Clinical trial · Interventional
Postoperative IMRT Combined With Capecitabine for Advanced Gastric Cancer Patients
Phase II Study of Postoperative Intensity-modulated Radiotherapy (IMRT) Combined With Capecitabine for Stage II/III Gastric Cancer Patients
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Radiation therapy plus concurrent chemotherapy has been demonstrated a significant improvement in overall and disease-free survival according to Intergroup Trial 0116 in patients with gastric cancer after surgical complete resection. Advantage of application of IMRT has been shown in planning comparison studies for postoperative gastric patients. So the investigators designed the trial to see safety and efficacy of postoperative concurrent chemoradiotherapy of capecitabine combined with IMRT for stage II/II gastric cancer.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Gastric Cancer | Malignant Gastric Neoplasm | CURATED_BROADER | 0.80 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| concurrent chemoradiation | Radiation | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- concurrent chemoradiation
- description
- • Radiation: concurrent chemoradiotherapy Postoperative radiotherapy regimen: Therapy plan system was formulated by Computed tomographic (CT) simulation. Radiation was delivered with 6MV photons. Radiotherapy consisted of 4500 cGy of radiation at 180 cGy per day, five days per week for five weeks, to the tumor bed, to the margins of resection or the stoma, to the regional nodes. Protection of spinal cord, heart, liver and kidney should be considered. Postoperative current chemotherapy regimen: capecitabine( 1,600 mg/m2 per day for 5 weeks).
- interventionNames
- Radiation: concurrent chemoradiation
Primary outcomes (1)
- measure
- feasibility of concurrent IMRT combined with capecitabine for the treatment of gastric cancer patients
- timeFrame
- 3 months after concurrent chemoradiation
- description
- feasibility of concurrent IMRT combined with capecitabine is defined as toxicities (CTC-AE 3.0) and rate of patients complete concurrent chemoradiation according to protocol.
Secondary outcomes (1)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 75 Years
Show eligibility criteria text
Inclusion Criteria: 1. Postoperative histologically confirmed advanced adenocarcinoma of the stomach or the gastroesophageal junction. 2. Age of 18 to 75, Karnofsky score higher than 70. 3. Postoperative histologically conformed metastasis in perigastric lymph nodes and/or tumor invasion to muscularis propria or subserosa, without positive incisal margin. Stage II/III(AJCC 7th). 4. No severe functional damage of major organ, normal blood cell, normal liver and kidney function. 5. No clinical findings of distant metastasis. 6. Predictive survival time longer than 6 months. \- Exclusion Criteria: 1. Peritoneal carcinomatosis, as diagnosed by mandatory laparoscopy or distant metastasis 2. Concurrent treatment with other experimental drugs or other anti-cancer therapy, or treatment within a clinical trial within 30 days prior to trial entry 3. Severe or uncontrolled cardiovascular disease (congestive heart failure NYHA III or IV, no myocardial infarction within the last 12 months, unstable angina pectoris, or significant arrhythmia) 4. Active or uncontrolled infection. 5. Definitive contraindications for the use of corticosteroids as premedication 6. Prior systemic (chemo- or targeted) treatment. Prior radiotherapy to the upper abdomen 7. Any contraindication to treatment with cetuximab, capecitabine or cisplatin 8. Previous malignancy within 5 years, with the exception of adequately treated cervical carcinoma in situ or localized non-melanoma skin cancer 9. Known hypersensitivity against any of the study drugs ( capecitabine)
References
Publications (0)
Data not yet available