The Long-term Effect of D4 Lymphadenectomy for Gastric Cancer
NCT02423278 · Status: UNKNOWN · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2015-04-22
Summary
The main purpose of this study is to evaluate the effect of extensive lymphadenectomy procedure in treatment of gastric cancer. This study is designed as a open-label, multi-centers, randomized controlled trial. The overall survival and free disease survival are primary outcomes, with postoperative complication, hospital charges, and life quality as secondary outcomes.
Conditions
- Gastric Cancer
- Surgery
- Effects of Chemotherapy
Interventions
- PROCEDURE
-
Radical Gastrectomy Plus D2 Lymphadenectomy
This surgical procedure is performed by the same high-experienced surgical team as the control arm. All lymph nodes around stomach (station 1\&2 LNs) must be removed to achieve a radical lymphadenectomy. Para-aortic lymph nodes should not be dissected even if a suspected lymph node metastasis is diagnosed from radiographic exams.
- PROCEDURE
-
Radical Gastrectomy Plus D4 Lymphadenectomy
This surgical procedure is also performed by the same high-experienced surgical team as the control arm. Lymph nodes around stomach (station 1\&2 LNs) and para-aortic lymph nodes must be removed during the operation.
- DRUG
-
S-1+Oxaliplatin
A perioperative chemotherapy, known as SOX regimen, should be performed in each enrolled patient with three-cycle treatments followed after a pathological carcinoma diagnosis. After a radical operation (arm groups), additional five-cycle treatments of adjuvant chemotherapy (SOX regimen) would be performed, followed by follow-up program. The treatment bundles are listed as follows: * S-1: 40\~60mg bid,po, Day1\~14 (S-1:BSA \<1.25m2, 40mg bid, 1.25m2≤BSA≤1.5m2,50mg bid, BSA\>1.5m2, 60mg bid) * Oxaliplatin: 130mg/m2,iv drip for 2h,Day1
Sponsors & Collaborators
-
Second Affiliated Hospital, Sun Yat-Sen University
collaborator OTHER -
Third Affiliated Hospital, Sun Yat-Sen University
collaborator OTHER -
Sixth Affiliated Hospital, Sun Yat-sen University
collaborator OTHER -
First Affiliated Hospital, Sun Yat-Sen University
lead OTHER
Principal Investigators
-
Yulong He, MD · First Affiliated Hospital, Sun Yat-Sen University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-01-31
- Primary Completion
- 2016-06-30
- Completion
- 2020-12-31
Countries
- China
Study Locations
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