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Gastric CancerPhase 2GastroDOCNCT01876927

Pre-Operative Or Peri-Operative Dox Regimen In Patients With Locally Advanced Resectable Gastric Cancer

A Phase 2 study testing DOX 4 cycles - Surgery and DOX 2 cycles - Surgery - DOX 2 cycles in people with Gastric Cancer and Locally Advanced Malignant Neoplasm, run by Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS at 20 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Study design: Multicenter, randomized, open label phase II study Arm A: DOX 4 cycles - Surgery - Follow-up Arm B: DOX 2 cycles - Surgery - DOX 2 cycles - Follow-up Population: Male or female, 18-75 years of age, with a diagnosis of histologically confirmed, potentially resectable adenocarcinoma of the stomach. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
DOX 4 cycles - Surgery and DOX 2 cycles - Surgery - DOX 2 cycles
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
106 participants
Where
20 sitesItaly
Study dates
Sep 2010to 15 Sep 2022
Phase
Phase 2
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed written informed consents
  • Male or female 18-75 years of age
  • Diagnosis of histologically confirmed, potentially resectable adenocarcinoma of the stomach
  • cT3 subserosal - cT4a - cT4b (7th edition UICC TNM) or bulky lymph node metastases independently of T
  • ECOG performance status of 0-1 at study entry
  • Laboratory requirements (≤ 7 days prior chemotherapy start):
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  • Hematology:
  • Neutrophils > 1.5 x 109 /L II) Platelets > 100 x 109 /L III) Hemoglobin > 10g/dL
  • Hepatic function I) Total bilirubin < 1.25 UNL II) AST (SGOT) and ALT (SGPT) < 2.5xUNL III) Alkaline phosphatase < 2.5xUNL
  • Renal function I) Creatinine <1.5 UNL In the event of border-line values, the calculated creatinine clearance should be > 60 mL/min;
  • Written informed consent signed and dated before randomization procedures, including expected cooperation of patients for treatment and follow-up, must be obtained and documented according to local regulatory requirements.
  • Effective contraception for both male and female patients if the risk of conception exists

Who cannot join

  • Early gastric cancer (if N0)
  • T2 (according to 7th edition of UICC TNM) if N0
  • Linitis plastica
  • Positive peritoneal cytology
  • Distant metastases
  • Neoplasm involving the gastro-esophageal junction
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  • Pertoneal involvement
  • Concurrent chronic systemic immune therapy
  • Any investigational agent(s) administered 4 weeks prior to entry
  • Clinically relevant coronary artery disease, a history of myocardial infarction or of hypertension not controlled by therapy within the last 12 months
  • Known grade 3 or 4 allergic reaction to any of the components of the treatment
  • Known drug abuse/alcohol abuse
  • Legal incapacity or limited legal capacity
  • Medical or psychological condition which, in the opinion of the investigator, would not permit the patient to complete the study or sign meaningful informed consent
  • Women who are pregnant or breastfeeding
  • Acute or subacute intestinal occlusion
  • Any concurrent malignancy other than non-melanoma skin cancer, or carcinoma in situ of the cervix. (Patients with a previous malignancy but without evidence of disease for ≥ 5 years will be allowed to enter the trial)

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

Italy20 sites
  • Azienda Ospedaliero - Universitaria Ospedali Riuniti Umberto I - GM Lancisi

    Ancona, AN

  • USL 8 Arezzo - Presidio Ospedaliero Zona Casentino - Ospedale di Bibbiena

    Bibbiena, AR

  • UO Oncologia , Spedali Civili di Brescia

    Brescia, BS, 25123

  • Ospedale Bufalini

    Cesena, FC

  • UOC Oncologia , Azienda USL 11

    Empoli, FI, 50053

  • Ospedale Careggi

    Florence, FI

  • UO oncologia medica IRCCS IRST

    Meldola (FC), FC, 47014

  • UO ONCOLOGIA , Istituto Europeo di Oncologia

    Milan, MI, 20141

  • USL 8 Arezzo - Ospedale "Santa Maria alla Gruccia"

