Treatment of Chinese patients with metastatic gastric cancer where resection is not possible

ISRCTN ISRCTN85705844
DOI https://doi.org/10.1186/ISRCTN85705844
Protocol serial number N/A
Sponsor Zhejiang University (China)
Funders National Natural Science Foundation of China (Grant No. 81001212) (China), Foundation of Zhejiang Provincial Educational Committee (Grant No. Y201019175) (China), Zhejiang Provincial Health Bureau Foundation (Grant No. 2010KYB036) (China)
Submission date
19/03/2011
Registration date
15/04/2011
Last edited
09/10/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Weijia Fang
Scientific

79 Qingchun Road
Hangzhou
310003
China

Study information

Primary study designInterventional
Study designOpen-label multi-centre phase II study
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleTreatment of Chinese patients with metastatic gastric cancer where resection is not possible, with a biweekly combination of S-1 and Paclitaxel (SPA) or a combination of S-1 and Oxaliplatin (SOX)
Study acronymSPA/SOX
Study objectivesThe use of S-1 plus Paclitaxel or S-1 plus Oxaliplatin as first-line or second-line treatment will be beneficial in patients with metastatic gastric cancer where resection is not possible
Ethics approval(s)The First Affiliated Hospital Ethical Review Board, School of Medicine, Zhejiang University, 02/05/2010, Ethics Review No. 21 (2010)
Health condition(s) or problem(s) studiedMetastatic gastric cancer or where resection is not possible
Intervention1. Patients were randomized (1:1) according to the following sequences:
1.1. Arm A: S-1 was administered orally (80 mg/m2/day) after meal for 7 days followed by a 7-day rest every 2 weeks with Paclitaxel 120 mg/m2
1.2. Arm B: S-1 was administered orally (80 mg/m2/day) after meal for 7 days followed by a 7-day rest every 2 weeks withoxaliplatin 85 mg/m2 as a 2-hour infusion on day 1
2. Toxicity evaluations were based on the National Cancer Institute Common Toxicity Criteria for Adverse Events v3.0
3. Radiological evaluations were conducted at base line and after every three courses
4. At progression, Paclitaxel was replaced by oxaliplatin (Arm A), or oxaliplatin by Paclitaxel (Arm B)
Intervention typeDrug
PhasePhase II
Drug / device / biological / vaccine name(s)1. S-1 2. Paclitaxel 3. Oxaliplatin
Primary outcome measure(s)

Progression-free survival

Key secondary outcome measure(s)

1. Overall survival
2. Response rate
3. Safety

Completion date31/05/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration100
Key inclusion criteria1. Patients with unresectable or metastatic gastric cancer were eligible for this study
2. Patients were required to have histological or cytological proof of locally advanced or metastatic transitional cell carcinoma of the bladder, ureter or renal pelvis
3. Prior cytotoxic treatment in the adjuvant setting was permitted if the treatment had been completed at least six months prior to enrollment in the study
4.Prior radiotherapy was permitted but must have been completed at least six weeks prior to enrollment
5. Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2
6. A life expectancy at least 4 months
7. Age between 18 and 75 years
8.Adequate bone marrow: absolute neutrophil count more than or equal to 1.5x10E9/L platelet count more than or equal to 100x10E9/L,and hemoglobin more than or equal to 90g/L
9. Adequate hepatic functions: aspartate aminotransferase (AST) and (alanine aminotransferase) ALT less than or equal to 3.0 times the upper normal limit (UNL) and serum bilirubin less than or equal to 1.5
10. Adequate renal functions: serum creatinine less than or equal to 133umol/L
11. Adequate normal cardiac function
Key exclusion criteria1. Second primary tumor other than non-melanoma skin cancer or in situ cervical carcinoma
2. Central nervous system (CNS) involvement
3. Prior radiotherapy in parameter lesions
4. Concurrent uncontrolled medical illness
Date of first enrolment01/03/2010
Date of final enrolment31/05/2012

Locations

Countries of recruitment

  • China

Study participating centre

79 Qingchun Road
Hangzhou
310003
China

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2015 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes