advanced / reccurent gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically proven adenocarcinoma of the advanced or recurrent gastric cancer 2. HER2 negative (or untested) 3. With measurable disease (RECIST v1.1) 4. No prior chemotherapy or radiation therapy (in case of previous adjuvant therapy, interval from end of chemotherapy and relapse must be >6 months for S-1 therapy) 5. age >=20 years 6. ECOG PS 0 or 1 7. Ingestible 8. Hematological status: neutrophils (ANC)>=1.5x109/L; platelets >=100x109/L; haemoglobin >=8g/dL, Adequate renal function: serum creatinine level >=1.2mg/dl,Ccr >=60mL/min, Adequate liver function: serum bilirubin <=2.0 x upper normal limit (ULN), AST/ALT<=100 U/L 9. Expected life span >= 3 months 10.Signed and dated informed consent
Exclusion criteria
Exclusion criteria: 1. History of hypersensitivity to nab-paclitaxel, oxaliplatin, S-1 2. Contraindication to nab-paclitaxel, oxaliplatin, S-1 3. Infectious disease 4. HBs-antigen positive 5. Severe complication 6. Neuropathy with symptoms 7. Brain metastasis with clinical symptoms 8. Watery diarea. 9. Active double cancer 10. Persons to be pregnant or to make pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| phase 1: MTD, RD | — |
Secondary
| Measure | Time frame |
|---|---|
| phase 1: response rate, adverse events, pharmacokinetics phase 2: safety, progression free survival, duration of disease control, overall survival, time to treatment failure, expression of SPARC | — |
Countries
Japan
Contacts
Hokkaido University Hospital Department of Gastoenterology and Hepatology