advanced gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Written informed consent 2. Histologically or cytologically confirmed adenocarcinoma of the stomach 3. T2N1-3M0 in type IV or T3-4 N0-3 M0 in any types 4. Curative resection possible by image diagnosis 5. Measurable lesions according to RECIST guidelines. 6. No prior therapy including surgery, radiotherapy or chemotherapy for current disease. 7. No obvious hemorrhage or obstruction 8. Adequate cardiac, hepatic, renal, respiratory, and bone marrow functions. Hb _ 9.0 g/dL WBC 4.0_1.2 x 109/L, ANC _ 2.0 x 109/L Platelets _ 100 x 109/L AST (SGOT) and ALT (SGPT) _ 100 U/I Total bilirubin _ 1.5mg/dL Serum creatinine _ UNL Creatinine clearance _ 60mL/min 9. ECOG performance status 0-1 10. Life expectancy over 3 months 11. Age _20 and <75 years old 12. Patients who can take medicine orally
Exclusion criteria
Exclusion criteria: 1. A history of hypersensitivity reaction to drugs formulated with polysorbate 80. 2. Patients contraindicated to docetaxel, cisplatin, S-1, or G-CSF. 3. Documented or suspected infection. 4. Uncontrolled medical conditions (e.g., malignant hypertension, congestive heart failure, myocardial infarction in previous 3 months, arrhythmia requiring treatment, diabetes, interstitial pneumonia, pulmonary fibrosis). 5. Grade 2 or greater peripheral neuropathy. 6. Patients with brain metastasis 7. Patients with diarrhea. 8. Active concomitant malignancy. 9. Pregnant or lactating women and women of child bearing potential not using contraception. 10. Men with partner willing to get pregnant 11. Patients judged by the investigator as unfit to be enrolled in the study. 12. Patients already enrolled in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete resection rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Response rate Pathological response PFS, MST, 1-year survival, 3-year survival Toxicity | — |
Countries
Japan
Contacts
Sapporo Medical University Dept. of Internal Medicine(4)