Gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients with clinical stage IA gastric cancer (2) The size of tumor fulfilled any condition shown below, confirmed by EGD performed within 28 days before the photodynamic therapy (A) The size of tumor was 1-3 centimeter diameter without ulceration (B) The size of tumor was less than 2 centimeter with ulceration (3) The whole tumor can be observed and can be irradiated stably (4) No lymph node metastasis evaluated by CT performed within 28 days before the photodynamic therapy (5) Patients cannot undergo surgery or endoscopic resection (6) Patients whom a written consent can be obtained
Exclusion criteria
Exclusion criteria: (1) Patients having active multiple cancers except gastric cancer (2) Patients who cannot undergo EGD safely (A) Patients in the shock state (B) Patients with disseminated intravascular coagulation (C) Patients with desaturation (SpO2 < 90%) even under oxygen administration (D) Patients with thrombocytopenia (< 10000 / micro-liter) (E) Performance status 4 (F) Patients with heart failure (NYHA class IV) (G) Patients with angina pectoris (CSS grade IV) (H) Patients with severe valvular disease of heart (I) Patients with pulmonary hypertension (WHO classification group 4) (J) Patients with ventilatory impairment (both FEV1.0% and %VC < 60%) (K) Patients with severe bronchial asthma (L) Patients with coagulopathy (PT-INR > 3.0) (3) Patients who cannot tolerate shading (4) Patients with porphyria (5) Patients with photosensitivity (6) Patients had PDT therapy previously (7) Patients in pregnancy (8) Nursing patients (9) Patients with severe liver failure (Child-Pugh classification class C) (10) Patients enrolling another clinical trial or within 3 months after the completion of enrollment of another clinical trial (11) Patients who were not suitable for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To decide maximum tolerated dose of irradiation fluence (50, 75 or 100 J/cm2) to evaluate dose limited toxicity | — |
Countries
Japan
Contacts
Gunma University Hospital Division of Gastroenterology and Hepatology