UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002181
Receipt number R000001829
Scientific Title A phase II study to confirm the feasibility of S-1 plus CPT-11 as a post operative chemotherapy for the patients with advanced gastric cancer in stage IIIA and IIIB (OGSG 0801)
Date of disclosure of the study information 2009/07/10
Last modified on 2022/11/06 14:17:33

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Basic information

Public title

A phase II study to confirm the feasibility of S-1 plus CPT-11 as a post operative chemotherapy for the patients with advanced gastric cancer in stage IIIA and IIIB (OGSG 0801)

Acronym

A phase II study to confirm the feasibility of S-1 plus CPT-11 as a post operative chemotherapy for the patients with advanced gastric cancer in stage IIIA and IIIB (OGSG 0801)

Scientific Title

A phase II study to confirm the feasibility of S-1 plus CPT-11 as a post operative chemotherapy for the patients with advanced gastric cancer in stage IIIA and IIIB (OGSG 0801)

Scientific Title:Acronym

A phase II study to confirm the feasibility of S-1 plus CPT-11 as a post operative chemotherapy for the patients with advanced gastric cancer in stage IIIA and IIIB (OGSG 0801)

Region

Japan


Condition

Condition

advanced gastric cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A feasibility on completion of four courses of S-1 and CPT-11 after gastric resection is evaluated to make the following phase III study.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Patients ratio with 4 course completion

Key secondary outcomes

1.Patients ratio with one year course completion
2.Incidence of adverse events
3.Recurrence Free Survival
4. Overall Survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

CPT-11 80mg/m2 is administered by drip infusion on day 1.
TS-1 (BSA<1.25 40mg/body/once,1.25<=BSA<1.5 50mg/body/once,BSA>=1.5 60mg/body/ once) is administered twice a day orally between day 1 and day 21.
It takes 35 days for the one course.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Eligible criteria
1. primary gastric cancer diagnosed pathologically.
2. Final curability is B with D2 or D3 lymph node dissection
3. Stage IIIA(T2-N2,T3-N1 or T4-N0) or Stage IIIB(T3-N2 or T4-N1)
4. without any prior treatment for cancer
5. 4-8 weeks interval between surgical operation and following chemotherapy
6. age : 20-75 year old
7. performance status (ECOG):0-1
8. patients who can eat orally
9. without any severe disorder on the organs and with the data satisfied
the following criteria measured within 2 weeks of registration
1) WBC >=4,000/mm3 and <12,000mm3
2) Neutrocyte >=2,000/mm3
3) Platelet >=100,000/mm3
4) Hg >=8.0g.dl
5) T.bil <=1.5mg/dl
6) GOT, GPT <=100 IU/l
7) sCr <=1.2mg/dl
10. written informed consent

Key exclusion criteria

Ineligible criteria
1.A fresh bleeding on the digestive tract
2.Severe allergy against medicines or history of allergy
3.with active double cancer
4.with uncontrollable cavity fluid
5.with some infectious diseases and/or febrile condition
6.with brain metastases
7.with some disorders on ECG
8.with heart diseases such as congestive heart failure, symptomatic coronary dysfunction, uncontrollable arrhythmia, infarction/history of infarction
9.with liver cirrhosis and/or active hepatitis
10.with DM uncontrollable
11.with severe pulmonary diseases such as interstitial pneumonia,Pulmonary fibrosis
12.uncontrollable diarrhea
13.under intestinal paralysis or ileus
14.patients with psychological disorder who seems difficult to undergo treatment
15. under medication of ATAZANABIL
16. under continuous medication of steroids
17. with continuous medication of fluoro-pyrimidine, flusitosine, fenitoin,and/or Warfarin
18. pregnant and/or nursing women or patients who like to have children
19. patient who seems difficult to undergo protocol treatment

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Fujitani Kazumasa

Organization

National Hospital Organization Osaka National Hospital

Division name

Dpt. surgery

Zip code


Address

2-1-14,Houenzaka,Chuou-ku,Osaka,540-0006

TEL

06-6942-1331

Email



Public contact

Name of contact person

1st name
Middle name
Last name Fujitani Kazumasa

Organization

National Hospital Organization Osaka National Hospital

Division name

Dpt. surgery

Zip code


Address

2-1-14,Houenzaka,Chuou-ku,Osaka,540-0006

TEL

06-6942-1331

Homepage URL


Email



Sponsor or person

Institute

Osaka Gastrointestinal Cancer Chemotherapy Study Group (OGSG)

Institute

Department

Personal name



Funding Source

Organization

Osaka Clinical Study Supporting Organization

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 07 Month 10 Day


Related information

URL releasing protocol

https://www.karger.com/Article/Abstract/329090

Publication of results

Published


Result

URL related to results and publications

https://www.karger.com/Article/Abstract/329090

Number of participants that the trial has enrolled

53

Results

A total of 42 patients (79.2%, 95% CI 65.9-82.9) tolerated the planned 4 cycles of treatment with S-1 and docetaxel, and 34 patients (64.2%, 95% CI 49.8-76.9) completed subsequent S-1 monotherapy for 1 year.

Results date posted

2022 Year 11 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 06 Month 18 Day

Baseline Characteristics

pathological stage III gastric cancer who underwent D2 gastrectomy

Participant flow

We enrolled 53 patients.
A total of 42 patients tolerated the planned 4 cycles of treatment with S-1 and docetaxel, and 34 patients completed subsequent S-1 monotherapy for 1 year.

Adverse events

Grade 4 neutropenia was observed in 28% and grade 3 febrile neutropenia in 9% of the patients, while grade 3 nonhematological toxicities were relatively low.

Outcome measures

tolerance of the planned 4 cycles of treatment with S-1 and docetaxel

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2008 Year 11 Month 20 Day

Date of IRB

2008 Year 11 Month 20 Day

Anticipated trial start date

2008 Year 12 Month 25 Day

Last follow-up date

2013 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 07 Month 10 Day

Last modified on

2022 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001829


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name