Gastric cancer with peritoneal carcinomatosis or tumour positive cytology MedDRA version: 20.0 Level: HLT Classification code 10017812 Term: Gastric neoplasms malignant System Organ Class: 100000004856 MedDRA version: 21.0 Level: PT Classification code 10061269 Term: Malignant peritoneal neoplasm System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 21.1 Level: PT Classification code 10057647 Term: Cytoreductive surgery System Organ
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age = 18 years - cT3-cT4 adenocarcinoma (or undifferentiated carcinoma) of the stomach, considered to be resectable - Limited peritoneal carcinomatosis (PCI =65 years) yes F.1.3.1 Number of subjects for this age range 64
Exclusion criteria
Exclusion criteria: - Distant metastases or small bowel dissemination - Recurrent gastric cancer - Prior resection of the primary gastric tumour - Non-synchronous peritoneal carcinomatosis - Current other malignancy (other than cervix carcinoma and basalioma) - Hepatitis B or C, known HIV infection or an uncontrolled infectious disease - Recent myocardial infarction (< 6 months) or unstable angina - Uncontrolled diabetes mellitus - Pregnancy or breast feeding - Any medical condition that is considered to interfere with study procedures and/or would jeopardize safe treatment - Known hypersensitivity for any of the applied chemotherapeutic agents and/or their solvents
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary aim of this study is to compare the overall survival between gastric cancer patients with limited peritoneal carcinomatosis and/ or tumour positive peritoneal cytology treated with gastrectomy, cytoreductive surgery and HIPEC and those treated with the current standard treatment, i.e. systemic palliative chemotherapy.;Secondary Objective: - To compare the progression free survival between gastric cancer patients with limited peritoneal carcinomatosis and/ or tumour positive peritoneal cytology treated with gastrectomy, cytoreductive surgery and HIPEC and those treated with the current standard treatment, i.e. palliative systemic chemotherapy. - To study treatment-related toxicity in gastric cancer patients with limited peritoneal carcinomatosis and/ or tumour positive peritoneal cytology treated with gastrectomy, cytoreductive surgery and HIPEC. - To compare the costs and health benefits of a gastrectomy in combination with cytoreductive surgery and HIPEC, to the costs and health benefits of standard palliative systemic chemotherapy in patients with limited peritoneal carcinomatosis and/ or tumour positive peritoneal cytology. - To identify genetic profiles related to tumour response in gastric cancer patients with limited peritoneal carcinomatosis and/ or tumour positive peritoneal cytology. (Optional);Primary end point(s): Overall survival;Timepoint(s) of evaluation of this end point: Overall survival will be calculated when 80 deaths are observed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Progression free survival - Treatment-related toxicity - Costs and resource use - Quality of life, utilities - Genetic profiles related to tumour response (optional);Timepoint(s) of evaluation of this end point: 4 years | — |
Countries
Denmark, Finland, Netherlands
Contacts
NKI-AVL