XELOX With Capecitabine Maintenance or XELOX in Elderly Metastatic Adenocarcinoma of Stomach
A Randomized Single Center Phase II Study Comparing XELOX With Capecitabine Maintenance or XELOX Treatment in Elderly Metastatic Adenocarcinoma of Stomach
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Yuxian BAI, PhD
- Telefonnummer: 86 451 86298265
- E-mail: bai_yuxian@126.com
Undersøgelse Kontakt Backup
- Navn: Hong SUI, PhD
- Telefonnummer: 86 13936592698
- E-mail: doctorsui2003@126.com
Studiesteder
-
-
Heilongjiang
-
Harbin, Heilongjiang, Kina, 150000
- Rekruttering
- The tumor hospital of Harbin medical university
-
Ledende efterforsker:
- Yuxian BAI, PhD
-
Kontakt:
- Yuxian BAI, PhD
- Telefonnummer: 86 451 86298265
- E-mail: bai_yuxian@126.com
-
Kontakt:
- Hong SUI, PhD
- Telefonnummer: 86 13936592698
- E-mail: doctorsui2003@126.com
-
Underforsker:
- Hong SUI, PhD
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Ages Eligible for Study: 65 Years or older
- Genders Eligible for Study: Both
- The Eastern Cooperative Oncology Group (ECOG) status ≤ 2
- Histologically confirmed gastric adenocarcinoma(including LAUREN type).
- Measurable disease(according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria 1.1).
- chemotherapy naive after recurrence or metastasis. Previous neo-adjuvant or adjuvant treatment for gastric cancer, if applicable, more than 6 months.
- Hb > 90g/L, neutrophil count > or = 1.5*10^9/L, platelet > or = 100*10^9/L, alanine transaminase (ALT) and aspartate aminotransferase (AST) < or = 2.5 times upper limit of nominal (ULN), alkaline phosphatase (ALP) < or = 2.5 times ULN, total bilirubin (TBIL) < 1.5 times ULN, serum albumin level > or = 30g/L, serum creatinine < 1 times ULN.
- No serious concomitant diseases which could lead to death within 5 years. At least 5 years from the last Biological/Immunotherapy/Hormone treatment for Malignancy excluding gastric cancer.
- Able to accept oral medication
- Compliance with protocol
Exclusion Criteria:
- Had received cytotoxic chemotherapy, radiotherapy or immunotherapy for this gastric cancer, excluding Corticosteroids.
- Other previous malignancy within 5 year, except curative skin cancer or carcinoma in situ of uterine cervix.
- Uncontrolled epilepsy, central nervous system disorders, or a history of mental disorders.
- clinically significant(i.e. active)cardiac disease e.g. symptomatic coronary artery disease, New York Heart Association (NYHA) II or more serious congestive heart failure or severe requiring medication intervention arrhythmia, or history of myocardial infarction within the last 12 months.
- Upper gastrointestinal obstruction or physiological dysfunction or suffering from malabsorption syndrome, which could affect the absorption of capecitabine.
- Organ transplantation requires immunosuppressive treatment.
- Severe uncontrolled recurrent infections, or Other serious uncontrolled concomitant diseases.
- Moderate or severe renal impairment(creatinine clearance (CCr) = or < 50 ml/min), or serum creatinine > ULN.
- Known enzyme deficiency of dihydropyrimidine dehydrogenase(DPD).
- Allergy to Oxaliplatin or any study medication ingredients.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: XELOX-X
XELOX: Oxaliplatin: 100mg/m2 d1 Intravenous infusion, every 3 weeks. Capecitabine: 850mg/m^2 bid, days 1-14, every 3 weeks and maximum 4 cycles, or progression/intolerance. X Maintenance: Capecitabine 850mg/m^2 bid, days 1-14, every 3 weeks after 4 cycles XELOX regimen, until progression/intolerance. |
Oxaliplatin 100mg/m2 d1 Intravenous infusion every 3 weeks
Andre navne:
capecitabine 850mg/m2 bid, d1-14, every 3 weeks
Andre navne:
|
|
Aktiv komparator: XELOX
XELOX: Oxaliplatin 100mg/m2 d1 Intravenous infusion, every 3 weeks.
Capecitabine 850mg/m^2 bid, days 1-14, every 3 weeks, until progression/intolerance.
|
Oxaliplatin 100mg/m2 d1 Intravenous infusion every 3 weeks
Andre navne:
capecitabine 850mg/m2 bid, d1-14, every 3 weeks
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Progression Free Survival (PFS)
Tidsramme: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 12 months
|
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 12 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
samlet overlevelse (OS)
Tidsramme: fra randomiseringsdatoen til dødsfald uanset årsag eller op til 1 år
|
fra randomiseringsdatoen til dødsfald uanset årsag eller op til 1 år
|
|
bivirkninger (AE)
Tidsramme: fra randomiseringsdato til 28 dage efter sidste kemodosis
|
fra randomiseringsdato til 28 dage efter sidste kemodosis
|
|
Response Rate (RR)
Tidsramme: evaluate every 6 weeks after the date of randomization until diease progress or up to 12 weeks
|
evaluate every 6 weeks after the date of randomization until diease progress or up to 12 weeks
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
health-related quality of life (HRQOL)
Tidsramme: evaluate every 6 weeks from the date of randomization until 28 days after the last chemo dosage
|
evaluate every 6 weeks from the date of randomization until 28 days after the last chemo dosage
|
|
|
excision repair cross-complementing 1(ERCC1) expression
Tidsramme: assays messager ribonucleic acid (mRNA) of ERCC1 expression in tumor tissue after randomization and before the first treatment
|
quantitative real-time reverse transcriptase polymerase chain reaction (PCR) assays were performed to determine ERCC1 mRNA expression in tumor tissue.
|
assays messager ribonucleic acid (mRNA) of ERCC1 expression in tumor tissue after randomization and before the first treatment
|
|
K-ras gene type
Tidsramme: assess after randomization and before the first treatment
|
Genomic Deoxyribonucleic acid (DNA) is extracted from tumor tissue, direct sequencing technique is used to test K-ras gene type(mutation or wild).
|
assess after randomization and before the first treatment
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Yuxian BAI, PhD, The tumor hospital of Harbin medical university
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Neoplasmer efter histologisk type
- Neoplasmer
- Neoplasmer efter sted
- Karcinom
- Neoplasmer, kirtel og epitel
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Gastrointestinale sygdomme
- Mavesygdomme
- Neoplasmer i maven
- Adenocarcinom
- Molekylære mekanismer for farmakologisk virkning
- Antimetabolitter, Antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Capecitabin
- Oxaliplatin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CGOG20120101009
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