Gastric adenocarcinoma MedDRA version: 19.1 Level: LLT Classification code 10017770 Term: Gastric carcinoma System Organ Class: 100000004864
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -18 3,500/mm3, neutrophils = 1,500/mm3, platelets = 100,000/mm3 - Good renal functions, serum creatinine values being =65 years) yes F.1.3.1 Number of subjects for this age range 100
Exclusion criteria
Exclusion criteria: - Prior malignant tumors with detectable signs of recurrence - Gastric stump adenocarcinoma - Presence of comorbidities, notably serious chronic diseases or organ failure - Any subject in exclusion period of a previous study according to applicable regulations - Pregnancy or breastfeeding - Females of childbearing age potential not using medically accepted contraceptive measures, as judged by the investigator Interfering substance - Contraindication to any drug contained in the chemotherapy regimen - Life threatening toxicity before surgery - Distant metastases (liver, lung. ovaries, etc) - Tumoral infiltration of the head or body of the pancreas - Patients presenting an adenocarcinoma of the cardia Siewert I or II - Existence of macroscopic peritoneal implants - Patients with clinically significant ascites (> 500 cc) even if cytology is negative for cancer cells, in the absence of other non-malignant causes of ascites
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Compare overall 5-year survival rates in patients surgically treated for advanced gastric adenocarcinoma (T3, T4 and/or N+ and/or with positive cytology), treated either with curative gastrectomy and adjuvant Hyperthermic Intraperitoneal Chemotherapy (HIPEC) (Arm A), or with curative gastrectomy alone (Arm B).;Secondary Objective: - Compare 3-year and 5-year recurrence-free survival; - Study the incidence of locoregional recurrence and compare locoregional recurrence-free 5-year survival; - Assess and compare treatment-related toxicity (Common Terminology Criteria for Adverse Events v4.0); - Compare sites of recurrence; - Identify prognostic factors of overall 5-year survival and recurrence-free 5-year survival; - Compare patients’ quality of life at preoperative time, M3, M6 and M12 and changes of quality of life. ;Primary end point(s): Overall survival ;Timepoint(s) of evaluation of this end point: 5 years (end of follow-up) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1) Recurrence-free survivals (peritoneal recurrence, locoregional recurrence, metastatic recurrence, site of recurrence ) 2) Treatment-related toxicity 3) Treatment-related mortality 4) Treatment related morbidity 5) Quality of life;Timepoint(s) of evaluation of this end point: 1) 3 years and 5 years 2) During the 60th postoperative days 3) During the 60th postoperative days 4) During the 60th postoperative days 5) At preoperative time, M3, M6 and M12 postoperative | — |
Countries
France, Spain
Contacts
Hospices Civils de Lyon