A Phase I Study of S-1 in Combination With Radiotherapy in Locally Advanced or Recurrent Gastric Cancer

September 17, 2013 updated by: Wang Xin, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
The purpose of this study is to determine maximum tolerated dose (MTD), dose limiting toxicities (DLT) and recommend a proper dose for our phase II study of S-1 when combined with radiation therapy for locally advanced or recurrent gastric cancer.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This is a Phase I trial of S-1 given in treatment days with an oral dose from 30mg/m2/d to 80mg/m2/d, concurrently with radiation in patients with locally advanced or locally recurrent gastric cancer. Patients will be treated with external beam radiation therapy in a standard manner. S-1 will be administered for 6 dose levels,30/40/50/60/70/80mg/m2/d. Patients will be assessed for acute toxicities according to Common Toxicity Criteria for Adverse Effects (CTCAE)3.0.

Study Type

Interventional

Enrollment (Actual)

27

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • China
      • Beijing, China, 100021
        • Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Histologically or cytologically proven locally advanced gastric adenocarcinoma in patients undergoing R0, R1, R2 resection, or with unresectable or locoregional recurrent disease
  • Any prior chemotherapy is allowed in this protocol.
  • No distant metastasis in liver,lung,,bone,central nervous system(CNS),no peritoneal transplantation
  • No prior abdominal or pelvic radiotherapy.
  • Karnofsky performance status(KPS)≥ 70,predictive life span no less than 6 months

  • Patients must have normal organ and marrow function as defined below:

    • Leukocytes greater than or equal to 3,000 G/L
    • Platelets: greater than or equal to 100,000/mm3
    • Hemoglobin:greater than or equal to 10g/L
    • Total bilirubin: within normal institutional limits
    • AST/ALT: less than or equal to 1.5 times the upper limit
    • Creatinine within normal upper limits
    • Informed consent
  • Without any serious complications,such as hypertension,coronary artery disease,psychiatric history.

Exclusion Criteria:

  • Patients with other cancer history except cervical carcinoma in situ and non-malignant melanoma skin cancer
  • With any distant metastasis in liver,lung,,bone,CNS,or peritoneal transplantation
  • History of allergic reactions attributed to similar chemical or biologic complex to S-1
  • Uncontrolled illness including, but not limited to, active infection, symptomatic heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness
  • History of myocardial infarction within the past 6 months or history of ventricular arrhythmia
  • History of prior radiation to the abdomen
  • Pregnant or lactating females

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: S-1,peroral BID,capsule
Drug: S-1
S-1,30mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Other Names:
  • an oral fluorinated pyrimidine combination
Drug: S-1
S-1,40mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Other Names:
  • an oral fluorinated pyrimidine combination
Drug: S-1
S-1,50mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner
Other Names:
  • an oral fluorinated pyrimidine combination
Drug: S-1
S-1,60mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Other Names:
  • an oral fluorinated pyrimidine combination
Drug: S-1
S-1,70mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Other Names:
  • an oral fluorinated pyrimidine combination
Drug: S-1
S-1,80mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Other Names:
  • an oral fluorinated pyrimidine combination

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
To define dose limited toxicities(DLT) of S-1, peroral BID, in treatment days concurrently with radiation therapy (RT) in locally advanced or recurrent gastric cancer.
Time Frame: up to 9 weeks
Dose limited toxicities defined as below: leucopenia ≥4 neutropenia ≥ 4, anemia ≥ 3, thrombocytopenia ≥ 3, alanine aminotransferase/aspartate aminotransferase (AST) ≥ 3, alkaline phosphatase (ALT) ≥ 3, total bilirubin ≥ 3,blood urea nitrogen (BUN)/Cr ≥ 2,non-granular cell decreased fever ≥ 2, nausea/vomiting ≥ 2, fatigue ≥ 3, weight loss ≥ 3, diarrhea ≥ 3, abdominal pain ≥ 3, dysphagia ≥ 3, hand-foot syndrome ≥ 2, neurotoxicity ≥ 2.
up to 9 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
To define maximum tolerated dose(MTD) of S-1, peroral BID, in treatment days concurrently with radiation therapy
Time Frame: up to 9 weeks
If 1 of 3 patients treated within a S-1 dose level experiences DLTs, 3 more patients will be treated at the same level. If a second patient experiences DLTs, then escalation will be stopped and the MTD is defined as the level below DLT dose level.
up to 9 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Investigators

  • Principal Investigator: Jing Jin, MD,PhD, Department of Radiation Oncology,Cancer Hospital and Institute,CAMS
  • Principal Investigator: Yexiong Li, MD,PhD, Department of Radiation Oncology,Cancer Hospital and Institute, CAMS

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2010

Primary Completion (Actual)

August 1, 2013

Study Completion (Actual)

September 1, 2013

Study Registration Dates

First Submitted

February 7, 2011

First Submitted That Met QC Criteria

February 7, 2011

First Posted (Estimate)

February 8, 2011

Study Record Updates

Last Update Posted (Estimate)

September 18, 2013

Last Update Submitted That Met QC Criteria

September 17, 2013

Last Verified

September 1, 2013

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CH-GI-012

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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