Pulsed Low Dose Rate Radiation Therapy for Gastric Cancer Patients With Peritoneal Metastasis

NCT ID: NCT03061162

Last Updated: 2017-06-14

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

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-01

Study Completion Date

2022-03-01

Brief Summary

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This phase II trial studies the side effects and response of pulsed low dose rate radiation therapy in treating gastric cancer patients with peritoneal metastasis.

Detailed Description

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This phase II trial studies the side effects and response of pulsed low dose rate radiation therapy in treating gastric cancer patients with peritoneal metastasis. Radiation therapy uses pulsed low dose rate high energy X rays to kill tumor cells and make less side effects than conventional 3-dimensional conformal radiation therapy. Palliative radiation therapy may help gastric cancer patients with peritoneal metastasis live more comfortably.

Conditions

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Radiotherapy Radiotherapy Side Effect Stomach Neoplasms

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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Study Arm

Gastric cancer patients with peritoneal metastasis undergo pulsed low dose rate 3-dimensional conformal radiation therapy, QD, 5 days a week for 25 days. Treatment continues in the absence of disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

pulsed low dose rate radiation therapy

Intervention Type RADIATION

Pulsed low dose rate 3-dimensional conformal radiation therapy

Interventions

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pulsed low dose rate radiation therapy

Pulsed low dose rate 3-dimensional conformal radiation therapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Patients must have histologically-confirmed gastric adenocarcinoma
* Patients must have metastasis tumor located within peritoneal cavity
* Tumor within the irradiated field is negatively impacting patient's quality of life or threatening catastrophic complication if left untreated as determined by the treating physician
* Patient is not a surgical candidate or tumor is not surgically resectable, as documented by surgical oncologist
* Patient is not a candidate for, or has not demonstrated a significant local response to chemotherapy, biologic, or other therapies
* Patients must have measurable disease per Response Evaluation Criteria in Solid Tumor (RECIST) 1.1 in the irradiated field
* Women of childbearing potential must be non-pregnant (negative pregnancy test within 72 hours prior to radiation simulation, postmenopausal woman must have been amenorrheic for at least 12 months to be considered of non-childbearing potential) and nonlactating, and men and women must be willing to exercise an effective form of birth control (abstinence/contraception) while on study and for 3 months after therapy completed
* Eastern Cooperative Oncology Group (ECOG) performance status determined to be between 0 and 3
* Absolute neutrophil count (ANC) \>=1,000/ul
* Platelets (PLT) \>=75,000/ul
* Subjects must sign a written informed consent and Health Insurance Probability and Accountability Act (HIPAA) consent prior to performance of study-specific procedures of assessments and must be willing to comply with treatment and follow-up

Exclusion Criteria

* Patients who have had chemotherapy or radiotherapy to the reirradiation target within 4 weeks prior to entering the study
* A history of ataxia telangiectasia or other documented history of radiation hypersensitivity
* Scleroderma or active connective tissue disease
* Active inflammatory bowel disease
* Serious, active infections requiring treatment with intravenous (IV) antibiotics
* Uncontrolled intercurrent illness including, but not limited to, or psychiatric illness/social situations that would limit compliance with study requirements
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yang Yang

OTHER

Sponsor Role lead

Responsible Party

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Yang Yang

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yang Yang, MD,PhD,MSCR

Role: PRINCIPAL_INVESTIGATOR

The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Medical School of Nanjing University and Clinical Cancer Institute of Nanjing University

Locations

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The Comprehensive Cancer Center of Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yang Yang, MD,PhD,MSCR

Role: CONTACT

0086-18602568379

Jing Yan, MD

Role: CONTACT

0086-15805182426

Facility Contacts

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Yang Yang, MD,PhD,MSCR

Role: primary

0086-18602568379

Jing Yan, MD

Role: backup

0086-15805182426

References

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Yan J, Yang J, Yang Y, Ren W, Liu J, Gao S, Li S, Kong W, Zhu L, Yang M, Qian X, Liu B. Use of Pulsed Low-Dose Rate Radiotherapy in Refractory Malignancies. Transl Oncol. 2018 Feb;11(1):175-181. doi: 10.1016/j.tranon.2017.12.004. Epub 2018 Jan 4.

Reference Type DERIVED
PMID: 29306203 (View on PubMed)

Other Identifiers

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PLDR-RT-GC

Identifier Type: -

Identifier Source: org_study_id

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