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A randomized phase III trial of postoperative adjuvant oral fluoropyrimidine vs. sequential paclitaxel / oral fluoropyrimidine; and UFT vs. S1 for T3 / T4 gastric carcinoma: the Stomach Cancer Adjuvant Multi-institutional Trial Group (SAMIT) Trial

A randomized phase III trial of postoperative adjuvant oral fluoropyrimidine vs. sequential paclitaxel / oral fluoropyrimidine; and UFT vs. S1 for T3 / T4 gastric carcinoma: the Stomach Cancer Adjuvant Multi-institutional Trial Group (SAMIT) Trial - Phase III trial of postoperative adjuvant oral fluoropyrimidine (UFT or S1) vs. sequential paclitaxel (Factorial Design)for T3/4 gastric carcinoma: the SAMIT Trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-C000000082
Enrollment
1480
Registered
2005-09-01
Start date
2004-08-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric Cancer

Interventions

UFT alone UFT 267 mg/m2/day daily for 4 weeks, every 4 weeks x6 S1 alone(control) S1 80 mg/m2/day daily for 2 weeks, every 3 weeks x8 Paclitaxel- UFT sequential Paclitaxel 80 mg/m2 Day 1, 8 for the
14 day interval UFT 267 mg/m2/day daily for 4 weeks, every 4 weeks x3 Paclitaxel- TS-1 sequential Paclitaxel 80 mg/m2 Day 1, 8 for the first 3 weeks, Day 1, 8, 15 every 4 weeks
14 day interval S1 80 mg/m2/day daily for 2 weeks, every 3 weeks x4

Sponsors

Young Leaders' Program (YLP), Nagoya University School of Medicine
Lead Sponsor
EBM Cooperative Research Center, Kyoto University
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Histologically proven adenocarcinoma of the stomach Clinical and surgical findings of T3 or T4, N0-2, P0, M0 Underwent D2, D1 + #7 or D1 + #7-8 gastrectomy (R0 or R1) No prior chemotherapy or radiotherapy Age ranging between 20 and 80 Preoperative ECOG performance status 0-1 Sufficient organ functions before chemotherapy Able to start chemotherapy between 14 and 56 days after surgery Without synchronous or metachronous cancer (synchronous multiple cancers in the stomach included) Written informed consent. Recovered from or no operative complications Oral food intake possible Laboratory data WBC >/= 3,000 /mm3 and </=12,000 /mm3 neutrocytes >/=1,500 / mm3 Platelets >/=100,000 /mm3 hemoglobin >/=8.0 g/dL Albumin >/=3.0 g/dL; GOT </=100 IU; GPT </=100 IU Bilirubin </=1.5 mg/dL Creatinine </=1.5 mg/dL

Exclusion criteria

Exclusion criteria: Serious complications including ischemic heart disease and arrhythmia which require treatment History of myocardial infarction in 6 months Liver disease under treatment Pneumonitis or lung fibrosis in need for oxygen therapy Gastrointestinal bleeding in need for repeated blood transfusion Psychological disease which require treatment Diabetes mellitus under treatment Bowel obstruction or ileus Medical history of allergy or hypersensitivity to any drugs Hypersensitivity to Cremophor EL Acute inflammation Pregnancy Synchronous malignancies that may affect survival or adverse events Patients judged inappropriate for the study by the physicians

Design outcomes

Primary

MeasureTime frame
Disease- free survival

Secondary

MeasureTime frame
Incidence of adverse events, overall survival and proportion of patients who completed the protocol treatment.

Countries

Japan

Contacts

Public ContactYumi Miyashita

Epidemiological and Clinical Research Information Network (ECRIN) Aichi Devision

miya@ecrin.or.jp0564-66-1220

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026