Gastric Cancer
Conditions
Keywords
Gastric Cancer, Radiotherapy, palliation, bleeding, pain, obstruction
Brief summary
The hypothesis of this study is that a radiotherapy dose of 36Gy in 12 fractions, which equates to a BED of 48.6Gy, increases the response rates of symptom relief compared to historical controls.
Detailed description
The hypothesis of this study is that a radiotherapy dose of 36Gy in 12 fractions, which equates to a BED of 48.6Gy, increases the response rates of symptom relief compared to historical controls. (Tey et al.) With this dose fractionation is used for bleeding, there is an increase in response rates from 55%(historical) to 75%for pain, there is an increase in response rates from 25% (historical) to 45% for obstruction, there is an increase in response rates from 25% (historical) to 45%
Interventions
Palliative Radiotherapy to a total dose of 36Gy in 12 fractions
Sponsors
Study design
Eligibility
Inclusion criteria
* Biopsy proven adenocarcinoma of the stomach * Treated with palliative intent * At least one index symptom such as bleeding, obstruction or pain * No prior abdominal radiotherapy * Not on chemotherapy
Exclusion criteria
* Patients treated with radical intent * Previous abdominal radiotherapy * Patients on chemotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Response of bleeding to radiotherapy | At the 12th fraction of radiotherapy and at one month post radiotherapy | Percentage of patients who do not require blood transfusion after radiotherapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who develop anorexia, nausea, vomiting as per common toxicity criteria v3.0 | within the first 14 days from start of radiotherapy | Toxicity |
Countries
Singapore