Dragon III-Phase 3: Neoadjuvant Chemotherapy (FLOT Versus SOX) for Gastric Cancer

NCT ID: NCT04384601

Last Updated: 2021-07-19

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-30

Study Completion Date

2027-09-30

Brief Summary

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DRAGON III research, Neoadjuvant Chemotherapy (FLOT versus SOX) for Gastric Cancer, is an investigator initiated; phase 3, open label, multi-center randomized controlled study.

Detailed Description

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Non inferiority of SOX will be tested against FLOT. This study will be conducted at multiple center of China and will invite international centers to join it.The sponsor of this study is Ruijin Hospital and the project is supported by the Shanghai Key Laboratory of Gastric Neoplasms and Institute of Digestive Surgery, Shanghai.

Conditions

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Gastric Cancer Neoadjuvant Chemotherapy

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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SOX Chemotherapy

Three preoperative and three postoperative cycles of SOX chemotherapy

A cycle consist of Day 1: Oxaliplatin 130mg/M2 intravenous Day 1-14 Tegafur gimeracil oteracil potassium capsule 80mg/M2 oral (twice daily)

Repeated every 21st day

Group Type EXPERIMENTAL

Chemotherapy

Intervention Type DRUG

Perioperative chemotherapy will be administered according to description in two arms.

FLOT Chemotherapy

Four preoperative and four postoperative cycles of FLOT chemotherapy

A cycle consist of Day 1 5-fluorouracil(5-FU) 2600mg/M2 administered via intravenous peripherally inserted central venous catheter(PICC) for 24 hour Leucovorin 200mg/M2 intravenous Oxaliplatin 85mg/ M2 intravenous Docetaxel 50mg/M2 intravenous

Repeated every 15th day

Group Type ACTIVE_COMPARATOR

Chemotherapy

Intervention Type DRUG

Perioperative chemotherapy will be administered according to description in two arms.

Interventions

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Chemotherapy

Perioperative chemotherapy will be administered according to description in two arms.

Intervention Type DRUG

Other Intervention Names

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FLOT chemotherapy SOX chemotherapy

Eligibility Criteria

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Inclusion Criteria

* Histology confirmed non-obstructive adenocarcinoma of stomach or esophago-gastric junction.
* Clinical stage: Clinical Tumor-Node-Metastasis (cTNM:) stage III
* Performance status: Eastern Cooperative Oncology Group (ECOG) ≤ 2 (normal to symptomatic but in bed less than half the day)
* Clinically fit for systemic chemotherapy and gastric cancer surgery, i.e. adequate renal, hepatic, hematologic and pulmonary function.
* Written informed consent

Exclusion Criteria

* Clinically unfit for systemic chemotherapy and gastric cancer surgery, i.e. uncontrolled cardiac disease, or other clinically significant uncontrolled comorbidities, unable to undergo general anesthesia
* Distant metastases (including retroperitoneal lymph node)
* Locally advanced inoperable disease (Clinical assessment)
* Relapse of gastric cancer
* Malignant secondary disease
* Prior chemo or radio therapy
* Inclusion in another clinical trial
* Known contraindications or hypersensitivity for planned chemotherapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ruijin Hospital

OTHER

Sponsor Role lead

Responsible Party

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BIRENDRA KUMAR SAH

Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Birendra K Sah, PH D

Role: PRINCIPAL_INVESTIGATOR

Ruijin Hospital

Chen Li, PH D

Role: STUDY_DIRECTOR

Ruijin Hospital

Zhenggang Zhu, PH D

Role: STUDY_CHAIR

Ruijin Hospital

Locations

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Ruijin Hospital Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Birendra K Sah, Ph D

Role: CONTACT

0086-13817516354

Facility Contacts

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Birendra K Sah, Ph D

Role: primary

008613817516354

Other Identifiers

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Dragon III-Phase 3

Identifier Type: -

Identifier Source: org_study_id

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