XParTS: Capecitabine/Cisplatin(XP) for Recurrent Gastric Cancer
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Purpose
The aim of this study is to evaluate efficacy and safety of Capecitabine/Cisplatin for gastric cancer patients who relapsed after adjuvant chemotherapy by S-1.
| Condition | Intervention | Phase |
|---|---|---|
|
Gastric Cancer |
Drug: Capecitabine, Cisplatin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase II Study to Evaluate Efficacy and Safety of Capecitabine/Cisplatin Combination Therapy in Gastric Cancer Patients Who Relapsed After S-1 Adjuvant Chemotherapy (XParTS) |
- Progression-free survival [ Time Frame: 2 year ] [ Designated as safety issue: No ]
- Overall survival [ Time Frame: 2 year ] [ Designated as safety issue: No ]
- Response rate [ Time Frame: 2 year ] [ Designated as safety issue: No ]
- Time to treatment failure [ Time Frame: 2 year ] [ Designated as safety issue: No ]
- Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: 2 year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 40 |
| Study Start Date: | July 2011 |
| Estimated Study Completion Date: | May 2015 |
| Estimated Primary Completion Date: | December 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Capecitabine, Cisplatin |
Drug: Capecitabine, Cisplatin
Drug: Capecitabine Capecitabine will be administered at 1,000 mg/m2 orally, twice daily (2,000 mg/m2 total daily dose) on Days 1 through 14 of each 21-day treatment cycle. Drug: Cisplatin Cisplatin will be administered at 80 mg/m2 by intravenous infusion on Day 1 of each 21-day treatment cycle. |
Detailed Description:
S-1/Cisplatin (SP) is one of the standard treatments of advanced gastric cancer. However, evidence of SP on gastric cancer recurrence after adjuvant therapy by the same drug (S-1) is not established. The aim of this study is to evaluate the efficacy and safety of Capecitabine/Cisplatin (XP) for gastric cancer patients who relapsed after adjuvant chemotherapy by S-1.
Eligibility| Ages Eligible for Study: | 20 Years to 74 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Recurrent gastric cancer histologically confirmed as being adenocarcinoma
- Age of 20 to 74 years with either gender
- ECOG Performance Status of 0 to 2
- Lesions confirmed on imaging within 28 days before registration (not required measurable lesions as defined in RECIST version 1.1)
- Post-gastrectomy adjuvant chemotherapy including S-1 for at least 12 weeks including interruption period
- Less than 6 months treatment-free interval from completion of adjuvant therapy
- Treatment-naïve recurrent gastric cancer
- Life expectancy of at least 3 months after registration
- Written informed consent
- Adequate major organ functions within 14 days before registration
Exclusion Criteria:
- Positive HER2 status
- Previous treatment with platinum agents
- Previous history of serious hypersensitivity to fluoropyrimidines or platinum agents
- Previous history of adverse reactions suggestive of dihydropyrimidine dehydrogenase (DPD) deficiency
- More than one cancer at the same time or more than one cancer at different times separated by a 5-year disease-free interval. However, multiple active cancers do not include carcinoma in situ or skin cancer which is determined to have been cured as a result of treatment.
- Obvious infection or inflammation (pyrexia ≥ 38.0˚C)
- Active hepatitis
- Heart disease that is serious or requires hospitalization, or history of such disease within past year
- Concurrent illness that is serious or requires hospitalization (intestinal paralysis, intestinal obstruction, interstitial pneumonia or pulmonary fibrosis, poorly controlled diabetes mellitus, renal failure, liver disorders, or hepatic cirrhosis)
- Being treated or in need of treatment with phenytoin or warfarin potassium
- Chronic diarrhea (watery stool or ≥ 4 times/day)
- Active gastrointestinal hemorrhage
- Body cavity fluids requiring drainage or other treatment
- Clinical suspicion or previous history of metastases to brain or meninges
- Women who are pregnant, breastfeeding, or potentially (hoping to become) pregnant
- Unwillingness to practice contraception
- Poor oral intake
- Psychiatric disorders which are being or may need to be treated with psychotropics
- Otherwise determined by investigators or site principal investigators to be unsuitable for participation in study
Contacts and Locations| Contact: Junichi Sakamoto | sakamjun@med.nagoya-u.ac.jp |
| Japan | |
| Epidemiological and Clinical Research Information Network | Recruiting |
| Kyoto, Japan, 606-8392 | |
| Principal Investigator: Akira Tsuburaya | |
| Principal Investigator: | Akira Tsuburaya | Kanagawa Cancer Center |
More Information
No publications provided
| Responsible Party: | Junichi Sakamoto, ECRIN |
| ClinicalTrials.gov Identifier: | NCT01412294 History of Changes |
| Other Study ID Numbers: | ECRIN-GC1106-XParTS, UMIN000005857 |
| Study First Received: | July 30, 2011 |
| Last Updated: | August 8, 2011 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Keywords provided by Epidemiological and Clinical Research Information Network:
|
gastric cancer recurrent gastric cancer adenocarcinoma of the stomach capecitabine xp |
Additional relevant MeSH terms:
|
Stomach Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Stomach Diseases Capecitabine Cisplatin Fluorouracil |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Immunosuppressive Agents Immunologic Factors |
ClinicalTrials.gov processed this record on June 17, 2013