Patients with unresectable gastric cancer due to limited inavasion or metastasis.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with unresectable advanced gastric cancer due to limited inavasion or metastasis 2) cP0, CY0, cH0, cM0, and cT4, cN1, or cT2-4, cN2, cM1 (LYM) *cM1(LYM): distant lymph nodes in the abdomen which can be removed 3) biopsy by endoscopy showed gastric cancer, histologically 4) without prior chemotherapy 5) with measurable metastatic lymph nodes in RECIST criteria Measurable lesions: lesions larger than 10mm in spiral CT, or 20mm in common CT 6) without liver metastasis and/or peritoneal metastasis by abdominal echo, CT or laparoscopy. 7) without distant metastasis by blood examination, or chest X-ray, Without mediastinal lymph node metastasis by chast X-ray 8) age: =>20 and 75=> 9) Performance Status: 0-1 (ECOG criteria) 10) sufficient function of important organs O WBC: >= 4,000 and =< 12,000/mm3 O Hb >=8.0g/dl O Platelet: >= 100,000/mm3 O sGOT,sGPT: <100 IU/l O sT.bil.: <= 1.5 mg/dl O sCreatinin: <= 1.2mg/dl O respiratory function: PaO2 in room air >=70 torr 11) written informed consent
Exclusion criteria
Exclusion criteria: 1) Under fresh bleeding from digestive tract 2) Patient who cannot take anticancer medicine orally due to gastrointestinal stenosis. 3) Type 4 gastric cancer 4) history of severe allergy against drug 5) under watery diarrhea 6) with sever disease on important organs (Infection, interstitial pneumonitis, pulmonary fibrosis, cardiac disease, renal dysfunction, liver dysfunction, DM controlled by insulin) 7) double cancer without carcinoma in citu 8) pregnant women or women who like to be pregnant 9) doctor' s dicision not to be registered to this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response Rate(RECIST), probability on completion | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall Survival, Resectability, Recurrence Mode | — |
Countries
Japan
Contacts
Sakai City Hospital Director