UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000022210
Receipt number R000025584
Scientific Title A Phase I/II study of systemic chemotherapy with Docetaxel, Oxaliplatin, and S-1 followed by surgery in locally advanced adenocarcinoma of the esophagogostric junction
Date of disclosure of the study information 2016/05/09
Last modified on 2022/05/10 09:12:49

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Basic information

Public title

A Phase I/II study of systemic chemotherapy with Docetaxel, Oxaliplatin,
and S-1 followed by surgery in locally advanced adenocarcinoma of the esophagogostric junction

Acronym

A study of systemic chemotherapy with DOS followed by surgery in advanced AEG

Scientific Title

A Phase I/II study of systemic chemotherapy with Docetaxel, Oxaliplatin,
and S-1 followed by surgery in locally advanced adenocarcinoma of the esophagogostric junction

Scientific Title:Acronym

A study of systemic chemotherapy with DOS followed by surgery in advanced AEG

Region

Japan


Condition

Condition

locally advanced adenocarcinoma of the esophagogastric junction

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Phase I part:To determine the recommended dose (RD) by estimating the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) of Docetaxel + Oxaliplatin + S1 (DOS) as a neoadjuvant chemotherpy for patients with locally advanced adenocaocinoma of the esophagogastric junction
Phase II part:To evaluate the safety and efficacy of neoadjuvant chemotherapy with DOS the dose of which was recommended by the phase I part

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Phase I:Occurrence rate of DLT at each dose level
Phase II:R0 resection rate

Key secondary outcomes

Phase I:Occurrence rate of adverse events
Phase II:3 year overall survival rate, 3 year relapse free survival rate, Completion rate of the protocol therapy, Response rate of neoadjuvant chemotherapy, Pathological responce of neoadjuvant chemotherapy, Rate of occurrence of adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Neoadjuvant chemotherapy with DOS followed by surgical resection

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) Pathologically proven adenocarcinoma by endoscopic biopsy
2) Tumor epicenter located within 5cm above or below the gastroesophageal junction determined by endoscopy or barium swallow
3) Clinical tumor depth of T3 or 4a determined by computed tomography and endoscopy
4) R0 resection or R1 resection solely by CY1 can be obtained
5) ECOG performance status of 0 or 1
6) No prior chemotherapy or radiotherapy for any cancer and no prior surgery for esophageal or gastric cancer
7) No severe organ dysfunction

Key exclusion criteria

1) Concurrent cancers
2) Pregnant or breast-feeding female. Male or female who wants to have children
3) Psychiatric disorders or severe psychiatric symptoms
4) Continuous use of systemic steroid
5) Positive for HBs antigen
6) Continuous use of flucytosine or phenytoin or warfarin
7) Severe drug allergy
8) Infectious disease or suspicion of infectious disease
9) Acute myocardial infarction within 6 months

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Naoki
Middle name
Last name Hiki

Organization

Kitasato University School of Medicine

Division name

Department of Upper Gastrointestinal Surgery

Zip code

2520374

Address

1-15-1 Sagamihara Kanagawa Japan

TEL

042-778-8111

Email

nhiki@med.kitasato-u.ac.jp


Public contact

Name of contact person

1st name Masahiro
Middle name
Last name Niihara

Organization

Kitasato University School of Medicine

Division name

Department of Upper Gastrointestinal Surgery

Zip code

2520374

Address

1-15-1 Sagamihara Kanagawa Japan

TEL

042-778-8111

Homepage URL


Email

mniihara@med.kitasato-u.ac.jp


Sponsor or person

Institute

Kitasato University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Self funding

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

Research Ethics Committee of the Kitasato University School of Medicine

Address

1-15-1 Kitasato, Sagamihara, Japan

Tel

0427788111

Email

rinrib@med.kitasato-u.ac.jp


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

2016 Year 05 Month 09 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

2016 Year 04 Month 25 Day

Date of IRB

2016 Year 04 Month 25 Day

Anticipated trial start date

2016 Year 05 Month 09 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 05 Month 05 Day

Last modified on

2022 Year 05 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025584


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name