Compare S-1 Plus Oxaliplatin to S-1 as Adjuvant Chemotherapy After D2 Resection in Patients With Gastric Cancer

NCT ID: NCT01795027

Last Updated: 2016-10-25

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

724 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2018-06-30

Brief Summary

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Background: It is shown that TS-1 as adjuvant chemotherapy after D2 resection in patients with gastric cancer can improve DFS and OS in one Japanese Trial. And TS-1 has become one of the standard therapies to these patients. But it is still unknown whether it would improve more to OS and DFS than single TS-1 after combined with oxaliplatin . This trial is designed to investigate the efficacy and safety of TS-1 plus oxaliplatin versus TS-1 single as adjuvant chemotherapy after D2 resection in patients with gastric cancer.

Patients and methods: In this study , patients with histologically confirmed gastric cancer who received D2 resection and staged II or III, aged from 18 to 70 years and with Eastern Cooperative Oncology Group performance status ≤2 and adequate organ function, are randomized 1:1 to oxaliplatin 100mg/m2 on day 1 and TS-1 40\~60mg twice everyday for 14 days in a 21-days cycle for total 6 cycles followed by TS-1 single with the same dose and frequency to the end of the 1st year postoperatively(SOX) , or TS-1 single 40\~60mg twice everyday for 14 days in a 21-days cycle to the end of the 1st year postoperatively (TS-1). The primary end point is overall survival (OS), and secondary end point is disease free survival(DFS) and safety. Final study analysis will be conducted in the end of the 5th year after the last patient's enrollment.

Detailed Description

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Conditions

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Gastric Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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S-1 plus Oxaliplatin

6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection

Group Type EXPERIMENTAL

S-1 plus oxaliplatin

Intervention Type DRUG

6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection

S-1 single

S-1 40\~60mg twice daily for 14 days in 3 weeks for totally 16 courses after D2 resection

Group Type ACTIVE_COMPARATOR

S-1 single

Intervention Type DRUG

16 courses S-1 single after d D2 resection

Interventions

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S-1 plus oxaliplatin

6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection

Intervention Type DRUG

S-1 single

16 courses S-1 single after d D2 resection

Intervention Type DRUG

Other Intervention Names

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SOX S-1

Eligibility Criteria

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Inclusion Criteria

* informed consensus of patients
* be able to receive oral administration
* from 18 to 70 years old
* be proven to be primary adenocarcinoma of gastric cancer and staged II or III by pathological evidences
* without other chemotherapy and/or radiation against to the disease
* normal function of other organs including heart,liver ,kidney and so on
* Eastern Cooperative Oncology Group performance status:0\~2

Exclusion Criteria

* history of other malignancy
* allergic reaction to S-1 or oxaliplatin
* be enrolling in other clinical trials
* abnormal GI tract function
* dysfunction of other organs
* female in pregnancy or lactation,or refuse to receive Contraception measures during chemotherapy
* other situation to be judged not adaptive to the study by investigators
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Zhou Zhiwei

Director of Gastric and Pancreatic Surgery,cancer center of Sun Yat-sen U

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhiwei Zhou, PHD

Role: STUDY_CHAIR

SunYat-sen University

Locations

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the central hospital of Chaozhou

Chaozhou, Guangdong, China

Site Status

the 1st people's hospital of Foshan

Foshan, Guangdong, China

Site Status

cancer center of Guangzhou medical college

Guangzhou, Guangdong, China

Site Status

cancer center of Sun yat-sen University

Guangzhou, Guangdong, China

Site Status

Guangdong Traditional Medical Hospital

Guangzhou, Guangdong, China

Site Status

the 1st affliated hospital of Guangdong pharmacuetic college

Guangzhou, Guangdong, China

Site Status

the 1St Affliated Hospital of Guangzhou Medical College

Guangzhou, Guangdong, China

Site Status

the 6th affliated hospital of Sun-yat-sen University

Guangzhou, Guangdong, China

Site Status

the 1st hospital of Shantou University

Shantou, Guangdong, China

Site Status

the cental hospital of Shantou

Shantou, Guangdong, China

Site Status

YUE-BEI people's hospital

Shaoguan, Guangdong, China

Site Status

the 2nd people's hospital of Shenzhen

Shenzhen, Guangdong, China

Site Status

the 5th hospital of Sun-yat-sen University

Zhuhai, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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ZHOUZHIWEI

Identifier Type: REGISTRY

Identifier Source: secondary_id

SYSUCCGPS

Identifier Type: -

Identifier Source: org_study_id

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