HIPEC and Systemic Chemotherapy Combined With Apatinib in Unresectable Peritoneal Metastases From Gastric Cancer
NCT03349827 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2020-03-24
Summary
The prognosis of patients with unresectable peritoneal metastases from gastric cancer is poor. These patients may obtain survival benefit from radical gastrectomy and cytoreductive surgery (CRS). The response rates of previous conversion therapy are low. Hyperthermic intraperitoneal chemoperfusion (HIPEC) and systemic chemotherapy are effective methods of reducing peritoneal cancer index (PCI) levels. Apatinib, a novel targeted inhibitor of VEGF receptor 2 (VEGFR2), shows significant antitumor activity in the patients with gastric cancer. The purpose of this study is to investigate the efficacy and safety of HIPEC and systemic chemotherapy combined with Apatinib in the conversion therapy of peritoneal metastases from gastric cancer.
Conditions
- Peritoneal Metastases From Gastric Cancer
Interventions
- PROCEDURE
-
exploratory laparoscopy or laparotomy
Exploratory laparoscopy or laparotomy, for PCI score or radical gastrectomy and cytoreductive surgery
- PROCEDURE
-
HIPEC
Normal saline 3000ml-4000ml, Docetaxel 50mg/m2, Lobaplatin 50mg/m2, 43°C, 60min.
- DRUG
-
Systemic chemotherapy
Oxaliplatin: 130mg/m2, day 1. S1: 60mg, twice daily, day 1 to day 14. S1:60mg twice daily for two weeks, and then suspend for one week
- DRUG
-
Apatinib
500mg, once daily, day 1 to day 21.
Sponsors & Collaborators
-
Wuhan University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-01-05
- Primary Completion
- 2020-03-20
- Completion
- 2020-03-20
Countries
- China
Study Locations
More Related Trials
-
Hyperthermic Intraperitoneal Chemotherapy for Advanced Gastric Cancer With Peritoneal Metastatis
NCT03604614 ·Status: UNKNOWN ·Phase: PHASE2
-
HIPEC, Intravenous Chemotherapy and Surgery for the Treatment of Advanced GC With Peritoneal Metastasis
NCT02549911 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study of HIPEC Plus Apatinib and S-1 Conversion Therapy for Gastric Cancer With Positive Exfoliative Cancer Cells
NCT03428425 ·Status: UNKNOWN ·Phase: PHASE2
-
A Clinical Study Evaluating the Efficacy of Systemic Chemotherapy and Immune Checkpoint Inhibitors Combined With Hyperthermic Intraperitoneal Chemotherapy in the Treatment of Gastric Cancer Patients With Peritoneal Metastasis
NCT06685887 ·Status: RECRUITING ·Phase: PHASE2
-
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Locally Advanced Gastric Cancer
NCT04345770 ·Status: UNKNOWN ·Phase: PHASE2
-
Conversion Therapy of Hyperthermic Intraperitoneal Chemotherapy Plus Chemotherapy and Chemotherapy in Stage IV Gastric Cancer
NCT05228743 ·Status: UNKNOWN ·Phase: NA
-
Radical Gastrectomy and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Locally Advanced Gastric Cancer
NCT02528110 ·Status: COMPLETED ·Phase: PHASE2
-
The Efficacy and Safety of HIPEC Combined With PD-1 and SOX Chemotherapy for the Translational Treatment of GC or EGJC With PM
NCT06427252 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Cytoreductive Surgery Combined With HIPEC and Chemotherapy for Gastric Cancer With Peritoneal Metastasis
NCT03023436 ·Status: UNKNOWN ·Phase: PHASE3
-
S-1 Combined Cisplatin HIPEC for Palliative Operation Gastric Cancer of Stage IV Limited Peritoneal Metastasis
NCT02291211 ·Status: UNKNOWN ·Phase: PHASE2
-
Hyperthermic Intraperitoneal Chemotherapy With Cisplatin and Paclitaxel for the Treatment of Patients With Gastric and Gastroesophageal Junction Adenocarcinoma at High Risk of Peritoneal Recurrence
NCT07139951 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2
-
Comparison of the Efficiency Between Intraoperative and Postoperative Hyperthermic Intraperitoneal Chemotherapy With Docetaxel Combine Oxaliplatin in Patients With Advanced Gastric Cancer
NCT04522011 ·Status: UNKNOWN
-
Neo-adjuvant Chemo + Peritonectomy + Hyperthermic Intraperitoneal Chemo in Peritoneal Carcinomatosis From Gastric Cancer
NCT01379482 ·Status: COMPLETED ·Phase: PHASE2
-
Laparoscopic Gastrectomy With D2 Lymphadenectomy Combined With Hyperthermic Intraperitoneal Chemotherapy (HIPEC) or Not
NCT05871099 ·Status: RECRUITING ·Phase: PHASE3
-
Study of Convernsion Therapy Using S1/Paclitaxel Chemotherapy Plus Apatinib in Unresectable Gastric Cancer
NCT02529878 ·Status: UNKNOWN ·Phase: PHASE2
-
Gastrectomy + Cytoreductive Surgery + HIPEC for Gastric Cancer With Peritoneal Dissemination.
NCT03348150 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Biomarker Analysis of HIPEC Combined With PD1/PDL1 Inhibitor for Gastric Cancer With Peritoneal Metastasis
NCT05661110 ·Status: NOT_YET_RECRUITING
-
Nonintervention Study on Peritoneal Metastasis of Stage IV Gastric Cancer
NCT03237507 ·Status: UNKNOWN
-
Phase II Study of the Effects of Laparoscopic Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Patients With Advanced Gastric Cancer
NCT04107077 ·Status: RECRUITING ·Phase: PHASE2
-
HIPEC-AS in Patients With Peritoneal Metastasis of the Stomach or Esophagogastric Junction
NCT05095467 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Prospective, Phase II Clinical Study of HIPEC Combined With NIPS and Tislelizumab Conversion Therapy for Gastric Cancer With Peritoneal Metastasis With Positive Cytology Alone or PCI Score ≤10
NCT07304258 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Safety and Efficacy of Systemic Chemotherapy Plus PD-1 Inhibitor in Combination With Bevacizumab in Gastric Cancer With Peritoneal Metastasis
NCT06487715 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2
-
Phase III Study of Apatinib Tablets in the Treatment of Advanced or Metastatic Gastric Cancer
NCT01512745 ·Status: COMPLETED ·Phase: PHASE3
-
Apatinib Combined With Paclitaxol as Second Line Therapy for Advanced Gastric Cancer.
NCT03144843 ·Status: UNKNOWN ·Phase: PHASE2
-
A Phase II Study of Conversion Surgery After IP Paclitaxel With XELOX Chemotherapy in AGC With Peritoneal Dissemination
NCT04797923 ·Status: UNKNOWN ·Phase: PHASE2