Total Neoadjuvant FLOT Chemotherapy in Locally Advanced Gastric and Gastroesophageal Junction Cancer
NCT06028737 · Status: RECRUITING · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2025-05-06
Summary
The main goal of this study is to investigate the proportion of participants with locally advanced gastric and gastroesophageal adenocarcinoma without previous treatment during the last 5 years who can tolerate all planned cycles of chemotherapy and radical surgical treatment who will be prospectively randomized into two groups to undergo one of two chemotherapy regimens, followed by surgery:
1. 8 cycles of Total Neoadjuvant ChemoTherapy (TNT) with 5-Fluorouracil (5-FU), Leucovorin, Oxaliplatin, and Docetaxel (FLOT) followed by surgery.
2. 4 cycles of Neoadjuvant FLOT chemotherapy scheme preoperatively and 4 adjuvant FLOT cycles postoperatively.
Conditions
- Gastric Cancer
- Stomach Cancer
- GastroEsophageal Cancer
- Gastric Adenocarcinoma
- Gastroesophageal Junction Adenocarcinoma
- Advanced Gastric Adenocarcinoma
- Gastric Neoplasm
- Stomach Neoplasm
- Gastrointestinal Cancer
- Advanced Gastroesophageal Junction Adenocarcinoma
- Advanced Gastric Carcinoma
- Chemotherapy
- Gastrectomy
- Gastrectomy for Gastric Cancer
- Gastric Resection
- Gastric (Cardia, Body) Cancer
Interventions
- DRUG
-
50mg/m2, d1, i.v., every 2 weeks
- DRUG
-
85 mg/m², d1, i.v., every 2 weeks
- DRUG
-
200 mg/m², d1, i.v., every 2 weeks
- DRUG
-
2600 mg/m²d1 i.v. every 2 weeks
Sponsors & Collaborators
-
Ukrainian Society of Clinical Oncology
lead OTHER
Principal Investigators
-
Mykyta Pepenin, MD · National Cancer Institute (NCI)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-03-25
- Primary Completion
- 2027-04-25
- Completion
- 2032-12-31
Countries
- Lithuania
- Ukraine
Study Locations
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