Gastric CancerPhase 3CAPITALNCT01795027
Compare S-1 Plus Oxaliplatin to S-1 as Adjuvant Chemotherapy After D2 Resection in Patients With Gastric Cancer
A Phase 3 study testing S-1 plus oxaliplatin and S-1 single in people with Gastric Cancer, run by Sun Yat-sen University at 13 sites in China.
Trial summary
Background: It is shown that TS-1 as adjuvant chemotherapy after D2 resection in patients with gastric cancer can improve DFS and OS in one Japanese Trial. And TS-1 has become one of the standard therapies to these patients. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Gastric Cancer
- What is being tested?
- S-1 plus oxaliplatin and S-1 single
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 724 participants
- Where
- 13 sitesChina
- Study dates
- Sep 2011to Jun 2018
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- informed consensus of patients
- be able to receive oral administration
- from 18 to 70 years old
- be proven to be primary adenocarcinoma of gastric cancer and staged II or III by pathological evidences
- without other chemotherapy and/or radiation against to the disease
- normal function of other organs including heart,liver ,kidney and so on
- Eastern Cooperative Oncology Group performance status:0~2
Who cannot join
- history of other malignancy
- allergic reaction to S-1 or oxaliplatin
- be enrolling in other clinical trials
- abnormal GI tract function
- dysfunction of other organs
- female in pregnancy or lactation,or refuse to receive Contraception measures during chemotherapy
- other situation to be judged not adaptive to the study by investigators
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
China13 sites
the central hospital of Chaozhou
Chaozhou, Guangdong
the 1st people's hospital of Foshan
Foshan, Guangdong
cancer center of Guangzhou medical college
Guangzhou, Guangdong
cancer center of Sun yat-sen University
Guangzhou, Guangdong
Guangdong Traditional Medical Hospital
Guangzhou, Guangdong
the 1st affliated hospital of Guangdong pharmacuetic college
Guangzhou, Guangdong
the 1St Affliated Hospital of Guangzhou Medical College
Guangzhou, Guangdong
the 6th affliated hospital of Sun-yat-sen University
Guangzhou, Guangdong
the 1st hospital of Shantou University
Shantou, Guangdong
the cental hospital of Shantou
Shantou, Guangdong
YUE-BEI people's hospital
Shaoguan, Guangdong
the 2nd people's hospital of Shenzhen
Shenzhen, Guangdong
the 5th hospital of Sun-yat-sen University
Zhuhai, Guangdong
About this study
Official title: A Prospective,Multicentral,Open-label,Randomized,Controlled,Phase III Clinical Trial to Compare S-1 Plus Oxaliplatin to S-1 as Adjuvant Chemotherapy After D2 Resection in Patients With Gastric Cancer
Background: It is shown that TS-1 as adjuvant chemotherapy after D2 resection in patients with gastric cancer can improve DFS and OS in one Japanese Trial. And TS-1 has become one of the standard therapies to these patients. But it is still unknown whether it would improve more to OS and DFS than single TS-1 after combined with oxaliplatin . This trial is designed to investigate the efficacy and safety of TS-1 plus oxaliplatin versus TS-1 single as adjuvant chemotherapy after D2 resection in patients with gastric cancer.
Patients and methods: In this study , patients with histologically confirmed gastric cancer who received D2 resection and staged II or III, aged from 18 to 70 years and with Eastern Cooperative Oncology Group performance status ≤2 and adequate organ function, are randomized 1:1 to oxaliplatin 100mg/m2 on day 1 and TS-1 40~60mg twice everyday for 14 days in a 21-days cycle for total 6 cycles followed by TS-1 single with the same dose and frequency to the end of the 1st year postoperatively(SOX) , or TS-1 single 40~60mg twice everyday for 14 days in a 21-days cycle to the end of the 1st year postoperatively (TS-1). The primary end point is overall survival (OS), and secondary end point is disease free survival(DFS) and safety. Final study analysis will be conducted in the end of the 5th year after the last patient's enrollment.
- Conditions
- Gastric Cancer
- Being tested
- S-1 plus oxaliplatin, S-1 single
- Keywords
- gastric cancer, chemotherapy, D2 resection, S-1
- Medical subject headings
- Stomach Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
S-1 plus oxaliplatinDrug
Also called SOX
6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection
S-1 singleDrug
Also called S-1
16 courses S-1 single after d D2 resection
| Study group | Role | What they receive |
|---|---|---|
| S-1 plus Oxaliplatin | Experimental | 6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection Receives: Drug: S-1 plus oxaliplatin |
| S-1 single | Active comparator | S-1 40~60mg twice daily for 14 days in 3 weeks for totally 16 courses after D2 resection Receives: Drug: S-1 single |
What is being measured
The primary outcome is the main question the study is designed to answer.
