UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011445
Receipt number R000009330
Scientific Title Phase II clinical trial of surgical intervention following chemotherapy for synchronous and metachronous liver metastasis from gastric cancer.
Date of disclosure of the study information 2013/08/10
Last modified on 2015/09/15 17:27:08

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Basic information

Public title

Phase II clinical trial of surgical intervention following chemotherapy for synchronous and metachronous liver metastasis from gastric cancer.

Acronym

Phase II clinical trial of surgical intervention for liver metastasis from gastric cancer.

Scientific Title

Phase II clinical trial of surgical intervention following chemotherapy for synchronous and metachronous liver metastasis from gastric cancer.

Scientific Title:Acronym

Phase II clinical trial of surgical intervention for liver metastasis from gastric cancer.

Region

Japan


Condition

Condition

Patients with synchronous or metachronous liver metastasis from gastric cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery Hepato-biliary-pancreatic surgery
Not applicable

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy of surgical intervention for liver metastastic lesion in the gastric cancer patients, who underwent systemic neo-adjuvant chemotherapy. To evaluate complete resection rate, safety of surgical intervention, and prognosis of patients who achieved complete resection.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Three years overall survival rate of patient who achieved curative treatment.

Key secondary outcomes

Rate of complete resction (surgical resection), and rate of curative treatment (include intervention of RFA or MCT) for hepatic lesion. Safety of procedure (rate of intra/post operative adverse events), recurrence-free survival time of curative treatment case, and overall survival time of registered patients.


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 Maneuver

Interventions/Control_1

(A) Neo-adjuvant chemotherapy (2-4 kur): Attending physician selects one of the 3 regimen below.
(1)SP: S-1 (80mg/m2/day, d1-21)+ Cisplatin (60mg/m2, d8) / 5W,
(2)DCS: S-1 (80mg/m2/day, d1-14) + Cisplatin (60mg/m2, d1) + Docetaxel (40mg/m2, d1) /4W, (3)XP+Her: Capecitabine (2000mg/m2/day, d1-14) + Cisplatin (80mg/m2, d1) +
Trastuzumab (first time; 8 mg/kg, second and subsequent; 6mg/kg) /3W.
(B) Surgical intervention: (1)Primary lesion; total gastrectomy, distal gastrectomy, and proxymal gastrectomy, with more than D2 lymph node dissection. (2)Metastatic lesion; Partial hepatectomy is the basic treatment, but segment resection or lobectomy will considered if necessary. Moreover, RFA or MCT will be permitted only when curtive treatment can be expected.

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients with synchronous or metachronous liver metastasis from gastric cancer.
2) Number of liver metastatic lesion is no more than 4.
3) Maximal diameter of liver metastatic lesion is no more than 5 cm.
4) Performance status is 0-2.
5) There is no evidence of peritoneal dissemination and no metastatic lesion other than liver.

Key exclusion criteria

1) Patients with difficulty in oral intake.
2) Patients with contraindication for administration of S-1, Cisplatin, Docetaxel, Capecitabine, Trastuzumab, and 5 FU.
3)Patients with other kinds of active cancers overlapping gastric cancer.
4) Patients with evidence of peritoneal dissemination or metastatic lesion other than liver (eg. bone, brain).
5) Patients with a history of bone metastasis.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yuichiro Doki

Organization

Osaka University Graduate School of Medicine, Osaka, Japan

Division name

Department of Gastroenterological Surgery

Zip code


Address

2-2-E2, Yamadaoka, Suita, Osaka 565-0871, Japan

TEL

+81668793251

Email

ydoki@gesurg.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shinno Naoki

Organization

Osaka University Graduate School of Medicine, Osaka, Japan

Division name

Department of Gastroenterological Surgery

Zip code


Address

Department of Gastroenterological Surgery,Osaka University Graduate School of Medicine, Osaka, Japan

TEL

+81668793251

Homepage URL


Email

nshinno@gesurg.med.osaka-u.ac.jp


Sponsor or person

Institute

Department of Surgery, Osaka University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

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

2013 Year 08 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2011 Year 11 Month 14 Day

Date of IRB


Anticipated trial start date

2011 Year 11 Month 14 Day

Last follow-up date

2017 Year 11 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

2013 Year 08 Month 10 Day

Last modified on

2015 Year 09 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009330


Research Plan
Registered date File name
2015/02/26 胃がん肝転移.zip

Research case data specifications
Registered date File name

Research case data
Registered date File name