A Phase I Study of S-1 in Combination With Radiotherapy in Locally Advanced or Recurrent Gastric Cancer
17. september 2013 opdateret af: 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.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
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.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
27
Fase
- Fase 1
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Beijing, Kina, 100021
- Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC)
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 75 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
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
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: S-1,peroral BID,capsule
|
S-1,30mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Andre navne:
S-1,40mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Andre navne:
S-1,50mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner
Andre navne:
S-1,60mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Andre navne:
S-1,70mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Andre navne:
S-1,80mg/m2/d,peroral BID,in treatment days concurrently with radiation therapy in a standard manner.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
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.
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
To define maximum tolerated dose(MTD) of S-1, peroral BID, in treatment days concurrently with radiation therapy
Tidsramme: 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
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Jing Jin, MD,PhD, Department of Radiation Oncology,Cancer Hospital and Institute,CAMS
- Ledende efterforsker: Yexiong Li, MD,PhD, Department of Radiation Oncology,Cancer Hospital and Institute, CAMS
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Parkin DM, Pisani P, Ferlay J. Global cancer statistics. CA Cancer J Clin. 1999 Jan-Feb;49(1):33-64, 1. doi: 10.3322/canjclin.49.1.33.
- Sakuramoto S, Sasako M, Yamaguchi T, Kinoshita T, Fujii M, Nashimoto A, Furukawa H, Nakajima T, Ohashi Y, Imamura H, Higashino M, Yamamura Y, Kurita A, Arai K; ACTS-GC Group. Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine. N Engl J Med. 2007 Nov 1;357(18):1810-20. doi: 10.1056/NEJMoa072252. Erratum In: N Engl J Med. 2008 May 1;358(18):1977.
- Sakata Y, Ohtsu A, Horikoshi N, Sugimachi K, Mitachi Y, Taguchi T. Late phase II study of novel oral fluoropyrimidine anticancer drug S-1 (1 M tegafur-0.4 M gimestat-1 M otastat potassium) in advanced gastric cancer patients. Eur J Cancer. 1998 Oct;34(11):1715-20. doi: 10.1016/s0959-8049(98)00211-1.
- Koizumi W, Kurihara M, Nakano S, Hasegawa K. Phase II study of S-1, a novel oral derivative of 5-fluorouracil, in advanced gastric cancer. For the S-1 Cooperative Gastric Cancer Study Group. Oncology. 2000 Apr;58(3):191-7. doi: 10.1159/000012099.
- Li N, Xiang X, Zhao D, Wang X, Tang Y, Chi Y, Yang L, Jiang L, Jiang J, Shi J, Liu W, Fang H, Tang Y, Chen B, Lu N, Jing H, Qi S, Wang S, Liu Y, Song Y, Li Y, Zhang L, Jin J. Preoperative versus postoperative chemo-radiotherapy for locally advanced gastric cancer: a multicenter propensity score-matched analysis. BMC Cancer. 2022 Feb 26;22(1):212. doi: 10.1186/s12885-022-09297-7.
- Taguchi T, Inuyama Y, Kanamaru R, Hasegawa K, Akazawa S, Niitani H, Furue H, Kurihara M, Ota K, Suga S, Ariyoshi Y, Takai S, Shimoyama T, Toge T, Takashima S, Sugimachi K, Hara Y, Fujita H, Kimura K, Saito T, Tsukagoshi S, Nakao I. [Phase I study of S-1. S-1 Study Group]. Gan To Kagaku Ryoho. 1997 Dec;24(15):2253-64. Japanese.
- van Groeningen CJ, Peters GJ, Schornagel JH, Gall H, Noordhuis P, de Vries MJ, Turner SL, Swart MS, Pinedo HM, Hanauske AR, Giaccone G. Phase I clinical and pharmacokinetic study of oral S-1 in patients with advanced solid tumors. J Clin Oncol. 2000 Jul;18(14):2772-9. doi: 10.1200/JCO.2000.18.14.2772.
- Cohen SJ, Leichman CG, Yeslow G, Beard M, Proefrock A, Roedig B, Damle B, Letrent SP, DeCillis AP, Meropol NJ. Phase I and pharmacokinetic study of once daily oral administration of S-1 in patients with advanced cancer. Clin Cancer Res. 2002 Jul;8(7):2116-22.
- Chu QS, Hammond LA, Schwartz G, Ochoa L, Rha SY, Denis L, Molpus K, Roedig B, Letrent SP, Damle B, DeCillis AP, Rowinsky EK. Phase I and pharmacokinetic study of the oral fluoropyrimidine S-1 on a once-daily-for-28-day schedule in patients with advanced malignancies. Clin Cancer Res. 2004 Aug 1;10(15):4913-21. doi: 10.1158/1078-0432.CCR-04-0469.
