Nab-paclitaxel Combined With S-1 as Adjuvant Chemotherapy for Stage Ⅲ Gastric Cancer

Stomach Cancer Clinical Trial

Official title:

Adjuvant Nab-paclitaxel Plus S-1 Versus Capecitabine Plus Oxaliplatin for Patients With Stage III Gastric Cancer After D2 Gastrectomy : a Randomised，Open-label, Phase III Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04135781
• Other study ID #: CSPC-KAL-GC-04
• Status: Recruiting
• Phase: Phase 3
• Start date: March 1, 2020
• Est. completion date: October 31, 2024

Study information

• Verified date: March 2020
• Source: Zhejiang Cancer Hospital
• Contact: Cheng xiangdong, PhD
• Phone: 0571-88128041
• Email: Chengxd516[@]126.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a randomized, open-label phase III study. The treatment was compare the efficacy and safety of Albumin-bound Paclitaxel plus S-1 versus Oxaliplatin plus capecitabine (XELOX) treating stage Ⅲ gastric cancer as adjuvant setting

Description:

This is a randomized, open-label phase III study. The treatment was compare the efficacy and safety of Albumin-bound Paclitaxel plus S-1 versus Oxaliplatin plus capecitabine (XELOX) treating stage Ⅲ gastric cancer as adjuvant setting. The primary endpoint is the 3-year diseases-free survival (DFS) rate. The secondary endpoints are the overall survival (OS) and safety.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 616
• Est. completion date: October 31, 2024
• Est. primary completion date: October 31, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

1. Age of 18-75 years;

2. Histological diagnosis of stage III gastric adenocarcinoma and Gastroesophageal junction of the stomach;

3. Patients are required to provide a pathologically confirmed diagnosis report and provide 4-5 histological white films obtained at baseline;;

4. Patients underwent D2 radical resection within 6 weeks prior to random enrollment; and R0 resection criteria were achieved;

5. Ability to perform chemotherapy within 7 days of enrollment in the randomized group;

6. No prior anti-tumor treatment (including systemic chemotherapy and local radiotherapy), except for initial gastrectomy for primary lesions;

7. ECOG performance status of 0-1;

8. Haematological status: absolute neutrophil count(ANC) =1.5×109 /L, platelet count(PLT) =100×109 /L, hemoglobin(HB) =90 g/L;WBC =3.0×109 /L;And no bleeding tendency;

9. Liver function: alanine glutamate transaminase (ALT) and glutamate transaminase (AST) =2.5 x upper limit of normal range (ULN), alkaline phosphatase =2.5 x upper limit of normal range (ULN);total bilirubin (TBIL)=1.5 x upper limit of normal range (ULN), or=3 x upper limit of normal range (ULN) when with Gilbert's syndrome;

10. kidney function: Creatinine(Cr)=1.5 x upper limit of normal range(ULN) or Creatinine clearance >60 ml/min (calculated according to Cockroft-Gault)

11. Able and willing to comply with the study plans in this protocol and sign the informed consent;

Exclusion Criteria:

1. Treat with any other study drug or participate in another clinical trial with therapeutic intent within 28 days prior to enrollment;

2. postoperative complications requiring clinical intervention and affecting treatment, such as stomach cramps, dumping syndrome;

3. Patients known to be allergic or intolerant to clinical trial drugs;

4. investigator believes will affect the subject's treatment regimen, uncontrolled serious medical diseases, including severe heart disease (such as the New York Heart Association (NYHA) Level II or more Congestive heart failure), cerebrovascular disease, uncontrolled diabetes, uncontrolled high blood pressure, uncontrolled infection;

5. Known active infection with HIV, hepatitis B or hepatitis C;

6. Other serious and uncontrolled non-malignant disease; except adequately treated cervical carcinoma in situ, non-melanoma skin Localized prostate cancer after cancer and radical surgery (PSA = 10 ng/ml); no recurrence or metastasis was found based on imaging follow-up results and any disease-specific tumor markers;

7. accompanied by dysphagia, complete or incomplete gastrointestinal obstruction, active gastrointestinal bleeding, perforation;

8. Female patients during pregnancy or lactation, who are refused to receive contraception during the childbearing age;

9. The investigator judges patients who are not suitable for the study.

Related Conditions & MeSH terms

• Stomach Cancer
• Stomach Neoplasms

Intervention

Drug:
• nab paclitaxel
nab paclitaxel (120mg/m2;iv;d1,8)
• Tegafur
S-1 (<1.25 m2, 40 mg; 1.25 to =1.5 m2, 50 mg; and = 1.5 m2, 60 mg;po;d1-14 bid)
• Oxaliplatin
Oxaliplatin(130mg/m2 , iv, d1)
• Capecitabine
Capetabine(1000 mg/m2 po, d1-14 bid )

Locations

Country	Name	City	State
China	Zhejiang Cancer Hospital;Cancer hospital of the university of chinese academy of sciences	Hangzhou	Zhejiang

Sponsors (2)

Lead Sponsor	Collaborator
Zhejiang Cancer Hospital	CSPC Ouyi Pharmaceutical Co., Ltd.

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	3 years Diseases-free Survival rate(3 years-DFS)	DFS is defined as time from the date of inclusion up to the date of disease progression or death	up to 3 years
Secondary	Overall survival (OS)	Overall survival is defined as time from the start of treatment until death due to any reason.	up to 3 years
Secondary	Safety as measured by number and grade of adverse events	Summary adverse events according to NCI-CTCAE 5.0	up to 3 years