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Clinical Trial of Chemosensitivity Test
This study is currently recruiting participants.
Verified by Japan Clinical Cancer Research Organization, January 2008
First Received: February 3, 2006   Last Updated: February 2, 2009   History of Changes
Sponsors and Collaborators: Japan Clinical Cancer Research Organization
Clinical Trial Coordinating Center of the Kitasato Institute
Information provided by: Japan Clinical Cancer Research Organization
ClinicalTrials.gov Identifier: NCT00287755
  Purpose

To evaluate the usefulness of chemosensitivity test in evaluating the appropriate adjuvant cancer chemotherapy after gastric surgery


Condition Intervention Phase
Gastric Cancer
Drug: S-1
Phase II

MedlinePlus related topics: Cancer Stomach Cancer Surgery
Drug Information available for: S 1 (Combination)
U.S. FDA Resources
Study Type: Interventional
Study Design: Diagnostic, Non-Randomized, Single Blind (Investigator), Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Chemosensitivity Test to Evaluate the Effect of Adjuvant Cancer Chemotherapy (S-1) After Gastric Surgery

Further study details as provided by Japan Clinical Cancer Research Organization:

Primary Outcome Measures:
  • Overall survival rate [ Time Frame: at three years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Side effect [ Time Frame: During administration of drug ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 300
Study Start Date: March 2006
Estimated Study Completion Date: July 2011
Estimated Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: S-1
S-1 capsule at a dose of 80 mg/m2 b.i.d. for 4 weeks followed by 2 weeks rest.

Detailed Description:

Patients: clinical Stage III gastric cancer patients. Informed consent will be obtained before surgery. Eligible patients: surgical Stage II, IIIA and IIIB gastric cancer patients. Chemosensitivity test: The surgical specimen will be sent Mitsubishi BCL, Co. Ltd. to be tested by CD-DST chemosensitivity test and RT-PCR for thymidylate synthetase and dihydropyrimidine dehydrogenase mRNA. The test results will be blinded for the doctors on duty.

Treatment: All the patients will be treated with S-1 at a dose of 80 mg/m2 b.i.d. for 4 weeks followed by 2 weeks rest. The treatment will be continued until the recurrence or 1 year after operation. Primary endpoint: 3-years disease-free survival rate Secondary endpoint: 3-years overall survival rate and side effect (CTCAE v3.0) Evaluation of chemosensitivity test: The cutoff condition will be determined based on the accumulated data of CD-DST and mRNAs.

Hypothesis: The responder detected by CD-DST and/or TS, DPD mRNA will have a favorable survival outcome comparing with resistant cases.

  Eligibility

Ages Eligible for Study:   20 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • histologically proven gastric cancer
  • PS (ECOG) 0 or 2
  • D2 dissection, curability B or more
  • surgical Stage IIIA and IIIB
  • negative peritoneal cytology
  • no previous radiotherapy, chemotherapy and hormone therapy
  • possible peroral intake at 6 POW
  • no severe surgical complication
  • normal bone marrow, liver and renal function
  • complete chemosensitivity test
  • written informed consent

Exclusion Criteria:

  • multiple cancer
  • contraindication for S-1
  • history of drug allergy (grade 3)
  • severe complication
  • watery diarrhea
  • pregnant
  • scirrhous gastric cancer
  • the other patients who was judged as inadequate for trial by doctor on duty
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00287755

Contacts
Contact: Tetsurou Kubota, MD, Ph.D. 81-3-3353-1211 tkubota@sc.itc.keio.ac.jp
Contact: Toshifusa Nakajima, MD, Ph.D. 81-3-3520-0111 nakajima@jfcr.or.jp

  Show 36 Study Locations
Sponsors and Collaborators
Japan Clinical Cancer Research Organization
Clinical Trial Coordinating Center of the Kitasato Institute
Investigators
Principal Investigator: Tetsuro Kubota, Processor Keio University Hospital
  More Information

No publications provided

Responsible Party: Center of Comprehensive and Advanced Medicine, Keio University ( Tetsurou Kubota / Professor )
Study ID Numbers: JACCRO GC-04, GC-04
Study First Received: February 3, 2006
Last Updated: February 2, 2009
ClinicalTrials.gov Identifier: NCT00287755     History of Changes
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by Japan Clinical Cancer Research Organization:
gastric cancer
S-1
chemosensitivity
adjuvant

Study placed in the following topic categories:
Stomach Diseases
Digestive System Diseases
Digestive System Neoplasms
Gastrointestinal Diseases
Stomach Neoplasms
Adjuvants, Immunologic
Gastrointestinal Neoplasms
Stomach Cancer

Additional relevant MeSH terms:
Neoplasms
Stomach Diseases
Digestive System Diseases
Neoplasms by Site
Digestive System Neoplasms
Gastrointestinal Diseases
Stomach Neoplasms
Gastrointestinal Neoplasms

ClinicalTrials.gov processed this record on May 07, 2009