Digestive System Neoplasms, Gastric Cancer, Gastrointestinal Diseases, Gastrointestinal Neoplasms, Neoplasms
Conditions
Keywords
Gastric cancer, D-CIK, Autologous tumor lysate
Brief summary
The purpose of this study is to evaluate the safety and efficacy of chemotherapy combined with autologous tumor Lysate-pulsed dendritic with cytokine-induced killer cell (Ag-D-CIK) for gastric cancer.
Detailed description
40 patients with stage Ⅰ~Ⅲ Gastric Cancer,who had received surgery and kept their tumor tissue,will be randomly divided into group A(receive Ag-D-CIK treatment and chemotherapy) or group B(just receive chemotherapy),and the randomize ratio will be 1:1. Patients in group A will receive 3 cycles of Ag-D-CIK treatment (every 1 months) and 4 cycles of chemotherapy (every 2 weeks).Patients in group B will receive only 4 cycles chemotherapy(every 2 weeks).
Interventions
Oxaliplatin 85mg/m2 IV over 2 hours, day 1; Leucovorin 400mg/m2 IV over 2 hours, day 1; 5-FU 400mg/m2 IV bolus on day 1, then 1200mg/m2/day for 2 days IV continuous infusion; Repeat every 2 weeks.
8×10\^9 autologous tumor lysate pulsed D-CIK cells for each infusion, IV (in the vein) for 3 cycles, each cycle received four infusions on day 14, 16, 30 and 32.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who can accept curative operations * 18\ 80 years old * Histologically confirmed with gastric cancer at stage Ⅰ\ Ⅲ * Patients who can accept radical gastrectomy; * Eastern Cooperative Oncology Group (ECOG) performance status was 0 - 1.
Exclusion criteria
* Hemoglobin\<8.0 g/dL,White blood cell \<3 x 10\^9/L;Platelet count \<75 x 10\^9/L; ALT, AST, BUN and Cr more than normal limits on 3.0 times * Known or suspected allergy to the investigational agent or any agent given in association with this trial * Pregnant or lactating patients * Known history of Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV) or TreponemaPallidun (TP) infection * Patients who are suffering from serious autoimmune disease * Patients who had used long time or are using immunosuppressant * Patients who had active infection * Patients who are suffering from serious organ dysfunction * Patients who are suffering from other cancer * Other situations that the researchers considered unsuitable for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progress-free survival | 3 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 3 years | — |
| Quality of life (QOL) | 3 years | — |
| Phenotypic analysis of T cells | 1 years | The number of CD3+ (or CD8+ or CD4+ or CD56+) T cell |
| Severity of adverse events | 1 years | According to National Cancer Institute Common Terminology Criteria for Adverse Events(NCI-CTCAE) |
Countries
China