Gastric Cancer
Conditions
Keywords
gastric cancer, 5-fluorouracil, irinotecan, cisplatin, S-1, advanced or recurrent gastric cancer
Brief summary
To investigate the superiority of a combination of irinotecan and cisplatin and the non-inferiority of S-1 compared to continuous infusion of 5-FU in advanced gastric cancer
Detailed description
From the results of our previous phase III study (JCOG9205), continuous infusion of 5-fluorouracil has remained to be a control arm of this study. This study investigates the superiority of a combination of irinotecan plus cisplatin and non-inferiority of S-1, a oral fluoropyrimidine, compared to continuous infusion of 5-fluorouracil at the point of overall survival, and the planned number of enrolled patients is 690 (230/arm).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. unresectable or recurrent histologically proved gastric cancer 2. adequate oral intake 3. age 20 or older and 75 or younger 4. Performance Status (ECOG):0, 1, 2 5. measurable or unmeasurable lesions 6. preserved organ functions 7. no severe medical condition 8. no prior chemotherapy for gastric cancer 9. written informed consent
Exclusion criteria
1. patient with marked infection or inflammation 2. patient with severe peritoneal metastasis 3. patient with massive pleural effusion 4. patient with metastasis to CNS 5. patient with diarrhea 4 or more times per day 6. patient severe medical condition 7. patient with other concurrent malignancy affecting on survival or adverse events 8. pregnant or nursing patient or with intent to bear baby 9. patient evaluated to be inadequate by a attending doctor 10. patient requiring nutritional support
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival | — |
Secondary
| Measure | Time frame |
|---|---|
| time to treatment failure | — |
| incidences of adverse events | — |
| response rate | — |
| non-hospitalized survival | — |
Countries
Japan