advanced diffuse-type gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >=18 years old; 2. histologically confirmed unresectable locally advanced or metastatic diffuse-type adenocarcinoma of the stomach or gastroesophageal junction; 3. Life expectancy>=3 months; 4. Performance status (ECOG scale): 0-2; 5. No less than one measurable lesion according to Response Evaluation Criteria in Solid Tumors(RECIST) criteria, version 1.1; 6. No Prior systemic therapy; 7.(Neo)adjuvant chemotherapy, if given,was permitted if completed >=6 months without paclitaxel, S-1 and oxaliplatin or >=12 months with paclitaxel, S-1 or oxaliplatin before randomization assignment; 8. Patients with adequate bone marrow, hepatic, and renal function as the following: absolute neutrophil count (ANC) >= 1,500/mm3, platelet count >=80,000/mm3, hemoglobin >8 g/dL; total bilirubin<= 2.5 times upper limit of reference ranges (ULRR); AST and ALT <=2.5 times ULRR (<=5 times ULRR if liver metastases); alkaline phosphatase<= 2.5 times ULRR (<= 10 times ULRR if bone metastases); serum creatinine<=1.5 times ULRR; 9. Patients should sign a written informed consent before study entry.
Exclusion criteria
Exclusion criteria: 1. Patients with known sensitivity to paclitaxel, S-1 or oxaliplatin; 2. Patients with obvious unusual hemoglutination mechanism,active bleeding or bleeding tendency; 3. Other prior malignancyexcept adequately treated basal cell or carcinoma in situ of the cervix; 4. Presence of CNS metastasis; 5. No other lesion except bone metastases, malignant hydrothorax or ascites; 6. Patients with uncontrolled systemic disease, acute infection or myocardial infarction <=3 months; 7. Pregnant or lactating woman; 8. Unsuitable patients judged by investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PF; | — |
Secondary
| Measure | Time frame |
|---|---|
| os;OR; | — |
Countries
China