Advanced gastric cancer with with neoadjuvant chemotherapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Histologically proven gastric carcinoma (including esophago-gastric junctional cancer) (2)Prior treatment of chemotherapy for gastric cancer (3)R0 resection or R1 resection solely by CY1 can be obtained (4)Aged 20 to 79 years (5) Eastern Cooperative Oncology Group (ECOG) PS of 0-2 (6) No obvious organ failures and satisfy the following laboratory data within 30 days before registration: WBC >=2,000/mm3 WBC<15,000/mm3 Platelet >= 50,000/mm3 Hb >= 8.0 g/dL AST <= local reference range 5 ALT <= local reference range 5 T.Bil <= 3.0 mg/dL Creatinin <= 2.0 mg/dL (7)Provided written informed consent
Exclusion criteria
Exclusion criteria: (1)Active infection disease (2)Over 38.0 degree Celsius (3)Severe mental disease. (4)Continuous systemic steroid therapy. (5)History of myocardial infarction or unstable angina pectoris within six months. (6)Uncontrollable hypertension. (7)Uncontrollable diabetes millutus or administration of insulin. (8)Severe respiratory disease requiring continuous oxygen therapy. (9)Kidney failure requiring hemodialysis or peritoneal dialysis (10)Patients who are currently participating in an interventional study that strongly influences this study. (11)Other unfeasible factors to perform study safely approved by attending surgeon.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Grade 3 or higher surgical complications (Clavien-Dindo Classification) | — |
Secondary
| Measure | Time frame |
|---|---|
| All surgical complications (Clavien-Dindo Classification), recurrence-free survival,over all survival, proportion of conversion to open surgery,number of retrieved lymph node, postoperative hospital stay, completion rate of adjuvant chemotherapy, | — |
Countries
Japan
Contacts
Osaka University School of Medicine Gastroenterological Surgery