Gastric Cancer
Conditions
Keywords
Gastric cancer, First-line chemotherapy, Biomarker
Brief summary
This prospective cohort study aims to observe the efficacy and safety of the first-line combined chemotherapy for advanced gastric cancer(AGC) in Chinese population.
Detailed description
1. Establish a clinical database for the advanced gastric cancer patients treated with first-line combined chemotherapy in Tongji hospital. 1.1.Data including age, gender, smoking state, karnofsky performance score(KPS), disease history, clinical stage, primary tumor site, metastasis site, surgery, first-line chemotherapy, therapy after failure of first-line treatment, radiotherapy, toxicity, survival time, the time of free of progress, response were collected. 1.2.The peripheral blood samples were collected for further biomarker reserch. 2. Kaplan-Meier and Cox model will be used to analyze the overall survival(OS) and progression-free survival(PFS) of advanced gastric cancer. 3. Extract Deoxyribonucleic acid(DNA) from the the peripheral blood and research biomarkers related to the first-line combined chemotherapy for AGC.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Histopathology or cytopathology proven gastric cancer or gastroesophageal adenocarcinoma; 2. Unresectable locally advanced, or recurrent, or metastasis disease; 3. Chemotherapy-naive or disease progress at least 6 months after adjuvant chemotherapy completed. 4. Life expectancy of at least 3 months; 5. ECOG score 0-2; 6. Voluntarily signed the informed consent.
Exclusion criteria
1. Previously treated with first-line chemotherapy; 2. First-line chemotherapy with single drug.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival(OS) . overall survival Overall survival(OS) | From date of enrollment until the date of death from any cause, assessed up to 60 months |
Secondary
| Measure | Time frame |
|---|---|
| Progression-free survival(PFS) | From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 months |
| Objective response rate(ORR) | The sum of complete remission (CR) rate and partial remission (PR) rate. Response will be measured through first-line treatment completion, up to 1 year |
| Disease control rate(DCR) | The sum of CR rate, PR rate and stable disease(SD) rate. Response will be measured through first-line treatment completion, up to 1 year |
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | Through first-line treatment completion,up to 24 weeks. |
Countries
China