Intraperitoneal Paclitaxel With XELOX in Gastric Cancer With Peritoneal Metastasis

NCT ID: NCT04943653

Last Updated: 2021-07-06

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-08

Study Completion Date

2025-12-31

Brief Summary

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IPXELOX will investigate the safety, tolerability, and antitumor activity of intraperitoneal paclitaxel in combination with chemotherapy in patients with advanced gastric cancer with peritoneal metastasis.

Study hypotheses: Intraperitoneal paclitaxel administered to subjects at the recommended phase 2 dose will show manageable safety and tolerability and anti-tumor efficacy with systemic capecitabine and oxaliplatin in advanced gastric cancer with peritoneal metastasis.

Detailed Description

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Conditions

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Stomach Neoplasms Paclitaxel Peritoneal Metastases

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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Intraperitoneal paclitaxel + XELOX

Intraperitoneal paclitaxel Day1, Day8 + \*XELOX

\*XELOX ; Capecitabine 2000mg/m2/day(Day1-14) Oxaliplatin 100mg/m2 IV Day1 q 3 weeks

Group Type EXPERIMENTAL

Paclitaxel

Intervention Type DRUG

intraperitoneal paclitaxel

20mg/BSA(Body Surface Area), 40mg/BSA, 60mg/BSA (phase I)

recommended dose (phase II)

Interventions

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Paclitaxel

intraperitoneal paclitaxel

20mg/BSA(Body Surface Area), 40mg/BSA, 60mg/BSA (phase I)

recommended dose (phase II)

Intervention Type DRUG

Other Intervention Names

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capecitabine oxaliplatin

Eligibility Criteria

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Inclusion Criteria

* ECOG(Eastern Cooperative Oncology Group) performance status 0 or 1
* pathologically proven primary gastric adenocarcinoma
* peritoneal metastasis confirmed by laparoscopy or diagnostic imaging
* written informed consent
* adequate function of important organs (within 14 days before registration)

Absolute neutrophil count ≥1.5 x 10\^9/L, Platelet \>=100,000/mm3, Hemoglobin \>=8.0g/dL, Total bilirubin \<= ≤ 2.0mg/dl or ULN(Upper Limit of Normal) x 1.5, AST(aspartate aminotransferase) \<=100IU/L(International Unit/Liter), ALT(alanine transaminase) \<=100IU/L, Creatinine clearance ≥ 50mL/min (milliliter/minute),

Exclusion Criteria

* other active concomitant malignancies
* HER2(human epidermal growth factor receptor 2) positive (Immunohistochemistry 3+ or 2+ with in situ hybridization positive)
* no investigational anticancer therapy within 30 days prior to the first dose of study treatment
* recent (within 6 months) acute coronary syndrome, severe heart failure or severe pulmonary disease
* uncontrolled acute or chronic disease
* uncontrolled infection or inflammation
* uncontrolled psychiatric disorder or central neurologic disease
* not fully recovered from previous surgery
* prior anticancer therapy (chemotherapy, immunotherapy, radiation) within 6 months
* intolerable to oral administration or a lack of physical integration of the upper gastrointestinal tract or with a malabsorption syndrome
* fertile males and females who are unwilling to use effective contraceptive methods.
* pregnancy, breast feeding or intention to become pregnant
* interstitial pneumonia or pulmonary fibrosis
* peripheral neuropathy with functional impairment
* hypersensitivity to paclitaxel, oxaliplatin, capecitabine, fluoropyrimidine or Cremophor EL.
* concomitant therapy with any substrate or inhibitor of Cytochrome P450 2C8 or 3A4
* concomitant therapy with sorivudine or brivudine
* Dihydropyrimidine dehydrogenase (DPD) deficiency.
* current or recent (within the 7 days prior to enrollment) treatment of tegafur-gimeracil-oteracil potassium
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul St. Mary's Hospital

OTHER

Sponsor Role lead

Responsible Party

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In-ho Kim

Associate proffessor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Gastric cancer center, Seoul St. Mary's Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Kabsoo Shin

Role: CONTACT

82-2-2258-6256

Facility Contacts

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Kabsoo Shin

Role: primary

82-2-2258-6256

Other Identifiers

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KC20MISF0813

Identifier Type: -

Identifier Source: org_study_id

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