- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03451942
The FLOT Regimen Conversion Therapy of Adenocarcinoma of the Stomach / Gastroesophageal
February 26, 2018 updated by: LiuYing, Henan Cancer Hospital
The Clinical Study of FLOT Regimen Conversion Therapy of Her-2 Negative and Single Site Metastasis Adenocarcinoma of the Stomach / Gastroesophageal
Evaluate survival benefit of surgical treatment after FLOT regimen conversion therapy of Her-2 Negative and single site metastasis adenocarcinoma of the stomach / gastroesophageal compared with chemotherapy, use relevant biomarkers to evaluate the efficacy of chemotherapy and seek for patients with Her-2 negative and metastatic adenocarcinoma of the stomach / gastroesophageal surviving benefit from surgical treatment after the FLOT regimen conversion therapy.
Study Overview
Status
Unknown
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
112
Phase
- Phase 2
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
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Henan
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ZhengZhou, Henan, China, 450008
- Henan Cancer Hospital/The affiliated Cancer Hospital of ZhengZhou university
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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
16 years to 68 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients volunteered to participate in this study and signed informed consent.
- Endoscopic biopsy or metastatic biopsy was confirmed to be the adenocarcinoma of the stomach / gastroesophageal.
- Her - 2 negative(Including: Her protein detection -/1+, and Her protein 2+ but FISH negative).
- Without any antitumor therapy;
- According to the 7th edition of AJCC, imaging (CT/MRI) confirmed that the adenocarcinoma of the stomach / gastroesophageal with the initial single site metastasis had a detectable lesion (according to the RECIST 1.1 standard); Single site metastasis includes: liver, spleen, pancreas, ovary, retroperitoneal lymph node (16a1/b2), adrenal gland, kidney;
- Age from 18 to 70 years.
- Eastern Cooperative Oncology Group(ECOG) performance status 0 or 1.
- Life expectancy more than 12 weeks.
- Histological specimens were provided for biological target detection of her-2;
- Surgical patients agree to undergo surgery and sign an informed consent to perform the risk of surgery;
The main organ function meet the following criteria within 7 days before treatment:
blood routine examination( No blood transfusion within 14 days)
- HB≥90g/L,
- ANC≥1.5×109/L,
- PLT≥80×109/L;
blood biochemical examination
- TBIL <1.5 Upper Limit Of Normal(ULN);
- ALT and AST<2.5ULN(or ≤ 5×ULN in patients with liver metastases).
- Cr≤1.5ULN or creatinine clearance>60ml/min.
- Doppler ultrasonography: left ventricular ejection fraction (LVEF) was lower than normal (50%).
- Female subjects of child-bearing potential should agree to use contraceptive measures (such as intrauterine contraceptives, contraceptives or condoms) within six months of the study period and the end of the study. The serum or urine pregnancy test was negative within 7 days prior to the study and must be non-lactation. Men subjects should agree to use contraceptives in the study period and within six months at the end of the study period.
Exclusion Criteria:
- 5 years or at the same time have other malignant tumors;
- docetaxel or oxaliplatin and other research with chemotherapy drugs are serious allergy;
- patients with severe cachexia can not eat and can not tolerate chemotherapy and surgery;
- During the screening period, there was an unknown cause of fever before the first administration and the body temperature was> 38.5 ° C (as judged by the investigators, cancer-related fever subjects could be enrolled);
Patients with any severe and / or uncontrollable disease, including:
- Patients with hypertension who are not well controlled by antihypertensive medication (systolic BP ≥150 mmHg, diastolic BP ≥100 mmHg);
- Myocardial ischemia or myocardial infarction with grade I or above, arrhythmia (including QTc≥480 ms) and ≥2 grade congestive heart failure (New York Heart Association (NYHA) classification);
- Severe infection that is active or uncontrollable (≥CTCAE grade 2 infection);
- Renal failure requires hemodialysis or peritoneal dialysis;
- Have a history of immunodeficiency, including HIV-positive or other acquired, congenital immunodeficiency disease, or history of organ transplants;
- Poor glycemic control in diabetic patients (fasting blood glucose (FBG)> 10 mmol / L);
- Patients with seizures who require treatment;
- Currently there are gastrointestinal diseases such as intestinal obstruction (including incomplete intestinal obstruction) or the researchers determine the patients may cause gastrointestinal bleeding, perforation or obstruction;
- Within 4 weeks prior to enrollment, there were non-healing wounds, ulcers or fractures;
- CNS metastasis;
- Persons with psychiatric abuse who can not be abdicated or have mental disorders;
- patients who have participated in other anti-cancer drug clinical trials within 4 weeks;
- According to the judgment of the researcher, there is a concomitant disease which seriously endangers the safety of the patient or affects the patient in completing the study.
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: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: surgery group after FLOT regimen chemotherapy
After received 4 cycles FLOT regimen chemotherapy , D2 gastric resection and imaging metastases resection was performed.
Then continue 4 cycles of FLOT regimen chemotherapy (Chemotherapy begins within 4-6 weeks after surgery)
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FLOT regimen chemotherapy
After received 4 cycles FLOT regimen chemotherapy , D2 gastric resection and imaging metastases resection was performed.
Then continue 4 cycles of FLOT regimen chemotherapy (Chemotherapy begins within 4-6 weeks after surgery)
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Placebo Comparator: FLOT regimen chemotherapy
Continue 4 cycles of the FLOT regimen chemotherapy and evaluate the efficacy every 8 weeks.
