advanced or recurrent gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histopathological confirmation of Adenocarcinoma 2) Unresectable or recurrent gastric cancer 3) Previously-treated patient 4) HER2-positive tumor 5) Age 20 6) ECOG performance status of 0 to 2 7) Adequate organ function as follows: 1.Neu : >= 1,500 /mm3 2.Platelet : >= 100,000 /mm3 3.hemoglobin : >= 9.0 g/dL 4.AST, ALT : < 100 IU/L 5.St.bil : < 1.5 mg/dL 6.Serum creati : <= 1.2 mg/dL 7.Ccr : >= 60 ml/min 8) Ejection fraction more than 50% by ultrasound or MUGA 9) Normal electrocardiogram which was performed within 21 days 10) Sufficient oral intake 11) Expected more than 3 months survival 12) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Prior chemotherapy of TS-1 2) With severe allergy to TS-1 and Trastuzumab 3) Women in pregnancy, at risk of pregnancy, hoping to become pregnant. Men who want their partners to become pregnant. 4) Active infection and inflammation. 5) History of cardiac disease 6) Patients with Severe complications 7) Patients with resting dyspnea 8) Patients with gastrointestinal ulceration and bleed 9) Patients with diarrhea (4 or more times per day or watery diarrhea). 10) Massive pleural or abdominal effusion 11) Patients with metastasis to CNS 12) synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ 13) Patients under treatment with flucytosine, phenytoin or warfarin potassium 14) Patients who are received systemic administration of corticosteroid. 15) Other patients who are unfit for the study as determined by the attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| treatment completion ratio | — |
Secondary
| Measure | Time frame |
|---|---|
| respons rete, progression-free survival, overall survival, time to treatment failure, Safety | — |
Countries
Japan
Contacts
Osaka medical center for cancer and cardiovascular diseases Department of Clinical Oncology