gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. aged 18-75 years male an female; 2. adenocarcinoma of the Stomach or Gastroesophageal Junction confirmed by pathology with measurable lesions(CT scan long diameter of tumor=10mm, as RECIST 1.1 standard requirements; 3. Patients with adenocarcinoma of the Stomach or Gastroesophageal Junction which has already Inoperable, locally advanced recurrence or metastasis; 4. ECOG 0-2; 5. The main organ function is normal, and meet the following standards: the standard of blood routine examination should be consistent (patients has not using blood transfusion in 14 days); HB=80g/L; ANC =1.5×10^9/L; PLT =80×10^9/L; Biochemical tests: BIL=1.5ULN; ALT and AST=2.5×ULN, ALT and AST=5×ULN for liver metastasis patients; Serum Cr=1×ULN or creatinine clearance =50ml/min (Cockcroft-Gault); 6. Estimated survival time=3 mouths; 7. Surgery was performed more than 4 weeks ago and the wound was completely healed; 8. Fertile woman must perform a pregnancy test (serum or urine) 7 days before screened, or voluntarily adopt proper methods of contraception during the observation period and 8 weeks after the last given Apatinib. For male, surgical sterilization should be performed, or voluntarily adopt proper methods of contraception during the observation period and 8 weeks after the last given Apatinib; 9. Signed informed consent.
Exclusion criteria
Exclusion criteria: 1. High blood pressure and failure to be reduced to normal range by antihypertensive drugs( Systolic pressure>140mmHg, Diastolic pressure >90mmHg), II class cardiac insufficiency; 2. Patients with severe primary diseases of heart, kidney and hematopoietic system 3.There are many factors affecting oral drug absorption(as unable to swallow, nausea and vomiting, chronic diarrhea and ?intestinal obstruction etc.) 4. Patients with high risk of gastrointestinal bleeding judged by researchers 5. Coagulopathy (INR>1.5×ULN APTT>1.5×ULN),with bleeding tendency; 6. Pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression Free Surivical; | — |
Secondary
| Measure | Time frame |
|---|---|
| Disease Control Rate;Overall Surivival;Objective Remission Rate;R0 Resection Rate;safety; | — |
Countries
China