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Study of S-1, S-1/CDDP, and 5-FU/CDDP for Advanced Gastric Cancer

Primary Purpose

Gastric Cancer

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
S-1
S-1 plus CDDP
5-FU plus CDDP
Sponsored by
Taiho Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastric Cancer focused on measuring Stomach cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Non-prior chemotherapy treated advanced gastric adenocarcinoma Age 18 and over Performance status 0, 1, or 2 (ECOG) Life expectancy 3 months Hematopoietic WBC lower limit of normal-12,000/mm^3 Absolute granulocyte count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 8.0 g/dL Hepatic AST and ALT ≤ 100 U/L ALP ≤ 2 times upper limit of normal (ULN) Bilirubin ≤ 1.5 mg/dL Renal Plasma creatinine ≤ ULN Creatinine clearance ≥ 60 mL/min Exclusion Criteria: Interstitial pneumonia, pulmonary fibrosis Myocardial infarction within the last 6 months, severe/unstable angina, congestive heart failure Intestinal paralysis, intestinal obstruction, uncontrollable diabetes

Sites / Locations

  • Beijing Cancer Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

1

2

3

Arm Description

S-1

S-1 plus CDDP

5-FU plus CDDP

Outcomes

Primary Outcome Measures

Response rate

Secondary Outcome Measures

Safety profile, time to treatment failure

Full Information

First Posted
September 12, 2005
Last Updated
July 6, 2011
Sponsor
Taiho Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00202969
Brief Title
Study of S-1, S-1/CDDP, and 5-FU/CDDP for Advanced Gastric Cancer
Official Title
An Open-label, Multicenter, Randomized, 3 Arm Study of S-1 Compared With S-1/CDDP, or S-1/CDDP Compared With 5-FU/CDDP in Patients With Advanced Gastric Cancer Previously Untreated With Chemotherapy for Advanced Disease
Study Type
Interventional

2. Study Status

Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
July 2005 (undefined)
Primary Completion Date
January 2007 (Actual)
Study Completion Date
June 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Taiho Pharmaceutical Co., Ltd.

4. Oversight

5. Study Description

Brief Summary
This is an open-label, multicenter, three arm, parallel, randomized, Phase 3 study evaluating the efficacy and safety of S-1 alone compared with S-1 plus CDDP, and S-1 plus CDDP compared with 5-FU plus CDDP in patients with advanced gastric cancer previously untreated with chemotherapy for advanced disease. Patients will be randomly assigned (1:1:1) to S-1 (Arm A), S-1/CDDP (Arm B) or 5-FU/CDDP (Arm C). Patients will be stratified to achieve balanced distribution of patients to each arm according to following stratifications, performance status (0, 1, or 2), the number of metastatic sites (1 vs >1), prior gastrectomy, and center.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastric Cancer
Keywords
Stomach cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
180 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
S-1
Arm Title
2
Arm Type
Active Comparator
Arm Description
S-1 plus CDDP
Arm Title
3
Arm Type
Active Comparator
Arm Description
5-FU plus CDDP
Intervention Type
Drug
Intervention Name(s)
S-1
Intervention Description
S-1 40 mg/m2 administered orally BID after breakfast and evening meal from Day 1 through Day 28 repeated 6 weeks.
Intervention Type
Drug
Intervention Name(s)
S-1 plus CDDP
Intervention Description
S-1 40 mg/m2 administered orally BID after breakfast and evening meal from Day 1 through Day 21 with a single dose of CDDP 60 mg/m2 will be administered as an 1- to 3-hour IV infusion following the morning dose of S-1 on Day 8. The combination therapy will be repeated every 5 weeks.
Intervention Type
Drug
Intervention Name(s)
5-FU plus CDDP
Intervention Description
5-FU 600 mg/m2/24 hours administered intravenously as a CI over 120 hours (Days 1 through 5) along with a 30-minute infusion CDDP 20 mg/m2 from Day 1 through Day 5. The control treatment arm will be repeated every 4 weeks.
Primary Outcome Measure Information:
Title
Response rate
Time Frame
every course for first three courses, then every other course
Secondary Outcome Measure Information:
Title
Safety profile, time to treatment failure
Time Frame
any time

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Non-prior chemotherapy treated advanced gastric adenocarcinoma Age 18 and over Performance status 0, 1, or 2 (ECOG) Life expectancy 3 months Hematopoietic WBC lower limit of normal-12,000/mm^3 Absolute granulocyte count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 8.0 g/dL Hepatic AST and ALT ≤ 100 U/L ALP ≤ 2 times upper limit of normal (ULN) Bilirubin ≤ 1.5 mg/dL Renal Plasma creatinine ≤ ULN Creatinine clearance ≥ 60 mL/min Exclusion Criteria: Interstitial pneumonia, pulmonary fibrosis Myocardial infarction within the last 6 months, severe/unstable angina, congestive heart failure Intestinal paralysis, intestinal obstruction, uncontrollable diabetes
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jin Maolin, MD
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Cancer Hospital
City
No.52 Fu-Cheng Road, Hai-dian District
State/Province
Beijing
Country
China

12. IPD Sharing Statement

Learn more about this trial

Study of S-1, S-1/CDDP, and 5-FU/CDDP for Advanced Gastric Cancer

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