Neoadjuvant Chemotherapy Plus Surgery Versus Surgery First For Elderly Gastric Cancer Patients

Trial statusNot yet recruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age76+
SponsorBIRENDRA KUMAR SAH

About this trial

The main purpose of this study is to compare the feasibility and efficacy of neoadjuvant chemotherapy (modified SOX) for elderly patients with locally advanced gastric cancer.

Eligibility criteria

Qualifiers

Histology confirmed non-obstructive adenocarcinoma of the stomach or esophagogastric junction.

Clinical stage: cTNM: stage III

Performance status: Eastern Cooperative Oncology Group ECOG ≤ 2 (normal to symptomatic but in bed less than half the day)

Clinically fit for systemic chemotherapy and gastric cancer surgery, i.e. adequate renal, hepatic, hematologic, and pulmonary function.

Disqualifiers

Clinically unfit for systemic chemotherapy and gastric cancer surgery, i.e. uncontrolled cardiac disease, or other clinically significant uncontrolled comorbidities, unable to undergo general anesthesia

Distant metastases (including retroperitoneal lymph node)

Locally advanced inoperable disease (Clinical assessment)

Relapse of gastric cancer

Trial design

Treatments tested in this trial

  • Chemotherapy
  • Curative gastrectomy

Treatment groups

232 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

BIRENDRA KUMAR SAH

Lead sponsor

Ruijin Hospital

Sponsor institution