RecruitingPhase 3NCT01917552

Adjuvant Capecitabine Versus Observation Alone in Curatively Resected Stage IB Gastric Cancer((KCSG ST14-05): CATALYSIS

Phase III Study of Adjuvant Capecitabine vs Observation Alone in Curatively Resected Stage IB (by AJCC 6th Edition) Gastric Cancer(KCSG ST14-05)


Sponsor

Asan Medical Center

Enrollment

870 participants

Start Date

Aug 19, 2013

Study Type

INTERVENTIONAL

Conditions

Summary

multi-center, prospective, randomized, open-label phase III


Eligibility

Min Age: 18 YearsMax Age: 74 Years

Inclusion Criteria8

  • Curatively resected gastric or gastroesophageal junction adenocarcinoma
  • Pathologic stage IB (by AJCC 6th edition) with at least one additional risk factor for recurrence (additional risk factors for recurrence include age \>65 years, male gender, presence of lymphovascular invasion, presence of perineural invasion).
  • Age: 18 -74years
  • ECOG performance status: 0-2
  • Adequate bone marrow function (ANC \>1,500/uL, Platelets 100,000/uL, and Hb \> 8.0 g/dL)
  • Adequate renal function (serum creatinine \< 1.5 mg/dL)
  • Adequate hepatic function (bilirubin \< 1.5 mg/dL, ALT and AST \< 3 times upper limit of normal)
  • Written informed consent

Exclusion Criteria15

  • Pregnant or lactating women.
  • Women of childbearing potential with either a positive pregnancy test at baseline. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-child bearing potential.
  • Sexually active males and females (of childbearing potential) unwilling to practice contraception during the study medication and until 3 months after discontinuation of the study medication.
  • Any evidence of metastatic disease (including presence of tumor cells in the ascites).
  • Previous chemotherapy or radiotherapy for the currently treated gastric cancer.
  • No recovery from serious complications of gastrectomy.
  • History of another malignancy within the last five years except cured basal cell carcinoma of skin and cured carcinoma in-situ of uterine cervix.
  • History of uncontrolled seizures, central nervous system disorders or psychiatric disability judged by the investigator to be clinically significant precluding informed consent or interfering with compliance for oral drug intake.
  • Clinically significant (i.e. active) cardiac disease: e.g. unstable angina, symptomatic coronary artery disease, New York Heart Association (NYHA) grade II or greater congestive heart failure or serious cardiac arrhythmia requiring medication or myocardial infarction within the last 6 months.
  • Lack of physical integrity of the upper gastrointestinal tract or those who have malabsorption syndrome likely to influence absorption of capecitabine, or inability to take oral medication.
  • Serious uncontrolled intercurrent infections or other serious uncontrolled concomitant disease.
  • Organ allografts requiring immunosuppressive therapy.
  • Received any investigational drug or agent/procedure, i.e. participation in another trial within 4 weeks before randomization.
  • Requirement for concurrent use of the antiviral agent sorivudine (antiviral) or chemically related analogues, such as brivudine.
  • Positive serologic test for HIV

Interventions

DRUGcapecitabine

capecitabine 1250 milligram (mg) / m² po bid (D1-14)


Locations(1)

Asan Medical Center

Seoul, Songpa-gu, South Korea

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NCT01917552


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