S-1 and Irinotecan Combination Chemotherapy for Advanced Gastric Cancer

NCT ID: NCT00343668

Last Updated: 2010-05-26

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2008-07-31

Brief Summary

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The primary goal of this phase II trial is to evaluate the response rate of combination chemotherapy with S-1 and Irinotecan in patients with advanced gastric cancer as a first-line therapy.

Detailed Description

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Conditions

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Gastric Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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S-1, irinotecan

S-1, 40 mg/m2 PO twice daily, days 1-14 irinotecan, 150 mg/m2 IV, day 1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Pathologically proven unresectable adenocarcinoma of stomach
* With uni-dimensionally measurable disease (at least longest diameter 2 cm on conventional CT scan, x-ray or physical examination, or 1cm on spiral CT scan)
* Age 18 to 70 years old
* Estimated life expectancy of more than 3 months
* ECOG performance status of 2 or lower
* Adequate bone marrow function(absolute neutrophil count \[ANC\] ≥1,500/µL, hemoglobin ≥9.0 g/dL,and platelets ≥100,000/µL)
* Adequate kidney function (serum creatinine \< 1.5 mg/dL)
* Adequate liver function (serum total bilirubin \< 2 times the upper normal limit (UNL); serum transaminases levels \<3 times \[\<5 times for patients with liver metastasis\] UNL)
* No prior chemotherapy but prior adjuvant chemotherapy finished at least 6 months before enrollment was allowed. (but, prior adjuvant chemotherapy with capecitabine or S-1 or camptothecin analogues was excluded)
* No prior radiation therapy for at least 4 weeks before enrollment in the study

Exclusion Criteria

* Other tumor type than adenocarcinoma
* Central nervous system (CNS) metastases or prior radiation for CNS metastases
* Gastric outlet obstruction or intestinal obstruction
* Evidence of gastrointestinal bleeding
* The patient has bony lesions as the sole evaluable disease.
* Past or concurrent history of neoplasm other than stomach cancer, except for curatively treated non-melanoma skin cancer or in situ carcinoma of the cervix uteri
* Pregnant or lactating women, women of childbearing potential not employing adequate contraception
* Other serious illness or medical conditions

* Unstable cardiac disease despite treatment, myocardial infarction within 6 months prior to study entry
* History of significant neurologic or psychiatric disorders including dementia or seizures
* Active uncontrolled infection
* Other serious underlying medical conditions which could impair the ability of the patient to participate in the study
* Concomitant administration of any other experimental drug under investigation, or concomitant chemotherapy, hormonal therapy, or immunotherapy
* concomitant drug medication; The following drugs cause drug interaction with S-1.

i. Warfarin, phenprocoumon: increase bleeding tendency ii. Increase blood concentration of phenytoin iii. sorivudine: inhibit DPD -\> increase toxicity according to fluoropyrimidine iv. allopurinol : decrease activity of S-1
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korean Cancer Study Group

OTHER

Sponsor Role lead

Responsible Party

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Korea Cancer Center Hospital

Principal Investigators

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Baek-Yeol Ryoo, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Korea Institute of Radiological and Medical Sciences

Locations

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Chonnam National University Hwasun Hospital

Hwasun-gun, Jeolanam-do, South Korea

Site Status RECRUITING

Chonbuk National University Hospital

Jeonju, Jeollabuk-do, South Korea

Site Status NOT_YET_RECRUITING

Inha University hospital

Inchon, , South Korea

Site Status NOT_YET_RECRUITING

Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Yonsei Cancer Center

Seoul, , South Korea

Site Status RECRUITING

Seoul Veterans Hospital

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Korea Institute of radiological and Medical Sciences

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Baek-Yeol Ryoo, M.D., Ph.D.

Role: CONTACT

+82-2-970-1208

Hye Jin Kang, M.D.

Role: CONTACT

+82-2-970-1289

Facility Contacts

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Sang Hee Cho, M.D., Ph.D.

Role: primary

+82-61-379-7633

Eun Kee Song, M.D.

Role: primary

+82-63-250-1245

Moon Hee Lee, M.D., Ph.D.

Role: primary

+82-32-890-2583

Seung Sei Lee, M.D., Ph.D.

Role: primary

+82-2-2001-2084

Hyun Cheol Chung, M.D., Ph.D.

Role: primary

+82-2-2228-8132

Bong-Seog Kim, M.D., Ph.D.

Role: primary

+82-2-2225-1319

Baek-Yeol Ryoo, M.D., Ph.D.

Role: primary

+82-2-970-1208

Other Identifiers

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KCSG-ST05-02

Identifier Type: -

Identifier Source: org_study_id

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