    Montevarchi, AR

  • UO Oncologia, Fondazione Policlinico San Matteo

    Pavia, PV, 27100

  • Azienda Ospedaliera di Perugia - Ospedale S. Maria della Misericordia

    Perugia

  • Azienda Ospedaliera Universitaria Pisana

    Pisa, PI

  • UO Oncologia Medica, PO Rimini, AUSL della Romagna

    Rimini, RI, 47923

  • Ospedale San Filippo Neri

    Roma

  • Istituto Clinico Humanitas

    Rozzano, MI

  • UO Oncologia , Casa di Cura Tortorella

    Salerno, SA, 84122

  • Policlinico Le Scotte

    Siena, SI

  • UO Oncologia, Azienda Ospedaliero Treviglio

    Treviglio, TV, 24047

  • UO Oncologia Medica, azienda Ospedaliera di Varese

    Varese, VA, 21100

  • Ospedale Borgo Trento

    Verona

Other trials in Italy

About this study

Official title: A Randomised Phase Ii Study Of Pre-Operative Or Peri-Operative Docetaxel, Oxaliplatin, Capecitabine (Dox) Regimen In Patients With Locally Advanced Resectable Gastric Cancer

Study design:

Multicenter, randomized, open label phase II study Arm A: DOX 4 cycles - Surgery - Follow-up Arm B: DOX 2 cycles - Surgery - DOX 2 cycles - Follow-up

Read more

Population:

Male or female, 18-75 years of age, with a diagnosis of histologically confirmed, potentially resectable adenocarcinoma of the stomach.

Sample Size: Planned sample size is 90 patients, 45 patients for each arm (p0=50%, p1=80%, alpha=0.05 (two sides), beta=0.2)

Treatment Plan:

Treatment will be administered for 4 and 2 cycles before surgery in arm A and B, respectively, and in arm B for a further 2 cycles after surgery unless progression or unacceptable toxicity occurs, or a patient refuses treatment. In such cases patients will go off treatment. 3-6 weeks after the end of the fourth (arm A) or second (arm B) preoperative cycle, patients will undergo surgery.

After surgery 3-6 weeks from surgery patients in arm B will receive 2 more cycles.

DOX: Docetaxel 35 mg/m2 day 1 and 8 Oxaliplatin 80 mg/m2 day 1 Capecitabine 750 mg/m2 x 2 daily for 2 weeks

Cycles repeated every 3 weeks

Evaluation criteria: Tumor assessment will be performed according to the RECIST criteria (version 1.1).

Duration of Study:

Overall study duration: 07/2010- 03/2017 Planned study duration per patient: 5 years

Read the detailed description

Title: A randomised phase II study of pre-operative or peri-operative docetaxel, oxaliplatin, capecitabine (DOX) regimen in patients with locally advanced resectable gastric cancer.

Clinical Phase: II

Study Objectives:

Primary:

The percentage of patients receiving all the planned chemotherapeutic cycles.

Secondary:

  • Downstaging according to Recist criteria
  • pT1-3 vs pT0.
  • Safety: number of patients with grade 3-4 toxicity
  • The role of PET Scan as predictor of response
  • Curative vs palliative surgery
  • TTP
  • OS
  • Diagnostic correlation between the various staging methods
  • Possible correlations between CT scan, CT/PET, laparoscopy;
  • Molecular markers related to toxicity: DPYD, MTHFR, TS, XPD, ERCC1, XRCC1;
  • Molecular markers related to prognosis: TYMS, GSTP1, COX-2, RUNX3, methylation profile (Cox2, hMLH1, MGMT);
  • Molecular markers related to therapy response: TYMS, DPYD, MTHFR, OPRT, ERCC1, XRCC1/2/3, GSTP1, GSTM1, GSTT1, ABCB1, methylation profile (Cox2, hMLH1, MGMT), whole genome arrayCGH.

Study design:

Multicenter, randomized, open label phase II study Arm A: DOX 4 cycles - Surgery - Follow-up Arm B: DOX 2 cycles - Surgery - DOX 2 cycles - Follow-up

Population:

Male or female, 18-75 years of age, with a diagnosis of histologically confirmed, potentially resectable adenocarcinoma of the stomach.

Sample Size: Planned sample size is 90 patients, 45 patients for each arm (p0=50%, p1=80%, alpha=0.05 (two sides), beta=0.2)

Treatment Plan:

Treatment will be administered for 4 and 2 cycles before surgery in arm A and B, respectively, and in arm B for a further 2 cycles after surgery unless progression or unacceptable toxicity occurs, or a patient refuses treatment. In such cases patients will go off treatment. 3-6 weeks after the end of the fourth (arm A) or second (arm B) preoperative cycle, patients will undergo surgery.

After surgery 3-6 weeks from surgery patients in arm B will receive 2 more cycles.

DOX: Docetaxel 35 mg/m2 day 1 and 8 Oxaliplatin 80 mg/m2 day 1 Capecitabine 750 mg/m2 x 2 daily for 2 weeks

Cycles repeated every 3 weeks

Evaluation criteria: Tumor assessment will be performed according to the RECIST criteria (version 1.1).

