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ILF With/Without Cisplatin for Advanced Gastric Cancer

Primary Purpose

Stomach Neoplasm

Status
Unknown status
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
irinotecan
cisplatin
Sponsored by
Gachon University Gil Medical Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stomach Neoplasm

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically proven gastric adenocarcinoma Advanced, metastatic or recurrent ECOG performance status 0 to 2 No prior chemotherapy Measurable or evaluable indicator lesion(s) Normal marrow, hepatic and renal functions Provision of written informed consent Exclusion Criteria: Active infection, bleeding or severe comorbidities Pregnant or breastfed women Active CNS metastasis

Sites / Locations

  • Gachon University Gil Medical Center

Outcomes

Primary Outcome Measures

Objective response rate
Safety

Secondary Outcome Measures

Progression-free survival
Overall survival
Quality of life

Full Information

First Posted
May 1, 2006
Last Updated
March 9, 2007
Sponsor
Gachon University Gil Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT00320294
Brief Title
ILF With/Without Cisplatin for Advanced Gastric Cancer
Official Title
A Randomized Trial of Irinotecan, Leucovorin, 5-FU (ILF) Versus ILF Plus Cisplatin (PILF) Combination Chemotherapy in Patients With Advanced Gastric Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
March 2007
Overall Recruitment Status
Unknown status
Study Start Date
February 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 2007 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Gachon University Gil Medical Center

4. Oversight

5. Study Description

Brief Summary
To compare the combination of irinotecan, leucovorin and 5-FU (ILF) with ILF plus cisplatin (PILF) as first-line chemotherapy in patients with measurable metastatic gastric cancer.
Detailed Description
Irinotecan, in combination with 5-FU or cisplatin, clearly demonstrated efficacy against gastric cancer. A previous randomized study of ILF regimen versus IP in patients with AGC showed that the ILF produced an overall response rate of 42% and a median survival of 10.7 months, which were significantly better than the results with IP regimen [Pozzo C, et al. Ann Oncol 2004]. However, since cisplatin is still considered one of the key drugs for the treatment of gastric cancer, a combination of these four drugs (irinotecan, leucovorin, FU and cisplatin) seemed to be a promising strategy for advanced AGC. We desinged this randomized phase II study to compare the combination of irinotecan, leucovorin and 5-FU (ILF) with ILF plus cisplatin (PILF) as first-line chemotherapy in patients with measurable metastatic gastric cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stomach Neoplasm

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
86 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
irinotecan
Intervention Type
Drug
Intervention Name(s)
cisplatin
Primary Outcome Measure Information:
Title
Objective response rate
Title
Safety
Secondary Outcome Measure Information:
Title
Progression-free survival
Title
Overall survival
Title
Quality of life

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically proven gastric adenocarcinoma Advanced, metastatic or recurrent ECOG performance status 0 to 2 No prior chemotherapy Measurable or evaluable indicator lesion(s) Normal marrow, hepatic and renal functions Provision of written informed consent Exclusion Criteria: Active infection, bleeding or severe comorbidities Pregnant or breastfed women Active CNS metastasis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Se Hoon Park, MD
Organizational Affiliation
Gachon University Gil Medical Center, Incheon, Korea
Official's Role
Principal Investigator
Facility Information:
Facility Name
Gachon University Gil Medical Center
City
Incheon
ZIP/Postal Code
405 760
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
18083691
Citation
Park SH, Nam E, Park J, Cho EK, Shin DB, Lee JH, Lee WK, Chung M, Lee SI. Randomized phase II study of irinotecan, leucovorin and 5-fluorouracil (ILF) versus cisplatin plus ILF (PILF) combination chemotherapy for advanced gastric cancer. Ann Oncol. 2008 Apr;19(4):729-33. doi: 10.1093/annonc/mdm502. Epub 2007 Dec 13.
Results Reference
derived

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ILF With/Without Cisplatin for Advanced Gastric Cancer

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