Advanced Gastric Cancer
Conditions
Brief summary
To confirm the efficacy and safety of XELOX with capecitabine maintenance in treatment of advanced gastric cancer (AGC)
Interventions
Before randomization,all enrolled patients underwent 3 cycles XELOX chemotheray. After patients' disease achieved CR\\PR\\SD,then randomized into this clinical trial.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years old * male or female * Patients with stage IV gastric cancer by pathology or cytology and imaging diagnosis , or after previous surgery or radiotherapy or chemotherapy in patients with stage IV gastric cancer progression , there RECIST criteria evaluable lesions ; * ECOG performance status score 0-2 ; * Expected survival time more than three months ; * Adequate hematologic parameters and liver and kidney function ; * Bone marrow : absolute neutrophil count (ANC) ≥ 1.5 × 109 / L, platelets ≥ 75 × 109 / L, hemoglobin ≥ 80g / L; * Liver: bilirubin ≤ 1.5 times the upper limit of normal , ALT AST values ≤ 2.5 times the upper limit of normal ; * Renal : serum creatinine ≤ ULN ; * Informed consent of patients or their agents , and signed informed consent.
Exclusion criteria
* For patients allergic to capecitabine ; * Patients with CNS metastases * Undermine the integrity of the upper gastrointestinal tract , malabsorption syndrome , or unable to take oral medication ; * Patients with coronary heart disease , angina , myocardial infarction , arrhythmia, cerebral thrombosis, stroke and other serious cardiovascular and cerebrovascular disease ; * Or in combination with other anti-tumor therapy in patients participating in clinical trials of other interventions ; * Pregnancy or breast-feeding patients , or fertility without taking adequate contraceptive measures were ; * The researchers believe that this test is not suitable for those who participate .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression Free Survival (PFS) | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months |
Secondary
| Measure | Time frame |
|---|---|
| overall survival (OS) | from the date of randomization until death from any cause or up to 1 year |
| adverse events (AE) | from date of randomization to 28 days after the last chemo dosage |
| health-related quality of life (HRQOL | evaluate every 6 weeks from the date of randomization until 28 days after the last chemo dosage |