Gastric Cancer
Conditions
Keywords
gastric cancer, radiotherapy, postoperative
Brief summary
The purpose of this study is to explore the efficacy of adjuvant radiotherapy for D2 resected gastric cancer
Detailed description
The radiotherapy dose of 45Gy in 25 fractions as adjuvant treatment after D2 surgery for gastric cancer
Interventions
Experimental group receive 6 cycles of XELOX chemotherapy and concurrent chemo-radiotherapy. The radiotherapy dose of 45Gy in 25 fractions delivered by IMRT Radiotherapy
Chemotherapy group receive 8 cycles of XELOX.
Sponsors
Study design
Intervention model description
All patients randomized to receive chemotherapy or chemo-radiotherapy after D2 surgery
Eligibility
Inclusion criteria
1. Aged 18-75; 2. Had histologically confirmed adenocarcinoma of the stomach or gastroesophageal junction; 3. ECOG 0-1; 4. Subjects has to voluntarily join the study and sign the Informed Consent Form for the study; 5. D2 and R0 resection; 6. Locally advanced (UICC stage, T4, N2, N3) gastric cancer after surgery; 7. More than 15 lymph nodes; 8. Adequate organ function as defined below: Hematologic ANC ≥ 2\*109/L, Platelets ≥ 100\*109/L, AST and ALT ≤ 2.5×ULN, TBIL ≤ 1.5×ULN.
Exclusion criteria
1. Previous radiotherapy or chemotherapy; 2. Inadequate organ function; 3. Pregnant or lactating women or women of childbearing potential.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| DFS | 36 months | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| OS | 36 months | From date of randomization until the date of first documented death from any cause, assessed up to 36 months |
Countries
China