unresectable, locally recurrent or remnant gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients underwent gastrectomy for histologically proven adenocarcinoma of the stomach 2) Unresectable, locally recurrent or remnant gastric cancer of left upper abdomen with invasion to the small intestine or local pain 3) Eastern Clinical Oncology Group (ECOG) performance status of 0-1 4) Prior chemotherapy within 1 regimen except adjuvant chemotherapy or neo-adjuvant chemotherapy 5) No prior chemotherapy of paclitaxel plus cisplatin, or no administration of cisplatin >= 240mg/m2 6) Prior chemotherapy completed 3 weeks before entry 7) No prior radiation therapy to the local area 8) Life expectancy more than 2 months 9) Adequate bone marrow function; white blood cell [WBC] count between 4000/ml and 10000/ml neutrophil count >=2000/ml platelet count >=100000/ml hemoglobin >= 8.0 g/dl GOT and GPT < 100U/l serum bilirubin level < 2.0 mg/dl serum creatinine level < 1.5 mg/dl normal electrocardiogram (ECG) 10) No other active malignancy 11) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Local tumor is not identified by computerized tomography (CT), endoscope or gastrointestinal examination 2) Other severe medical conditions 3) Patients need treatments for bowel obstruction or bleeding 4) Obvious infection or acute inflammatory condition 5) Allergy to drugs containing Cremophor EL (including cyclosporin) 6) Brain metastases with clinical symptom 7) Women who is pregnant, lactating or have the possibility of pregnancy 8) Patients who is judged inappropriate by lead principal investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recommended dose | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Dose-limiting toxicities 2) Maximum-tolerated dose 3) The improved rate of bowel stenosis 4) The improved rate of pain relief 5) Overall survival | — |
Countries
Japan
Contacts
St.Marianna University School of Medicine Hospital The Department of Gastrointestinal Surgery