Title
Response Rate and Side Effects of Preoperative Chemotherapy (TOX Regimen) in Patients With Locally Advanced Operable Gastric Adenocarcinoma
Phase 2 Study of Response Rate and Side Effects of Preoperative Chemotherapy With Docetaxel, Oxaliplatin and Capcitabine (TOX) in Patients With Locally Advanced Operable Gastric Adenocarcinoma
Phase
Phase 2Lead Sponsor
Milad HospitalStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Gastric CancerIntervention/Treatment
capecitabine docetaxel oxaliplatin ...Study Participants
50Early stage diagnosis of gastric cancer has ensued different approaches in its resection strategies. In order to increase the proportion of cases that undergo radical resection and reduce the recurrence rate, different pre-operative treatments are introduced. Here, the investigators investigate an active preoperative chemotherapeutic regimen to in patients with locally advanced gastric cancer.
oxaliplatin 100mg/m2 IV over 2 hours at 1st day docetaxel 50 mg/m2 IV over 1 hour at 1st day capecitabine 625 mg/m2 PO for 14 days
Inclusion Criteria: Tissue diagnosis of gastric or gastroesophageaql junction Adenocarcinoma T3, T4 any N with non metastatic condition Age 18 - 70 years Performance status 0,1 according to ECOG criteria Adequate bone marrow , liver and renal function Hemoglobin ≥ 11 g/dl Platelets ≥ 100000 / mm3 Absolute Neutrophil Count ≥ 1500/mm3 Normal Bilirubin Normal Transaminases Normal creatinin Absence of active co-morbid illness (uncontrolled infection, uncontrolled DM, cardiopulmonary disease) Exclusion Criteria: Any metastatic disease, T1, T2, N0