIC, or IV gastric cancer.
- Presence of severe organ diseases, including heart, lung, brain, liver, or other vital organ dysfunction.
- Known or suspected drug allergies.
- Pregnant or lactating women.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fudan Universitylead
Study Sites (9)
Sun Yat-sen University Cancer Center
Guangzhou, China
The First Affiliated Hospital of Anhui Medical University
Hefei, China
The First Affiliated Hospital of University of Science and Technology of China
Hefei, China
Jiangsu Cancer Hospital
Nanjing, China
Changhai Hospital
Shanghai, China
Second Affiliated Hospital (Changzheng Hospital) of Naval Medical University
Shanghai, China
Shanghai East Hospital
Shanghai, China
13940152108@163.Com
Shenyang, China
The First Affiliated Hospital of Wannan Medical College
Wuhu, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dazhi Xu, PHD, MD
Fudan University
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 8, 2018
First Posted
January 16, 2018
Study Start
November 17, 2017
Primary Completion (Estimated)
July 25, 2026
Study Completion (Estimated)
July 25, 2026
Last Updated
January 27, 2026
Record last verified: 2026-01