overall survival
Measured: 5 year
Secondary outcomes (2)
disease-free survival
Measured: 3 year
Number of Participants with Adverse Events
Measured: 5 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Feb 2013 (estimated)
- Study startSep 2011
- Primary completionNov 2016 (estimated)
- Study completionJun 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Gastric CancerStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 724 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zhou Zhiwei, Sun Yat-sen University
- Investigators
- Zhiwei Zhou, PHD, Study chair, SunYat-sen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01795027
- Sponsor's protocol ID
- SYSUCCGPS
- Other IDs
- ZHOUZHIWEI
- Acronym
- CAPITAL
- Status last verified
- Oct 2016
- First submitted
- 14 Feb 2013
- Last updated
- 25 Oct 2016
- Results posted
- No
- Data monitoring committee
- No
Publications
Nie RC, Chen S, Wan J, Sun XW, Hong WQ, Wei HB, Wang W, Zhang WB, Zhao Y, Zhang WB, Chen JS, Wu ZG, Mai C, Feng CZ, Yuan SQ, Wang W, Qiu HB, Liang Y, Guan YX, Chen YM, Liu WW, Ding C, Peng JS, Chen YB, Zhou ZW, Li YF. Adjuvant oxaliplatin with S-1 (SOX) versus S-1 for stage II-III gastric cancer (CAPITAL): A randomized, open-label, phase 3 trial. Med. 2026 Aug 14:101258. doi: 10.1016/j.medj.2026.101258. Online ahead of print.
PubMed 42600610
Study at a glance
From the registry record, last updated by the sponsor on 25 Oct 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective,Multicentral,Open-label,Randomized,Controlled,Phase III Clinical Trial to Compare S-1 Plus Oxaliplatin to S-1 as Adjuvant Chemotherapy After D2 Resection in Patients With Gastric Cancer
- ClinicalTrials.gov ID
- NCT01795027
- Acronym / sponsor ID
- CAPITAL / SYSUCCGPS
- Conditions
- Gastric Cancer
- Keywords
- gastric cancer, chemotherapy, D2 resection, S-1
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 724 participants (estimated)
- Lead sponsor
- Sun Yat-sen UniversityUniversity, hospital or other
- Study start
- Sep 2011
- Primary completion
- Nov 2016 (estimated)
- Study completion
- Jun 2018 (estimated)
- First posted
- 20 Feb 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Background: It is shown that TS-1 as adjuvant chemotherapy after D2 resection in patients with gastric cancer can improve DFS and OS in one Japanese Trial. And TS-1 has become one of the standard therapies to these patients. But it is still unknown whether it would improve more to OS and DFS than single TS-1 after combined with oxaliplatin . This trial is designed to investigate the efficacy and safety of TS-1 plus oxaliplatin versus TS-1 single as adjuvant chemotherapy after D2 resection in patients with gastric cancer.
Patients and methods: In this study , patients with histologically confirmed gastric cancer who received D2 resection and staged II or III, aged from 18 to 70 years and with Eastern Cooperative Oncology Group performance status ≤2 and adequate organ function, are randomized 1:1 to oxaliplatin 100mg/m2 on day 1 and TS-1 40~60mg twice everyday for 14 days in a 21-days cycle for total 6 cycles followed by TS-1 single with the same dose and frequency to the end of the 1st year postoperatively(SOX) , or TS-1 single 40~60mg twice everyday for 14 days in a 21-days cycle to the end of the 1st year postoperatively (TS-1). The primary end point is overall survival (OS), and secondary end point is disease free survival(DFS) and safety. Final study analysis will be conducted in the end of the 5th year after the last patient's enrollment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| S-1 plus Oxaliplatin | Experimental | Drug: S-1 plus oxaliplatin6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection |
| S-1 single | Active comparator | Drug: S-1 singleS-1 40~60mg twice daily for 14 days in 3 weeks for totally 16 courses after D2 resection |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- informed consensus of patients
- be able to receive oral administration
- from 18 to 70 years old
- be proven to be primary adenocarcinoma of gastric cancer and staged II or III by pathological evidences
- without other chemotherapy and/or radiation against to the disease
Key exclusion criteria (7 listed)
- history of other malignancy
- allergic reaction to S-1 or oxaliplatin
- be enrolling in other clinical trials
- abnormal GI tract function
- dysfunction of other organs
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| S-1 plus oxaliplatinAlso: SOX6 courses chemotherapy with S-1 plus oxaliplatin followed by 10 courses S-1 single after d D2 resection | Drug | S-1 plus Oxaliplatin |
| S-1 singleAlso: S-116 courses S-1 single after d D2 resection | Drug | S-1 single |
Primary outcome
overall survival
Time frame: 5 year
2 secondary outcomes
disease-free survival
Time frame: 3 year
Number of Participants with Adverse Events
Time frame: 5 year
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Oct 2016.
- Derived from this study: PubMed 42600610Nie RC, Chen S, Wan J, Sun XW, Hong WQ, Wei HB, Wang W, Zhang WB, Zhao Y, Zhang WB, Chen JS, Wu ZG, Mai C, Feng CZ, Yuan SQ, Wang W, Qiu HB, Liang Y, Guan YX, Chen YM, Liu WW, Ding C, Peng JS, Chen YB, Zhou ZW, Li YF. Adjuvant oxaliplatin with S-1 (SOX) versus S-1 for stage II-III gastric cancer (CAPITAL): A randomized, open-label, phase 3 trial. Med. 2026 Aug 14:101258. doi: 10.1016/j.medj.2026.101258. Online ahead of print.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zhiwei Zhou, PHD study chair
SunYat-sen University
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing S-1 plus oxaliplatin and S-1 single in people with Gastric Cancer, run by Sun Yat-sen University at 13 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 25 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
overall survival (time frame: 5 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01795027, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Oct 2016.