Gastric Adenocarcinoma
Conditions
Brief summary
The researching subject is aimed to obtain the clinical evidences (including real benefits， risks ,etc. ) of traditional Chinese medicine in the treatment of advanced gastric cancer by compared with the outcomes that not accept the traditional Chinese medicine. the subject acquires these clinical practices by using the methods of multicenter、persisting registry (the real world researching technology ) and propensity score.
Detailed description
The purpose of this project is to further evaluate the role of traditional Chinese medicine in the treatment of advanced gastric cancer through clinical registration along with real world study. The patients who suffer from advanced gastric cancer often have a very short time survival . Their total survival time is only 4.3 months after the best supportive care. At present palliative chemotherapy is still the main method for advanced gastric cancer . In recent years, the results of international multi center phase III clinical trial show that the patients with combination chemotherapy have 8.6 months to 13.0 months survival time. In China, the clinical curative effect of traditional Chinese medicine in the treatment of advanced gastric cancer has been part of affirmation. Some reports with large samples of clinical research show that the Traditional Chinese Medicine may prolong the survival and improve the quality of life in patients with advanced gastric cancer. Real World Study emphasizes in epidemiological theories, clinical observational study, cross-sectional study and cohort study. The observational study of registry (registry study in clinical practice) is particularly widely used. Clinical practice of traditional Chinese medicine in the treatment of advanced gastric cancer often relies on the accumulation of years of medical experiences and sometimes new treatment measures. There must be some objective evidences that with reasonable design, rigorous process, scientific statistics to evaluate the value of traditional Chinese medicine intervention in the comprehensive treatment of advanced gastric cancer patients in order to meet the needs of clinical practice and medical development in China.
Interventions
None listed
Sponsors
Shanghai Zhongshan Hospital
RenJi Hospital
Fudan University
ShuGuang Hospital
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Ruijin Hospital
Yunnan Provinical Hospital of Traditional Chinese Medicine
Xiyuan Hospital of China Academy of Chinese Medical Sciences
Shaanxi Hospital of Traditional Chinese Medicine
Shanghai University of Traditional Chinese Medicine
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* gastric adenocarcinoma without operation or recurrence after operation or metastasis * diagnosed within three months * KPS score≥60 * expected survival time was above 3 months * HB ≥80g/L 、WBC≥4.0×109/L、 N ≥2.0×109/L 、PLA ≥80×109/L * normal function with heart 、kidney and liver
Exclusion criteria
* not gastric adenocarcinoma * simultaneous diagnosis with other malignant tumor * participate in clinical trials of new drugs not listed in China * combined with myocardial infarction, cerebral infarction, severe liver and kidney dysfunction, postoperative severe complications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The influences of traditional Chinese medicine standardized treatment on the overall survival (OS) of patients with advanced gastric cancer by the method of Propensity Score. | two years | Two years of continuous observation after the initial diagnosis of advanced gastric cancer with 725 cases . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The influences of traditional Chinese medicine treatment but with standardization scheme on the overall survival (OS) of patients with advanced gastric cancer by the method of Propensity Score. | two years | Two years of continuous observation after the initial diagnosis of advanced gastric cancer with 375 cases. |
| The influences of Western Medicine treatment mainly by chemotherapy on the overall survival (OS) of patients with advanced gastric cancer by the method of Propensity Score. | two years | Two years of continuous observation after the initial diagnosis of advanced gastric cancer with 400 cases. |
Countries
China
Contacts
Primary Contactzou yu ming, Ma.
Backup Contactzhao ai guang, Dr.
Outcome results
None listed