Gastric Cancer
Conditions
Keywords
advanced gastric adenocarcinoma, docetaxel, oxaliplatin, capecitabine, intermediate general status
Brief summary
The purpose of the study is to determine efficacy and safety of combination therapy with adjusted-dose docetaxel-oxaliplatin-capecitabine in patients with advanced gastric adenocarcinoma and intermediate general status.(defined as ECOG 2 or weight loss 10-25% or older that 70 years and no comorbidities nor functional dependency nor geriatric syndrome)
Interventions
* Docetaxel 40 mg/m2, iv infusion 60 minutes, day 1 * Oxaliplatin 80 mg/m2, iv infusion 120 minutes, day 1 * Capecitabine 625 mg/m2, bid, oral, continuous 6 cycles, every 3 weeks Capecitabine will be given same dose (625mg/m2/bid) continuous in case no toxicity (no dose adjustment)
Sponsors
Study design
Eligibility
Inclusion criteria
1. informed consent signed 2. Histological or cytological adenocarcinoma confirmation carcinoma on the esophago-gastric union or stomach (type I, II and III Siervent) metastatic or relapsed 3. measurable disease (following RECIST criteria) 4. older or equal 70 years old 5. Intermediate general status defined as at least one of the following characteristics: performance status (ECOG) = 2, weight loss ponderada between 10 and 25% in the last 3 months 6. life expectancy superior to 12 weeks 7. adequate hematological function: Neutrophils ≥1.50x109, platelets ≥100x109, Hemoglobin ≥10 g/dl 8. adequate liver function: Liver function (total bilirubine \< 2 NV; GOT y GPT \<3 NV (\< 5 NV in case of liver metastasis; Alkaline phosphatase \<3 NV )) 9. Adequate renal function: renal function (Creatinine clearance \> 50mL/min), based on Cockroff - Gault. In case Creatinine clearance is \< 50 ml/min, a test in urine will be done in 24 hours and if the value is \> 50 ml/min, the patient could be eligible for the study 10. Potential fertile women negative pregnancy test in serum or urine, 10 days prior the first study dose given 11. Use an adequate contraceptive method (postmenopausal women should be amenorrheic at least 12 months previous the study to be considered as not potentially fertile (VN:upper limit on normal laboratory values)
Exclusion criteria
1. non measurable lesion as only disease evidence 2. previous chemotherapy treatment for advance disease. It wont´t be consider as
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| objective response rate | 2008-2011 |
Secondary
| Measure | Time frame |
|---|---|
| adverse events | 2008-2011 |
| Progression free survival (PFS), time to treatment failure (TTF), overall survival and dose intensity | 2008-2011 |
Countries
Spain