Gastric Adenocarcinoma Clinical Trial
Official title:
A Phase II Study of Cytoreduction, Gastrectomy, and Hyperthermic Intraperitoneal Chemoperfusion (HIPEC) in Patients With Gastric Adenocarcinoma and Carcinomatosis or Positive Cytology
Verified date | April 2023 |
Source | M.D. Anderson Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This phase II trial studies how well heated mitomycin and cisplatin during surgery work in treating patients with stomach or gastroesophageal cancer. Drugs used in chemotherapy, such as mitomycin and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Heating a chemotherapy solution and infusing it directly into the abdomen may kill more tumor cells.
Status | Completed |
Enrollment | 24 |
Est. completion date | April 11, 2023 |
Est. primary completion date | April 11, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Eastern Cooperative Oncology Group (ECOG) performance status =< 2 - Cytologic or histologic proof of adenocarcinoma of the stomach or gastroesophageal junction - Leukocytes >= 3,000/uL - Absolute neutrophil count >= 1,500/uL - Platelets >= 60,000/Ul - Serum creatinine =< 1.5 mg/dL - Distant metastatic disease of peritoneum may be visualized on imaging: - Positive peritoneal cytology - Carcinomatosis on diagnostic laparoscopy or laparotomy - Completion of preoperative systemic chemotherapy and preoperative laparoscopic HIPEC Exclusion Criteria: - Distant metastatic disease not limited to peritoneum: Solid organ metastases (liver, central nervous system, lung) - Infections such as pneumonia or wound infections that would preclude protocol therapy - Women with a positive urine or serum pregnancy test are excluded from this study; women of childbearing potential (defined as those who have not undergone a hysterectomy or who have not been postmenopausal for at least 24 consecutive months) must agree to refrain from breast feeding and practice adequate contraception as specified in the informed consent. Adequate contraception consists of oral contraceptive, implantable contraceptives, injectable contraceptives, a double barrier method, or abstinence - Subjects with unstable angina or New York Heart Association grade II or greater congestive heart failure - Subjects deemed unable to comply with study and/or follow-up procedures - Subjects with a known hypersensitivity to protocol systemic chemotherapy that was life-threatening, required hospitalization or prolongation of existing hospitalization, or resulted in persistent or significant disability or incapacity |
Country | Name | City | State |
---|---|---|---|
United States | M D Anderson Cancer Center | Houston | Texas |
Lead Sponsor | Collaborator |
---|---|
M.D. Anderson Cancer Center | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Overall survival | Overall survival time will be estimated using the Kaplan-Meier method. The two-sided log-rank test will be used to assess the differences of time to events between groups. | From the time of diagnosis of stage IV disease up to 5 years | |
Primary | Patterns of tumor recurrence | Will be assessed by reviewing routine surveillance imaging. | Up to 5 years | |
Secondary | Overall survival | Overall survival time will be estimated using the Kaplan-Meier method. The two-sided log-rank test will be used to assess the differences of time to events between groups. | From the time of surgery up to 5 years |
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