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FLOT regimen chemotherapy
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free Survival (PFS)
Time Frame: up to 2 year
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From date of randomization until the date of first documented progression or date of death from any cause
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up to 2 year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective Response Rate (ORR)
Time Frame: up to 1 year
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From date of randomization until the date of death from any cause
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up to 1 year
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Overall survival(OS)
Time Frame: up to 24 months
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the first day of treatment to death or last survival confirm date
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up to 24 months
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R0 resection rate
Time Frame: up to 1 year
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Tumor tissue was completely resected as a percentage of all surgical patients
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up to 1 year
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Ying Liu, Henan Cancer Hospital
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 (Actual)
February 5, 2018
Primary Completion (Anticipated)
September 1, 2019
Study Completion (Anticipated)
March 1, 2021
Study Registration Dates
First Submitted
February 24, 2018
First Submitted That Met QC Criteria
February 26, 2018
First Posted (Actual)
March 2, 2018
Study Record Updates
Last Update Posted (Actual)
March 2, 2018
Last Update Submitted That Met QC Criteria
February 26, 2018
Last Verified
February 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HNSZLG-GE-003
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Adenocarcinoma of the Stomach / Gastroesophageal
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Accelerated Community Oncology Research NetworkAmgenTerminatedGastroesophageal Adenocarcinoma | Adenocarcinomas of the Gastroesophageal Junction | Adenocarcinoma of the Distal Esophagus | Adenocarcinoma of the Proximal StomachUnited States
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UNICANCERBayerTerminatedAdenocarcinoma of the Gastroesophageal Junction | Adenocarcinoma of the StomachFrance
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National Cancer Institute (NCI)CompletedAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Diffuse Adenocarcinoma of the Stomach | Intestinal Adenocarcinoma of the Stomach | Mixed Adenocarcinoma of the Stomach | Stage IIIA Gastric Cancer | Stage IIIB Gastric Cancer | Stage IIIC Gastric CancerUnited States
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National Cancer Institute (NCI)CompletedAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Diffuse Adenocarcinoma of the Stomach | Intestinal Adenocarcinoma of the Stomach | Mixed Adenocarcinoma of the Stomach | Stage IIIA Gastric Cancer | Stage IIIB Gastric Cancer | Stage IIIC Gastric CancerUnited States
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National Cancer Institute (NCI)CompletedAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Diffuse Adenocarcinoma of the Stomach | Intestinal Adenocarcinoma of the Stomach | Mixed Adenocarcinoma of the Stomach | Stage IIIA Gastric Cancer | Stage IIIB Gastric Cancer | Stage IIIC Gastric CancerUnited States
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Fox Chase Cancer CenterAstraZenecaCompletedCancer of the Esophagus | Adenocarcinoma of the Gastroesophageal Junction | Cancer of the StomachUnited States
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P. C. Thuss-PatienceRecruitingGastroesophageal Junction Adenocarcinoma | Adenocarcinoma of the StomachGermany
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City of Hope Medical CenterNational Cancer Institute (NCI)CompletedAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Adenocarcinoma of the Esophagus | Recurrent Esophageal Cancer | Stage IV Esophageal Cancer | Diffuse Adenocarcinoma of the Stomach | Intestinal Adenocarcinoma of the Stomach | Mixed Adenocarcinoma...United States
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National Cancer Institute (NCI)CompletedAdenocarcinoma of the Gastroesophageal Junction | Stage IV Gastric Cancer | Recurrent Gastric Cancer | Diffuse Adenocarcinoma of the Stomach | Intestinal Adenocarcinoma of the Stomach | Mixed Adenocarcinoma of the Stomach | Stage IIIB Gastric Cancer | Stage IIIC Gastric CancerUnited States
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Institut für Klinische Krebsforschung IKF GmbH...Active, not recruitingGastroEsophageal Cancer | Adenocarcinoma of the StomachGermany
Clinical Trials on FLOT regimen chemotherapy
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The Affiliated Nanjing Drum Tower Hospital of Nanjing...Unknown
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Ruijin HospitalCompletedGastric Cancer | Chemotherapy EffectChina
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Ruijin HospitalNot yet recruitingGastric Cancer | Neoadjuvant ChemotherapyChina
-
Tang-Du HospitalRecruiting
-
Ruijin HospitalCompletedChemotherapy EffectChina
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University of Roma La SapienzaAndrea LaghiRecruitingGastric Cancer | Adenocarcinoma of the StomachItaly
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AstraZenecaActive, not recruitingGastrointestinal Neoplasms | Esophagogastric JunctionBelgium, Denmark, Spain, United Kingdom, Canada, United States, Taiwan, Turkey, France, Germany, Korea, Republic of, Brazil, Hungary, Japan, Peru, Poland, Russian Federation, Netherlands, Chile, Argentina
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Erasmus Medical CenterNot yet recruitingEsophageal Cancer | Adenocarcinoma of the Esophagus
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AmgenRecruitingNewly Diagnosed Philadelphia (Ph)-Negative B-cell Precursor Acute Lymphoblastic Leukemia (ALL)Japan, Australia, Denmark, Netherlands, Taiwan, Switzerland, Canada, France, United States, Austria, Italy, Spain, Sweden, Belgium, Hungary, Finland, Greece, Turkey, Portugal, Romania, Germany, Bulgaria, Mexico, United Kingdom
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Jagiellonian UniversityRecruiting