Postoperative Chemoradiation or Chemotherapy After Preoperative Chemotherapy for Gastric Cancers
NCT03515941 · Status: TERMINATED · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 6
Last updated 2020-10-12
Summary
This is an open-label, stratified, two arm design. All patients receive same initial standard preoperative chemotherapy and surgical resection. Patients will then be assigned to either standard postoperative chemotherapy if node negative at surgery or standard postoperative chemoradiation if node positive at surgery.
The primary objective of this study is to determine the feasibility of patients enrolling and receiving either postoperative chemoradiation or chemotherapy alone, based upon nodal status at surgery, following preoperative chemotherapy.
The secondary Objectives is to evaluate the rate of cancer recurrence in patients assigned to treatment based upon node status. To explore the potential correlation between changes in expression of a pre-specified panel of genes identified as relevant to gastrointestinal cancers in response to preoperative chemotherapy, using presence of nodal involvement at time of surgery as an indicator of response.
Conditions
Interventions
- DRUG
-
130 mg/m2 by IV (Arm 1)
- DRUG
-
625 mg/m2 (Arm 1), 1000 mg/m2 (Arm 1), 750 mg/m2 by PO (Arm 2)
- DRUG
-
400 mg/m2 by IV (Arm 1 \& Arm 2)
- DRUG
-
400, 2400 mg/m2 by IV (Arm 1), 400,1200 mg/m2 by IV (Arm 2)
- RADIATION
-
radiation
45 Gy in 1.8 Gy/fraction
Sponsors & Collaborators
-
Tannaz Armaghany
lead OTHER
Principal Investigators
-
Tannaz Armaghany, MD · Baylor College of Medicine
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-06-22
- Primary Completion
- 2020-03-17
- Completion
- 2020-06-18
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
A Study of Total Neoadjuvant Chemotherapy With FLOT VS Standard Perioperative FLOT in Patients With Gastric or GEJ Cancer
NCT05567835 ·Status: TERMINATED ·Phase: PHASE2
-
Chemotherapy and Radiation Therapy With or Without Fluorouracil in Treating Patients With Cancer of the Stomach Who Have Undergone Surgery
NCT00011960 ·Status: COMPLETED ·Phase: PHASE2
-
Adjuvant Chemoradiation Therapy for Gastric or Gastroesophageal Junction Adenocarcinoma
NCT00215514 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
A Feasibility Study to Evaluate Adjuvant Chemoradiotherapy for Gastric Cancer
NCT00123318 ·Status: COMPLETED ·Phase: PHASE3
-
Perioperative Chemoradiotherapy for Potentially Resectable Gastric Cancer
NCT00420394 ·Status: UNKNOWN ·Phase: PHASE2
-
Phase II Study of Neoadjuvant Taxotere, Cisplatin, and 5-Fluorouracil in Patients With Gastric or Gastroesophageal Junction Adenocarcinoma
NCT00763646 ·Status: UNKNOWN ·Phase: PHASE2
-
Transarterial Neoadjuvant Chemotherapy vs.Traditional Intravenous Chemotherapy For Locally Advanced Gastric Cancer With SOX+PD-1
NCT05593458 ·Status: RECRUITING ·Phase: PHASE3
-
A Phase II Trial of Perioperative Chemotherapy With Oxaliplatin, 5-Fluorouracil, Leucovorin(MODIFIED FOLFOX6) in Patients With Locally Advanced Operable Gastric Cancer
NCT01851941 ·Status: COMPLETED ·Phase: PHASE2
-
Neoadjuvant Chemotherapy Plus Chemoradiation in Patients With Potentially Resectable Gastric Carcinoma
NCT02024217 ·Status: UNKNOWN ·Phase: PHASE2
-
Pharmacogenomically Selected Treatment for Gastric and Gastroesophageal Junction (GEJ) Tumors
NCT00515216 ·Status: COMPLETED ·Phase: PHASE2
-
Short-Course Chemoradiotherapy Followed by Chemotherapy for the Treatment of Resectable Gastric Adenocarcinoma
NCT04523818 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Phase I/II Study of Neoadjuvant Chemoradiotherapy With S-1/ Oxaliplatin in Patients With Gastric Cancer: Randomized Phase II Study of S-1/RT vs. S-1/Oxaliplatin/RT
NCT01106066 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
PREACT Study: Locally Advanced Gastric Cancer, Chemoradiotherapy vs. Chemotherapy Followed by D2 Surgery and Adjuvant Chemotherapy
NCT03013010 ·Status: COMPLETED ·Phase: PHASE3
-
Irinotecan/Cisplatin, Potentially Curative Surgery With or Without Floxuridine, Followed by Capecitabine for Stomach and Gastro-esophageal Junction (GEJ) Cancers
NCT00848783 ·Status: TERMINATED ·Phase: PHASE2
-
Real World Evidence for the Cycle of Neoadjuvant Chemotherapy in Gastric Cancer With Shared Decision Making
NCT03413514 ·Status: UNKNOWN ·Phase: NA
-
Adjuvant Treatment of Gastric Cancer With Chemotherapy and Chemoradiotherapy (TRACE)
NCT00512304 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of ARQ 197 Versus Investigator's Choice of Second-Line Chemotherapy in Patients With Locally Advanced or Metastatic Gastric Cancer Who Have Progressive Neoplastic Disease Following Treatment With One Prior Chemotherapy Regimen
NCT01070290 ·Status: WITHDRAWN ·Phase: PHASE2
-
Study of Oxaliplatin, Calcium Folinate, and 5-Fluorouracil as Neoadjuvant Chemotherapy for Resectable Advanced Gastric Cancer
NCT00591045 ·Status: UNKNOWN ·Phase: PHASE2
-
Perioperative Chemoimmunotherapy With/Without Preoperative Chemoradiation for Locally Advanced Gastric Cancer
NCT05161572 ·Status: TERMINATED ·Phase: PHASE2
-
Preoperative Stomach Cancer Induction Chemotherapy and Radiation Therapy
NCT03223740 ·Status: UNKNOWN ·Phase: PHASE3
-
Gemcitabine and Radiation Therapy in Treating Patients With Locally Advanced Upper Gastrointestinal Cancer
NCT00544193 ·Status: COMPLETED ·Phase: PHASE1
-
Study Comparing Standard of Care Chemotherapy With/ Without Sequential Cytoreductive Surgery for Patients With Metastatic Foregut Cancer and Undetectable Circulating Tumor-Deoxyribose Nucleic Acid Levels
NCT04931420 ·Status: WITHDRAWN ·Phase: PHASE2
-
Effect of Adjuvant Chemotherapy Cycles on Patients With Node-negative Gastric Cancer Following Neoadjuvant Chemotherapy
NCT06277453 ·Status: ACTIVE_NOT_RECRUITING
-
A Study of the Combination of Oxaliplatin, Capecitabine, and Trastuzumab With Chemoradiotherapy in the Adjuvant Setting in Operated Participants With Human Epidermal Growth Factor Receptor-2 Positive (HER2+) Gastric or Gastroesophageal Junction Cancer
NCT01748773 ·Status: COMPLETED ·Phase: PHASE2
-
Surgery With or Without Combination Chemotherapy in Treating Patients With Stomach Cancer
NCT00004099 ·Status: TERMINATED ·Phase: PHASE3