S-1 Combined Cisplatin HIPEC for Palliative Operation Gastric Cancer of Stage IV Limited Peritoneal Metastasis

NCT ID: NCT02291211

Last Updated: 2014-11-14

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2016-12-31

Brief Summary

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This study is designed to investigate the efficacy of S-1 plus cisplatin hyperthermic intraperitoneal chemotherapy for advanced gastric patients of gastric cytoreductive surgery (CRS)

Detailed Description

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This project is a single-center, open clinical observation the safety and efficacy that stage IV limited peritoneal metastasis of gastric cancer patients accept S-1 plus hyperthermic intraperitoneal chemotherapy . With advanced gastric patients of confined to the peritoneal after CRS as the research object, with progression-free survival and overall survival, adverse events as the end points.

Conditions

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Stage IV Gastric Cancer

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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S-1 plus cisplatin HIPEC

8 cycles of hyperthermic intraperitoneal chemotherapy (cisplatin) and S-1(oral) were performed after palliative operation gastric cancer of stage IV limited peritoneal metastasis. HIPEC was conducted in d1 and d3: Normal saline 2000ml-5000ml, Cisplatin 60mg/m\^2, 43°C, 60min. every 3 weeks. S-1: 40-60mg/m\^2 bid, days 1-14, every 3 weeks.Subjects should be given maximum 8 cycles, or progression/intolerance.

Group Type EXPERIMENTAL

S-1 plus cisplatin HIPEC

Intervention Type DRUG

Using cisplatin in HIPEC plus oral S-1

Interventions

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S-1 plus cisplatin HIPEC

Using cisplatin in HIPEC plus oral S-1

Intervention Type DRUG

Other Intervention Names

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hyperthermic intraperitoneal chemoperfusion

Eligibility Criteria

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Inclusion Criteria

* 18 ≤ age ≤ 70 years old
* Patients with histologically confirmed gastric cancer (adenocarcinoma), stage IV (limited to the abdominal cavity), accpeted palliative cytoreductive surgery and no prior chemotherapy, biological therapy or targeted anti-cancer therapy, etc.
* The Eastern Cooperative Oncology Group (ECOG) status ≤ 2
* Having given written informed consent prior to any procedure related to the study
* Expected survival time ≥3 months

Exclusion Criteria

* Known to have abdominal viscera metastasis of gastric cancer patients
* Inadequate hematopoietic function which is defined as below:

* white blood cell (WBC) less than 3,500/mm\^3
* absolute neutrophil count (ANC) less than 1,500/mm\^3
* platelets less than 80,000/mm\^3
* Inadequate hepatic or renal function which is defined as below:

* serum bilirubin greater than 2 times the upper limit of normal range
* alanine aminotransferase (ALT) or aspartate aminotransferase (AST) greater than 2.5 times the ULN if no demonstrable liver metastases or greater than 5 times the ULN in the presence of liver metastases
* blood creatinine level greater than 1.5 times ULN,Creatinine clearance \< 60ml/min
* Receiving a concomitant treatment with other fluoropyrimidine drug or flucytosine drug
* Women who is pregnant or lactating or fertile women of child-bearing potential unless using a reliable and appropriate contraceptive method throughout the treatment period (Including male)
* Psychiatric disorder or symptom that makes participation of the patient difficult
* Myocardial infarction, existing serious or unstable angina, and patients with cardiac insufficiency in 6 months
* Severe complication(s), e.g., paresis of intestines, ileus, radiographically confirmed interstitial pneumonitis or pulmonary fibrosis, glomerulonephritis ,renal failure, poorly-controlled diabetes
* Known DPD deficiency
* Have the history of allograft transplantation
* Conducted the autologous bone marrow transplantation in 4 weeks
* Participate in other clinical trial before the start of this trial in 4 weeks
* Patient compliance is bad or researchers believe that patients are not suitable for this treatment
* Known to have active hepatitis patients
* HER-2-positive patients (ICH3+or FISH+)
* History of severe hypersensitivity reactions to the ingredients of S-1 or Cisplatin
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tang-Du Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Helong Zhang, Professor

Role: PRINCIPAL_INVESTIGATOR

Tang-Du Hospital

Locations

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IEC of Insititution for National Drug Clinical Trials,Tangdu Hospital,Fourth Military Medical University

Xi'an, Shaanxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Helong Zhang, Professor

Role: CONTACT

029-87777225

Facility Contacts

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Lina Liu

Role: primary

029-84777631

Other Identifiers

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TDCCC006

Identifier Type: -

Identifier Source: org_study_id