Adjuvant Chemotherapy With S-1 Plus Oxaliplatin Versus S-1 Alone in Locally Advanced Gastric Cancer

NCT ID: NCT02867839

Last Updated: 2024-12-03

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-24

Study Completion Date

2021-09-01

Brief Summary

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The purpose of the study is to evaluate the efficacy and safety of S-1 plus Oxaliplatin versus S-1 only as adjuvant chemotherapy after curative distal gastrectomy in patients with locally advanced gastric cancer.

Detailed Description

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The study is a multi-central, controlled, randomized Phase III trial. The protocol has been approved by the Ethics Committee of Beijing Cancer Hospital. The primary endpoint is the 3-year progression-free survival (PFS) rate. The secondary endpoints are the overall survival (OS) and safety.

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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A: postoperative Oxaliplatin plus S-1

Patients in arm A will receive standard distal gastrectomy with D2 lymphadenectomy first, and 8 cycles of adjuvant Oxaliplatin plus S-1 (SOX) later.

Oxaliplatin: 130mg/m2, iv drip for 2h, d1, q3W S-1: 40\~60mg bid, po, d1\~14, q3W (6 months)

Group Type EXPERIMENTAL

Oxaliplatin plus S-1

Intervention Type DRUG

8 cycles of adjuvant chemotherapy with Oxaliplatin plus S-1

B: postoperative S-1 only

Patients in arm B will receive standard distal gastrectomy with D2 lymphadenectomy first, and 16 cycles of adjuvant S-1 later.

S-1: 40\~60mg bid, po, d1\~14, q3W (12 months)

Group Type ACTIVE_COMPARATOR

S-1 only

Intervention Type DRUG

16 cycles of adjuvant chemotherapy with S-1 only

Interventions

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Oxaliplatin plus S-1

8 cycles of adjuvant chemotherapy with Oxaliplatin plus S-1

Intervention Type DRUG

S-1 only

16 cycles of adjuvant chemotherapy with S-1 only

Intervention Type DRUG

Other Intervention Names

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SOX S-1

Eligibility Criteria

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Inclusion Criteria

* sign written informed consent form
* age ≥ 18 years, ≤69 years
* ECOG status: 0\~2
* pathologically confirmed gastric cancer at stage II or IIIA (AJCC 7th version)
* negative peritoneal cytology
* underwent curative distal gastrectomy with D2 lymph node dissection
* no prior antitumor treatment is allowed, including chemotherapy, radiotherapy, immune therapy or target therapy
* adequate organ function as defined below: Hematologic ANC ≥ 2\*109/L, Platelets ≥ 100\*109/L, AST and ALT ≤ 2.5×ULN, TBIL ≤ 1.5×ULN.

Exclusion Criteria

* be enrolled in other clinical trials
* underwent prior antitumor treatment
* allergic reaction to S-1 or oxaliplatin
* abnormal GI tract function
* 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

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Cancer Hospital & Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jiafu Ji, MD

Role: STUDY_CHAIR

Peking University Cancer Hospital & Institute

Locations

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Cancer Hospital Chinese Acadamy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Friendship Hospital

Beijing, Beijing Municipality, China

Site Status

Xuanwu Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Hospital

Beijing, Beijing Municipality, China

Site Status

Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Nanjing General Hospital

Nanjing, Jiangsu, China

Site Status

The First Affiliated Hospital of Daliang Medical University

Daliang, Liaoning, China

Site Status

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status

The Second Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status

Countries

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China

References

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Hu X, Chen L, Du Y, Fan B, Bu Z, Wang X, Ye Y, Zhang Z, Xiao G, Li F, He Q, Li G, Shen X, Xiong B, Zhu L, Liu J, Liu L, Wu T, Zhou J, Zhang J, Zhao G, Wang X, Liang P, Wang X, Zhang Y, Wu X, Zhang J, Ji X, Zong X, Fu T, Jia Z, Ji J. Postoperative chemotherapy with S-1 plus oxaliplatin versus S-1 alone in locally advanced gastric cancer (RESCUE-GC study): a protocol for a phase III randomized controlled trial. Chin J Cancer Res. 2017 Apr;29(2):144-148. doi: 10.21147/j.issn.1000-9604.2017.02.07.

Reference Type DERIVED
PMID: 28536493 (View on PubMed)

Other Identifiers

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RESCUE-GC-2016

Identifier Type: -

Identifier Source: org_study_id