Phase III Randomized Trial of Adjuvant Chemotherapy With S-1 vs S-1/Oxaliplatin ± Radiotherapy for Completely Resected Gastric Adenocarcinoma : The ARTIST II Trial

NCT ID: NCT01761461

Last Updated: 2020-03-25

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

PHASE3

Total Enrollment

547 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-06

Study Completion Date

2020-12-31

Brief Summary

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The optimal regimen for adjuvant treatment has not been established in GC yet. We plan to compare TS-1, TS-1/oxaliplatin with or without RT in D2 resected gastric cancer.

Detailed Description

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Conditions

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Gastric Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

S-1 40-60mg BID (4weeks - 2weeks off) x 8 cycles

Group Type EXPERIMENTAL

TS-1, oxaliplatin

Intervention Type DRUG

Arm B

{S-1 40-60mg BID (2weeks - 1week off) + Oxaliplatin 130mg/m2 q 3 week} x 8 cycles

Group Type ACTIVE_COMPARATOR

TS-1, oxaliplatin

Intervention Type DRUG

Arm C

{S-1 40-60mg BID (2weeks - 1week off) + Oxaliplatin 130mg/m2 q 3 weeks} x 2 cycles → S-1 40mg BID (2weeks - 1week off - 2weeks)+ RT 45 Gy (5weeks) → Rest for 4 weeks → {S-1 40-60mg BID (2weeks - 1week off) + Oxaliplatin 130mg/m2 q 3 weeks} x 4 cycles

Group Type ACTIVE_COMPARATOR

TS-1, oxaliplatin

Intervention Type DRUG

Interventions

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TS-1, oxaliplatin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically proven gastric or gastroesophageal adenocarcinoma
2. ≥ D2 lymph node dissection, curative gastrectomy
3. Stage II, III (AJCC 2010) with any N (any stage with N0 will be excluded)
4. Age \> 19
5. ECOG 0-2
6. No distant metastasis
7. Adequate bone marrow functions (ANC ≥ 1,500/ul, blood platelet ≥ 100,000/ul, haemoglobin ≥ 10g/dl, transfusion allowed)
8. Adequate renal functions(serum creatinine ≤ 1.5mg/dl)
9. liver functions (serum bilirubin ≤ 1.5mg/dl, AST/ALT ≤ 3 times(normal value)
10. Written informed consent
11. Possible oral intake (food, drug)

Exclusion Criteria

* Subjects presenting with any of the following will not be included in the study

1. Active infection requiring antibiotics
2. Pregnant, lactating women
3. Concurrent systemic illness not appropriate for chemotherapy
4. Resection margin (+) at permanent pathology
5. Pathologic stage I or IV (Ia or Ib according to AJCC 2010)
6. Inadequate surgery including D0, D1 resection, dissected LNs less than 12
7. Paraaortic lymph node (+), pathologically proven
8. women of potential childbearing not employing adequate contraception
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Won Ki Kang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Samsung Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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2012-06-061

Identifier Type: -

Identifier Source: org_study_id

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