Clinical Trial of Chemosensitivity Test

NCT ID: NCT00287755

Last Updated: 2011-06-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2011-03-31

Brief Summary

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To evaluate the usefulness of chemosensitivity test in evaluating the appropriate adjuvant cancer chemotherapy after gastric surgery

Detailed Description

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Patients: clinical Stage III gastric cancer patients. Informed consent will be obtained before surgery. Eligible patients: surgical Stage II, IIIA and IIIB gastric cancer patients. Chemosensitivity test: The surgical specimen will be sent Mitsubishi BCL, Co. Ltd. to be tested by CD-DST chemosensitivity test and RT-PCR for thymidylate synthetase and dihydropyrimidine dehydrogenase mRNA. The test results will be blinded for the doctors on duty.

Treatment: All the patients will be treated with S-1 at a dose of 80 mg/m2 b.i.d. for 4 weeks followed by 2 weeks rest. The treatment will be continued until the recurrence or 1 year after operation.

Primary endpoint: 3-years disease-free survival rate Secondary endpoint: 3-years overall survival rate and side effect (CTCAE v3.0) Evaluation of chemosensitivity test: The cutoff condition will be determined based on the accumulated data of CD-DST and mRNAs.

Hypothesis: The responder detected by CD-DST and/or TS, DPD mRNA will have a favorable survival outcome comparing with resistant cases.

Conditions

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Gastric Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Investigators

Study Groups

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1

Group Type EXPERIMENTAL

S-1

Intervention Type DRUG

S-1 capsule at a dose of 80 mg/m2 b.i.d. for 4 weeks followed by 2 weeks rest.

Interventions

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S-1

S-1 capsule at a dose of 80 mg/m2 b.i.d. for 4 weeks followed by 2 weeks rest.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* histologically proven gastric cancer
* PS (ECOG) 0 or 2
* D2 dissection, curability B or more
* surgical Stage IIIA and IIIB
* negative peritoneal cytology
* no previous radiotherapy, chemotherapy and hormone therapy
* possible peroral intake at 6 POW
* no severe surgical complication
* normal bone marrow, liver and renal function
* complete chemosensitivity test
* written informed consent

Exclusion Criteria

* multiple cancer
* contraindication for S-1
* history of drug allergy (grade 3)
* severe complication
* watery diarrhea
* pregnant
* scirrhous gastric cancer
* the other patients who was judged as inadequate for trial by doctor on duty
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kitasato University

OTHER

Sponsor Role collaborator

Japan Clinical Cancer Research Organization

OTHER

Sponsor Role lead

Responsible Party

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Center of Comprehensive and Advanced Medicine, Keio University

Principal Investigators

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Tetsuro Kubota, Processor

Role: PRINCIPAL_INVESTIGATOR

Keio University Hospital

Locations

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Nagoya University Hospital

Nagoya, Aichi-ken, Japan

Site Status

Department of frontier surgery,Draduate school of medicine,Chiba University

Chiba, Chiba, Japan

Site Status

Kyusyu University Faculty of Medical Sciences

Fukuoka, Fukuoka, Japan

Site Status

Kyusyu Central Hospital of the Mutual Aid Association of Public School Teachers

Fukuoka, Fukuoka, Japan

Site Status

Fukushima Medical University Hospital

Fukushima, Fukushima, Japan

Site Status

Gunma University Hospital

Maehashi, Gunma, Japan

Site Status

Hakodate Goryoukaku Hopsital

Hakodate, Hokkaido, Japan

Site Status

Hyogo Prefectural Awaji Hospital

Sumoto, Hyōgo, Japan

Site Status

Ishikawa Prefectural Central Hospital

Kanazawa, Ishikawa-ken, Japan

Site Status

Kanazawa Medical University Hospital

Kanazawa, Ishikawa-ken, Japan

Site Status

Iwate Medical University Hospital

Morioka, Iwate, Japan

Site Status

Department of surgical oncology and digestive surgery kagoshima university graduate school

Kagoshima, Kagoshima-ken, Japan

Site Status

Nippon Medical School Second Hospital

Kawasaki, Kanagawa, Japan

Site Status

St. Marianna University, School of Medicine

Kawasaki, Kanagawa, Japan

Site Status

Kitazato University East Hospital

Sagamihara, Kanagawa, Japan

Site Status

Faculty of Medical and Pharmaceutical Sciences Kumamoto University

Kumamoto, Kumamoto, Japan

Site Status

Niigata Prefectural Cancer Center

Niigata, Niigata, Japan

Site Status

Hirakata City Hospital

Hirakata, Osaka, Japan

Site Status

Osaka Kita Japan Post Hospital

Osaka, Osaka, Japan

Site Status

Osaka City University Graduate School of Medicine

Osaka, Osaka, Japan

Site Status

Saiseikai Suita Hospital

Suita, Osaka, Japan

Site Status

Osaka Medical College Hospital

Takatsuki, Osaka, Japan

Site Status

Yao Municipal Hospital

Yao, Osaka, Japan

Site Status

Saga Medical School Faculty of Medicine,Saga University

Saga, Saga-ken, Japan

Site Status

Jichi Medical School Hospital

Shimono, Tochigi, Japan

Site Status

Dokkyo University School of Medecine

Shimotsuga, Tochigi, Japan

Site Status

Tochigi Cancer Center

Utsunomiya, Tochigi, Japan

Site Status

Surugadai Nihon University Hospital

Chiyoda-ku, Tokyo, Japan

Site Status

Tobu Chiiki Hospital

Katsushika-ku, Tokyo, Japan

Site Status

Cancer Institute Hospital

Koto-ku, Tokyo, Japan

Site Status

Keio University Hospital

Shinjuku-ku, Tokyo, Japan

Site Status

Nippon Medical School Tama Nagayama Hospital

Tama, Tokyo, Japan

Site Status

Tottori University Faculty of Medicine

Yonago, Tottori, Japan

Site Status

Kouseiren Takaoka Hospital

Takaoka, Toyama, Japan

Site Status

Wakayama Prefectural Medical University Hospital

Wakayama, Wakayama, Japan

Site Status

Kanagawa Prefectural Cancer Center

Kanagawa, Yokohama, Japan

Site Status

Countries

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Japan

References

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Tanigawa N, Yamaue H, Ohyama S, Sakuramoto S, Inada T, Kodera Y, Kitagawa Y, Omura K, Terashima M, Sakata Y, Nashimoto A, Yamaguchi T, Chin K, Nomura E, Lee SW, Takeuchi M, Fujii M, Nakajima T. Exploratory phase II trial in a multicenter setting to evaluate the clinical value of a chemosensitivity test in patients with gastric cancer (JACCRO-GC 04, Kubota memorial trial). Gastric Cancer. 2016 Apr;19(2):350-360. doi: 10.1007/s10120-015-0506-z. Epub 2015 Sep 18.

Reference Type DERIVED
PMID: 26385385 (View on PubMed)

Other Identifiers

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GC-04

Identifier Type: -

Identifier Source: secondary_id

JACCRO GC-04

Identifier Type: -

Identifier Source: org_study_id

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