Duration of Study:

Overall study duration: 07/2010- 03/2017 Planned study duration per patient: 5 years

Being tested
DOX 4 cycles - Surgery, DOX 2 cycles - Surgery - DOX 2 cycles
Keywords
Locally, Advanced, Resectable, Gastric Cancer
Medical subject headings
Stomach Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DOX 4 cycles - SurgeryOther

    DOX 4 cycles - Surgery

  • DOX 2 cycles - Surgery - DOX 2 cyclesOther

    DOX 2 cycles - Surgery - DOX 2 cycles

Study groups in NCT01876927
Study groupRoleWhat they receive
Arm AExperimentalDOX 4 cycles - Surgery - Follow-up DOX: Docetaxel 35 mg/m2 day 1 and 8 by one hour infusion; Oxaliplatin 80 mg/m2 day 1 by two hours infusion; Capecitabine 750 mg/m2 x 2 daily for 2 weeks, per OS. Treatment should be administered for 4 cycles before surgery. Each cycle will be repeated every 3 weeks.
Receives: Other: DOX 4 cycles - Surgery
Arm BExperimentalDOX 2 cycles - Surgery - DOX 2 cycles - Follow-up DOX: Docetaxel 35 mg/m2 day 1 and 8 by one hour infusion; Oxaliplatin 80 mg/m2 day 1 by two hours infusion; Capecitabine 750 mg/m2 x 2 daily for 2 weeks, per OS. Treatment should be administered for 2 cycles before surgery and for further 2 cycles after surgery, unless progression of disease or unacceptable toxicity occurs, or patient refusal. In these cases patients will go off treatment. Each cycle will be repeated every 3 weeks.
Receives: Other: DOX 2 cycles - Surgery - DOX 2 cycles

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. the difference in percentage of patients receiving all the planned chemotherapeutic cycles between the two arms.

    Measured: 7 years

Secondary outcomes (11)
  1. The percentage of tumors downstaged at the diagnosis

    To determine the percentage of tumors downstaged at the diagnosis, compared with the pathological stage detected at the time of surgery (according to Recist criteria)

    Measured: 7 years

  2. Treatment tolerability and safety and tumor response in patients with pathological stage pT1-3 vs pT0

    Comparation of treatment tolerability and safety and tumor response between patients with pathological stage pT1-3 vs pT0 (detected at the time of surgery)

    Measured: 7 years

  3. Number of patients with adverse events of grade 3-4 as a measure of safety and tolerability

    Measured: 7 years

  4. Diagnostic capability of PET

    Evaluation of the role of PET as a tool to detect tumor response

    Measured: 7 years

  5. Efficacy comparation between curative vs palliative surgery

    Measured: 7 years

  6. Time to progression

    Measured: 7 years

  7. Overall survival

    Measured: 7 years

  8. Diagnostic capability of CT scan, CT/PET and laparoscopy

    Evaluation of possible correlations between the diagnostic techniques CT scan, CT/PET and laparoscopy

    Measured: 7 years

  9. Biological profile of treatment toxicity

    Biological detection of molecular markers related to treatment toxicity (DPYD, MTHFR, TS, XPD, ERCC1, XRCC1)

    Measured: 7 years

  10. Biological profile of treatment prognosis

    Biological detection of molecular markers related to treatment prognosis (TYMS, GSTP1, COX-2, RUNX3, methylation profile (Cox2, hMLH1, MGMT))

    Measured: 7 years

  11. Biologcal profile of treatment response

    Biological detection of molecular markers related to therapy response (TYMS, DPYD, MTHFR, OPRT, ERCC1, XRCC1/2/3, GSTP1, GSTM1, GSTT1, ABCB1, methylation profile (Cox2, hMLH1, MGMT), whole genome arrayCGH)

    Measured: 7 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jun 2013 (estimated)
  2. Study startSep 2010
  3. Primary completionMar 2017
  4. Study completion15 Sep 2022

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
106 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01876927
Sponsor's protocol ID
IRST151.01
Other IDs
2010-020189-37
Acronym
GastroDOC
Status last verified
Jan 2025
First submitted
7 Jun 2013
Last updated
9 Jan 2025
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing DOX 4 cycles - Surgery and DOX 2 cycles - Surgery - DOX 2 cycles in people with Gastric Cancer and Locally Advanced Malignant Neoplasm, run by Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS at 20 sites in Italy.

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 12 inclusion and 17 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: finished, as of the sponsor's last update on 9 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Italy. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

the difference in percentage of patients receiving all the planned chemotherapeutic cycles between the two arms. (time frame: 7 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jan 2025.

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