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Stomach Neoplasms clinical trials

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NCT ID: NCT05901779 Recruiting - Gastric Cancer Clinical Trials

Effect of Probiotic Supplements on Gastric Cancer Patients Receiving Neoadjuvant Chemotherapy

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

Background: Surgery can significantly improve the prognosis of patients with gastric cancer. However, some patients are at a later stage at diagnosis and need to receive neoadjuvant chemotherapy (NACT). Previous studies have shown that NACT may lead to more postoperative complications. Probiotics have the potential to reduce postoperative complications and infections, but no large sample, multicentre, randomized clinical trials have been conducted in patients with gastric cancer receiving NACT. The aim of this multicentre randomized controlled trial was to investigate the effect of probiotics on postoperative infections and other short-term outcomes in patients with gastric cancer receiving NACT. Methods/design: This study is a prospective, multicentre RCT. This experiment will consist of two groups - an experimental group and a control group - randomly divided in a 1:1 ratio. The experimental group will receive perioperative probiotic supplement and that of the control group will receive blank control management. An estimated 318 patients will be enrolled. The main endpoint for comparison is postoperative infections between the two groups.The experimental group patients received probiotic capsules containing Bifidobacterium longum, Lactobacillus acidophilus, and Enterococcus faecalis.

NCT ID: NCT05901376 Recruiting - Gastric Cancer Clinical Trials

MicroRNAs From Blood Samples as Biomarkers for Gastric Cancer Detection

Start date: April 25, 2023
Phase:
Study type: Observational

The goal of this observational study is to compare specific microRNA levels from the plasma of gastric cancer patients and healthy volunteers to see if there is an upregulated expression in gastric cancer patients. The main question it aims to answer is: - Can microRNAs be effectively used as diagnostic biomarkers for gastric cancer? Participants will be asked for their consent to obtain 5 cc of blood.

NCT ID: NCT05898854 Recruiting - Cancer Clinical Trials

[68Ga]Ga-FAPI PET/CT in Gastric and Gastroesophageal Junctional Cancer

Start date: February 15, 2024
Phase: Phase 2
Study type: Interventional

Twenty (n=20) patients with gastric cancer or gastro-esophageal junctional cancer will undergo FAPI PET/CTs in addition to routing diagnostic workup (including FDG PET/CT) at primary staging and restaging. The FAPI PET/CT results will be compared to conventional imaging (including FDG PET/CT) using histopathology as reference standard, and the diagnostic accuracy will be determined. FAP-immunohistochemistry will be conducted in surgical specimens. FAPI PET/CT's impact on patient management and the prognostic value of FAPI PET/CT will be evaluated.

NCT ID: NCT05893056 Recruiting - Clinical trials for Gastric Cancer Metastatic to Liver

Cryoablation Combined With Tislelizumab Plus Lenvatinib In Previously Treated Gastric Cancer Liver Metastasis (CASTLE-09)

CASTLE-09
Start date: June 16, 2023
Phase: Phase 2
Study type: Interventional

The objective of this study is to evaluate the efficacy and safety of cryoablation combined with Tislelizumab plus Lenvatinib for patients with gastric cancer liver metastasis in the second-/third-Line setting.

NCT ID: NCT05880667 Recruiting - Clinical trials for Malignant Neoplasm of Stomach

Adaptive Radiation for Abdominopelvic Metastases

Start date: August 1, 2023
Phase: Phase 1
Study type: Interventional

Single arm Phase I trial of adaptive stereotactic body radiation (SBRT) for abdominopelvic metastases. Adaptive SBRT will allow for escalation of the prescription dose and target coverage while maintaining grade 3+ toxicity no greater than 10%. Subjects with metastatic cancer to the abdomen or pelvis requiring local control or palliation will be enrolled.

NCT ID: NCT05872295 Recruiting - Breast Cancer Clinical Trials

IKS014 in Advanced Solid Tumors That Express HER2

Start date: September 14, 2023
Phase: Phase 1
Study type: Interventional

This study will evaluate the recommended dose for further clinical development, safety, tolerability, anti-tumor activity, immunogenicity, pharmacokinetics and pharmacodynamics of IKS014, a HER2 targeting antibody-drug conjugate, in patients with advanced solid tumors.

NCT ID: NCT05871099 Recruiting - Gastric Cancer Clinical Trials

Laparoscopic Gastrectomy With D2 Lymphadenectomy Combined With Hyperthermic Intraperitoneal Chemotherapy (HIPEC) or Not

Start date: November 20, 2022
Phase: Phase 3
Study type: Interventional

The goal of this clinical trial is to learn about Hyperthermic Intraperitoneal Chemotherapy in the Treatment of Locally Advanced Gastric Cancer after Laparoscopic Gastrectomy with D2 Lymphadenectomy. The main question it aims to answer is: whether HIPEC can effectively improving the 5-year overall survival rate and decrease the peritoneal metastases rate of patients with advanced gastric cancer underwent Laparoscopic Gastrectomy with D2 Lymphadenectomy. Participants will be divided into two groups, Experimental group received laparoscopic (robotic) D2 surgery plus HIPEC2 times plus systemic chemotherapy 6~8 cycles; and Control group received laparoscopic (robotic) D2 surgery plus systemic chemotherapy 6~8 cycles.

NCT ID: NCT05859477 Recruiting - Clinical trials for Metastatic Gastric Cancer

Nivolumab in Combination With Chemotherapy for FGFR2-positive Metastatic Gastric Cancer

NIVOFGFR2
Start date: June 5, 2022
Phase: Phase 2
Study type: Interventional

The goal of this phase 2 clinical trial is to evaluate the efficacy of nivolumab in combination with CAPOX in patients with FGFR2-positive/PD-L1-positive/HER2-negative metastatic gastric cancer.

NCT ID: NCT05854368 Recruiting - Gastric Cancer Clinical Trials

Circulating Biomarker Signatures for the Detection of Gastric Preneoplasia and Cancer

PREGASIGN#1
Start date: July 3, 2023
Phase: N/A
Study type: Interventional

The goal of this study is to characterize and validate a signature of circulating biomarkers in plasma, associated with the presence of gastric preneoplasia in patients with preexisting gastric lesion compared with a control group. For this purpose: - Patients with pre-existing gastric lesions will be invited to participate to this study. If they are willing to participate an additional blood sample (10mL) will be collected at the time of the blood collection performed during their routine care - Healthy subjects will be invited to participate to constitute the control group. If they are willing to participate a blood sample (10 ml) will be drawn specifically for this study

NCT ID: NCT05853172 Recruiting - Gastric Cancer Clinical Trials

Surgical Conversion of Candonilimab (AK104) Plus Paclitaxel, S-1 and Apatinib for Unresectable Advanced G/GEJ Cancer

Start date: March 21, 2023
Phase: Phase 2
Study type: Interventional

This is a prospective, single-arm, open-label,single-center, phase II study, aiming to to evaluate the surgical conversion feasibility of AK104 combined with apatinib, paclitaxel and S-1 in unresectable stage IV G/GEJ cancer.