S-1-induced Lacrimal Drainage Obstruction

NCT ID: NCT01486472

Last Updated: 2011-12-07

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

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-11-30

Study Completion Date

2013-12-31

Brief Summary

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S-1 is an effective drug in gastric cancer (GC) for palliative chemotherapy in Eastern and Western patients. Recently, S-1 has been also reported to be an effective adjuvant therapy for GC patients who received D2 surgery in Eastern Asian patients.

Recently, the development of lacrimal drainage obstruction (LDO) caused by S-1 has been reported from some case and small-sized studies. The incidence of developing LDO has been estimated to about 15\~20% of patients receiving S-1 therapy in some retrospective studies. However, there is no prospective report on the incidence of LDO in patients receiving S-1 chemotherapy. Moreover, the mechanism of developing S-1-induced LDO has not been systemically studied until now. Suggested mechanism of LDO involves direct secretion of S-1 into the tear.

Therefore, this study was initiated to prospectively investigate the incidence of LDO in GC patients receiving adjuvant S-1 chemotherapy. In addition, the correlation between the development of LDO and the concentration of S-1 (or its metabolites) in tear and plasma will be explored. These results will help clinicians identify patients who are at high risk of developing S-1-associated LDO.

Detailed Description

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Conditions

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Gastric Cancer

Keywords

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Adjuvant chemotherapy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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GC patients receiving adjuvant S-1 chemotherapy

S-1

Intervention Type DRUG

Adjuvant S-1 chemotherapy will be performed to GC patients receiving curative D2 gastric surgery

Interventions

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S-1

Adjuvant S-1 chemotherapy will be performed to GC patients receiving curative D2 gastric surgery

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who received curative (R0) surgery for GC
* Patients receiving adjuvant S-1 chemotherapy
* Patients with adequate major organ functions for chemotherapy
* Patient who have taken S-1 at least 7 days (for blood and tear sampling)

Exclusion Criteria

* Patients who are not candidate for adjuvant S-1 chemotherapy
* Patients with previous history of LDO
* Patients with other opthalmologic disease who are not appropriate to be included in this study (i.e., patients using eyedrop medication; patients with dry eye whose tears cannot be sampled)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Keun-Wook Lee

Clinical professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Keun-Wook Lee, M.D. & Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Internal Medicine, Seoul National University Bundang Hospital

Namju Kim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Opthalmology, Seoul National University Bundang Hospital

Locations

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Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Keun-Wook Lee, M.D. & Ph.D.

Role: CONTACT

Phone: 82-31-787-7009

Email: [email protected]

Namju Kim, M.D.

Role: CONTACT

Phone: 82-31-787-7376

Email: [email protected]

Facility Contacts

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Keun-Wook Lee Lee, M.D. & Ph.D.

Role: primary

Namju Kim, M.D.

Role: backup

Other Identifiers

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GC-CTX-01

Identifier Type: OTHER

Identifier Source: secondary_id

GC-SNUBH-2010-01

Identifier Type: -

Identifier Source: org_study_id