Advanced or recurrent gastric cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Select patients who meet the following eligibility criteria A, obtain written informed consent, and then register primarily. After primary registration, select patients who meet eligibility criterion B and formally register. Eligibility Criteria A (at primary registration) 1)This is a case of unresectable or recurrent gastric cancer histologically confirmed to be the primary adenocarcinoma of the stomach. Carcinoma of the esophagogastric junction, in which the tumor center is within 2 cm from the gastroesophageal junction, is tolerated. 2)Patients being treated with nivolumab 3)Prior treatment for advanced or recurrent gastric cancer includes all of the following. (a)Refractory/intolerant to combination therapy with fluorinated pyrimidine anticancer drugs (e.g., 5-FU, S-1, capecitabine, UFT) and platinum anticancer drugs (cisplatin or oxaliplatin). (b)Resistance or intolerance to taxanes. (c)The use of trastuzumab or ramucirumab is no object. 4)Patients who have been fully informed of this study and have given written informed consent Eligibility Criteria B (at formal registration) 1)Patients refractory or intolerant to nivolumab therapy 2)Patients who are scheduled to receive cytotoxic chemotherapy, such as irinotecan therapy, for treatment of refractory or intolerant to nivolumab. *Acceptable regimens include: irinotecan monotherapy (with or without ramucirumab or trastuzumab) or oxaliplatin combination regimens (with SOX, XELOX, or FOLFOX) for patients refractory or intolerant to cisplatin 3)Cases with Performance Status (PS) of 0-2 in ECOG 4)Patients with evaluable lesions according to RECIST(ver1.1)
Exclusion criteria
Exclusion criteria: 1)Patients for whom the attending physician considered enrollment in the study inappropriate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival of chemotherapy after nivolumab therapy | — |
Countries
Japan
Contacts
Aichi Cancer Center Central Hospital Department of Pharmacotherapy