Cisplatin,Docetaxel and S-1 for Advanced Gastric and Gastroesophageal Junction Cancer

NCT ID: NCT01747707

Last Updated: 2012-12-12

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2014-05-31

Brief Summary

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The combination of Cisplatin and S-1 (CS) achieved a response rate of approximately 45% with the PFS being around 6 months and overall survival time being 13 months in Japanese and Chinese gastric patients. It remains unclear whether the addition of docetaxel to CS would further enhance the efficacy as it dose in DCF(docetaxel, cisplatin and 5-fluorouracil). This is a single center, phase II clinical trial to evaluate the efficacy of docetaxel, cisplatin and S-1 (DCS) as first line chemotherapy for patients with advanced gastric and gastroesophageal junction cancer.

Detailed Description

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This is a single arm trial. All Patients will receive up to 6 cycles of triple chemotherapy with docetaxel, cisplatin and S-1. Given the severe toxicity of DCF regimen, here the total dose of docetaxel and cisplatin is both reduced to 60mg/m2. For patients with CR/PR/SD disease after 6 cycles of chemotherapy, maintenance therapy with S-1 are recommended. Antitumor activity will be evaluated every two cycles according to RECIST1.1.

Conditions

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Gastric Cancer Gastroesophageal Junction Cancer

Keywords

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gastric cancer gastroesophageal junction cancer chemotherapy docetaxel cisplatin S-1

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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docetaxel, cisplatin and S-1 (DCS)

All patients receive the combination therapy of docetaxel, cisplatin and S-1 for a maximum of 6 cycles. Docetaxel 60mg/m2 IV infusion over 1 hour on d1; Cisplatin 30mg/m2 IV infusion on d1,2; S-1 40mg orally twice a day for patients with the body surface area (BSA) less than 1.25m2, 50mg twice a day with the BSA between 1.25 and 1.5m2, 60mg twice a day with the BSA over 1.5m2.

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

Cisplatin

Intervention Type DRUG

S-1

Intervention Type DRUG

Interventions

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Docetaxel

Intervention Type DRUG

Cisplatin

Intervention Type DRUG

S-1

Intervention Type DRUG

Other Intervention Names

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taxotere TS-1

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed unresectable advanced gastric or gastroesophageal junction cancer;
* No previous chemotherapy and radiation for advanced disease except palliative radiation for a local pain control;
* At least one evaluable lesion per RECIST (Response Evaluation Criteria in Solid Tumors) 1.1;
* ECOG (Eastern Cooperative Oncology Group) performance status 0-1;
* Recovery from the toxicities of previous therapy;
* Adequate bone marrow and organ function. Hb≥8 G/L; Absolute neutrophil ≥ 2.0 G/L; PLT ≥100 G/L ;ALT/AST ≤1.5 ULN or ≤5ULN with liver metastases; TBIL ≤1.5 ULN; Cr≤1.0 ULN;
* Life expectancy ≥3 months;
* For men and women of childbearing potential, agree on taking effective contraceptive method of birth control from the signed informed consent until 3 months after the last study drug administration;
* Signed informed consent.

Exclusion Criteria

* Pathology type other than adenocarcinoma,such as squamous cell carcinoma;
* Previous treatment with taxanes, cisplatin or S-1;
* Relapse within 6 months after the end of adjuvant chemotherapy;
* Known brain metastases;
* Complete or incomplete intestinal obstruction or uncontrolled gastrointestinal bleeding;
* Known deficiency of DPD enzyme;
* Kown HIV infecton or drug addiction;
* Any acute or chronic medical or psychiatric condition that would make the patient inappropriate for entry into this trial in the judgement of investigators;
* Myocardial infarction within 6 months prior to the entry of this trial;
* Known history of allergic reaction to taxanes and platinum;
* Pregnant or breast feeding women.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Aiping Zhou

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aiping Zhou, M.D

Role: PRINCIPAL_INVESTIGATOR

Cancer Hospital & Institute, Chinese Academy of Medical Sciences

Locations

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Cancer Hospital & Institute, Chinese Academy of Medical Sciences

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Aiping Zhou, M.D

Role: CONTACT

Phone: 8610-87788145

Email: [email protected]

Yongkun Sun, M.D

Role: CONTACT

Phone: 8610-87788145

Email: [email protected]

Facility Contacts

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Yongkun Sun, M.D

Role: primary

Other Identifiers

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CH-GI-31

Identifier Type: -

Identifier Source: org_study_id