The Effect of Neoadjuvant Chemotherapy on Locally Advanced Gastric Cancer

NCT ID: NCT01444755

Last Updated: 2011-10-03

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

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-01-31

Study Completion Date

2012-04-30

Brief Summary

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The aim of this study is to evaluate survival benefit of a neoadjuvant chemotherapy regimen in patient with resectable locally advanced gastric cancer in comparison with surgery alone.

Detailed Description

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Adenocarcinoma of the stomach ranks as the fourth most commonly diagnosed cancer and as the second leading cause of cancer-related death in the world. Radical resection with free-margin gastrectomy and extended lymphadenectomy is the preferred surgical strategy in Japan and Asian centers.

Unfortunately, only one-half of surgically treated patients with gastric cancer will achieve a complete resection without residual disease (R0) resection. Moreover, due to, the absence of routine screening programs for gastric cancer, the majority of the patients will be symptomatic at the time of diagnosis in our country.

Additionally, recent treatment strategies were focused for downsizing or decreasing to loco-regional recurrence.

In this reason, we hypothesize that preoperative chemotherapy may improve the R0 resection rate or disease free and/or overall survival rate.

Conditions

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Gastric Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1-Neoadjuvant Chemotherapy

This arm will take a neoadjuvant chemotherapy regimen previous gastrectomy operation.

No interventions assigned to this group

2 Surgery

Surgery will be performed in patients of this arm.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Histologically proven adenocarcinoma of stomach
* T3 or T4
* N1 or N2
* M0
* No evidence of para-aortic or retropancreatic lymph node metastasis, peritoneal dissemination or Krukenberg tumor.
* No involvement of the esophagus with \> 2cm
* An age of 18-90 years
* A Karnofsky Performance status with 60-100% or Eastern Cooperative Oncology Group (ECOG) performance status (0-2)
* No previous chemotherapy, radiotherapy for any malignancy.
* No previous surgery for gastric cancer
* No evidence obstructive or bleeding symptoms.
* Adequate renal and hepatic function
* Written informed consent

Exclusion Criteria

* Synchronous or metachronous malignancy diagnosing within 5 year
* Pregnancy or lactation in female patients
* Any immunosuppressive condition (acquired or iatrogenic)
* Any infectious toxic or mental condition preventing neoadjuvant therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Haydarpasa Numune Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Atilla Celik

Atilla Celik

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Atilla Celik, M.D.

Role: PRINCIPAL_INVESTIGATOR

Haydarpasa Numune Teaching & Research Hospital, Affiliated by Ministery of Health of Turkey

Locations

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Haydarpasa Numune Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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HNEAH-01-08

Identifier Type: -

Identifier Source: org_study_id