- Takahashi I, Kakeji Y, Emi Y, Sakurai M, Yonemura Y, Kimura Y, Maehara Y. S-1 in the treatment of advanced and recurrent gastric cancer: current state and future prospects. Gastric Cancer. 2003;6 Suppl 1:28-33. doi: 10.1007/s10120-003-0228-5.
- Sugimachi K, Maehara Y, Horikoshi N, Shimada Y, Sakata Y, Mitachi Y, Taguchi T. An early phase II study of oral S-1, a newly developed 5-fluorouracil derivative for advanced and recurrent gastrointestinal cancers. The S-1 Gastrointestinal Cancer Study Group. Oncology. 1999 Oct;57(3):202-10. doi: 10.1159/000012032.
- Fujitani K, Tsujinaka T, Yamasaki H, Hirao M, Yoshida K, Kurokawa Y. Feasibility study of S-1 plus weekly docetaxel combined with concurrent radiotherapy in advanced gastric cancer refractory to first-line chemotherapy. Anticancer Res. 2009 Aug;29(8):3385-91.
- Saikawa Y, Kubota T, Kumagai K, Nakamura R, Kumai K, Shigematsu N, Kubo A, Kitajima M, Kitagawa Y. Phase II study of chemoradiotherapy with S-1 and low-dose cisplatin for inoperable advanced gastric cancer. Int J Radiat Oncol Biol Phys. 2008 May 1;71(1):173-9. doi: 10.1016/j.ijrobp.2007.09.010. Epub 2007 Nov 8.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. november 2010
Primær færdiggørelse (Faktiske)
1. august 2013
Studieafslutning (Faktiske)
1. september 2013
Datoer for studieregistrering
Først indsendt
7. februar 2011
Først indsendt, der opfyldte QC-kriterier
7. februar 2011
Først opslået (Skøn)
8. februar 2011
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
18. september 2013
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
17. september 2013
Sidst verificeret
1. september 2013
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CH-GI-012
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Gastrointestinale neoplasmer
-
Guangzhou First People's HospitalAfsluttet
-
Asan Medical CenterRekrutteringMavekræft | Mavekræft Adenocarcinom Metastatisk | MAVE NEOPLASMSydkorea
-
Peking Union Medical College HospitalRekruttering
-
National University Hospital, SingaporeVanderbilt University Medical Center; National University Cancer Institute...Ikke rekrutterer endnu
-
AstraZenecaJohnson & Johnson K.K. Medical CompanyAfsluttetGastrointestinal endoskopi | Gastrointestinal polypektomiJapan
-
Medstar Health Research InstituteRekrutteringGastrointestinal kræft | Gastrointestinal tumor | Gastrointestinal kirurgi | Gastrointestinal tumorkirurgiForenede Stater
-
Pancap Pharma Inc.Nutrasource Pharmaceutical and Nutraceutical Services, Inc.AfsluttetSund og rask | Gastrointestinal fordøjelse | Gastrointestinal velvære | Gastrointestinale kosttilskudCanada
-
University of AarhusMotilis,SwitzerlandAfsluttetMavetømning | Gastrointestinal Motilitet | Total gastrointestinal transittid | Segmentel transittidDanmark
-
Mersin UniversityRekrutteringGastrointestinal motilitetsforstyrrelse | Afføringsforstyrrelse | Gastrointestinal motilitet og afføringsforholdKalkun
-
Massachusetts General HospitalTilmelding efter invitationGastrointestinal dysfunktion | Gastrointestinal sygdomForenede Stater
Kliniske forsøg med S-1
-
Tomoshi TsuchiyaAfsluttetIkke-småcellet lungekræftJapan
-
Fudan UniversityThe First Affiliated Hospital of Anhui Medical University; Guangdong Provincial... og andre samarbejdspartnereTrukket tilbage
-
Innovent Biologics (Suzhou) Co. Ltd.RekrutteringGastroøsofageal Junction Adenocarcinom | CLDN18.2 Positiv | Primær Adenocarcinoma VentriculiKina
-
Zhejiang Cancer HospitalAfsluttet
-
Peking University Cancer Hospital & InstituteAfsluttet
-
China Medical University HospitalIkke rekrutterer endnuLokalt avanceret uoperabel spiserørskræft
-
Taiho Oncology, Inc.Quintiles, Inc.; United BioSource, LLCAfsluttetLokalt avanceret eller metastatisk bugspytkirtelkræft
-
TTY BiopharmNational Taiwan University Hospital; Chang Gung Memorial Hospital; Taipei... og andre samarbejdspartnereAfsluttetKræft i bugspytkirtlen | Adjuverende kemoterapi | Resekteret bugspytkirtelkræftTaiwan
-
Fudan UniversityAfsluttetNasopharyngealt karcinomKina
-
Seoul National University Bundang HospitalUkendt