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TerminatedNCT00004099Updated Sep 24, 2012

Surgery With or Without Combination Chemotherapy in Treating Patients With Stomach Cancer

A Phase 3 interventional study of cisplatin and fluorouracil in Gastric Cancer, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Terminated at 18 sites in 5 countries. Open to participants aged 18 Years to 69 Years. Per ClinicalTrials.gov, last updated 2012-09-24.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 3, Interventional, and Treatment

Why this study was terminated
low accrual
Phase
Phase 3
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years to 69 Years
Sex
All
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Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if surgery alone or surgery combined with chemotherapy is more effective in treating stomach cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of surgery with or without combination chemotherapy in treating patients who have stage II, stage III, or stage IV stomach cancer.

Read the detailed description

OBJECTIVES:

  • Compare overall survival in patients with locally advanced gastric cancer treated with surgery alone or in combination with neoadjuvant cisplatin, leucovorin calcium and fluorouracil.
  • Compare these two regimens in terms of the rate of complete resection, time to progression, and morbidity in these patients.
  • Evaluate toxicity of and disease response to neoadjuvant chemotherapy in these patients.
  • Evaluate quality of life and performance status in these patients pre- and post-surgery and compare quality of life for both regimens.

OUTLINE: This is a randomized, open label, multicenter study. Patients are stratified according to center, primary tumor category (cT3 or cT4), localization of tumor (upper third including cardia II or III vs middle and lower third), gender, and histological subtype (intestinal vs nonintestinal). Patients are randomized to one of two treatment arms.

  • Arm I: Patients receive cisplatin IV over 1 hour on days 1, 15, and 29. Patients also receive leucovorin calcium IV over 2 hours followed by fluorouracil IV over 24 hours on days 1, 8, 15, 22, 29, and 36. A second course is administered beginning 2 weeks later in the absence of disease progression or unacceptable toxicity.

Patients undergo resection and lymphadenectomy on days 57-63 of the second course of chemotherapy.

  • Arm II: Patients undergo resection and lymphadenectomy within 14 days of randomization.

Quality of life is assessed before randomization, every 3 months for 1 year and at 2 years after randomization.

Patients are followed every 3 months for 1 year, every 6 months for 2 years, then every 3 months thereafter until death.

PROJECTED ACCRUAL: A total of 360 patients (180 per arm) will be accrued for this study over 4 years.

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Conditions studied

  • Gastric Cancer

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Keywords

  • stage II gastric cancer
  • stage III gastric cancer
  • stage IV gastric cancer
  • intestinal adenocarcinoma of the stomach
  • diffuse adenocarcinoma of the stomach
  • mixed adenocarcinoma of the stomach
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In context

Stomach Neoplasms

2,850 studies on the registry are indexed under Stomach Neoplasms; 863 are open to participants now.

This study's enrollment of 144 is above the median of 67 across 2,095 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 342 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically proven stage II-IV adenocarcinoma of the stomach including cardia carcinoma types II and III

    • Locally resectable disease
    • No distant metastases except M1 lymph nodes
    • No evidence of peritoneal carcinomatosis

      • Free tumor cells in lavage at laparoscopy allowed
  • No uncontrolled bleeding of the primary tumor
  • No gastric outlet syndrome or complete tumor stenosis that would require total parenteral nutrition

PATIENT CHARACTERISTICS:

Age:

  • 18 to 69

Performance status:

  • WHO 0-1

Life expectancy:

  • Not specified

Hematopoietic:

  • WBC greater than 4,000/mm\^3
  • Absolute neutrophil count greater than 2,000/mm\^3
  • Platelet count greater than 100,000/mm\^3

Hepatic:

  • Bilirubin no greater than 1.25 times upper limit of normal (ULN)
  • Prothrombin rate at least 70%

Renal:

  • Creatinine no greater than 1.25 times ULN
  • Creatinine clearance greater than 60 mL/min

Cardiovascular:

  • No prior atrial or ventricular arrhythmias
  • No prior congestive heart failure
  • No myocardial infarction within the past 6 months

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No other prior or concurrent neoplasm except curatively treated nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No active infection
  • No allergy to protocol drugs
  • No dementia or significantly altered mental status
  • No other serious medical condition that would prevent compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No filgrastim (G-CSF) within 48 hours prior to chemotherapy

Chemotherapy:

  • No prior chemotherapy

Endocrine therapy:

  • Not specified

Radiotherapy:

  • No prior radiotherapy

Surgery:

  • See Disease Characteristics
  • No prior stent implantation
  • No prior laser therapy
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Masking
None (open label)
Enrollment
144 participants (actual)

Interventions

  • Drugcisplatin
  • Drugfluorouracil
  • Drugleucovorin calcium
  • Procedureneoadjuvant therapy
06

Study locations

18 sites
  • Institut Jules Bordet
    Brussels, 1000, Belgium
  • National Cancer Institute of Egypt
    Cairo, Egypt
  • Robert Roessle Klinik
    Berlin, D-13122, Germany
  • Medizinische Klinik I
    Dresden, D-01307, Germany
  • Universitaetsklinik Duesseldorf
    Duesseldorf, D-40225, Germany
  • Department of Medicine III
    Erlangen, D-91054, Germany
  • Kliniken Essen - Mitte
    Essen, D-45136, Germany
  • Evangelisches Bethesda Krankenhaus GmbH
    Essen, D-45355, Germany
  • Krankenhaus Nordwest
    Frankfurt, D-60488, Germany
  • Klinikum der J.W. Goethe Universitaet
    Frankfurt, D-60590, Germany
  • Universitatsklinik - Saarland
    Homburg, D-66421, Germany
  • Klinik & Poliklinik fur Strahlentherapie der Universitat zu Koln
    Koln, D-50924, Germany
  • Kreiskrankenhaus Meissen
    Meissen, D-01657, Germany
  • Westfaelische Wilhelms-Universitaet
    Muenster, DOH-48149, Germany
  • Klinikum Rechts Der Isar/Technische Universitaet Muenchen
    Munich, D-81675, Germany
  • Staedtisches Krankenhaus
    Solingen, D-42653, Germany
  • Academisch Ziekenhuis Maastricht
    Maastricht, 6202 AZ, Netherlands
  • Instituto Portugues de Oncologia Centro do Porto, SA
    Porto, 4200, Portugal
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References and documents

Publications

  • Schuhmacher C, Gretschel S, Lordick F, Reichardt P, Hohenberger W, Eisenberger CF, Haag C, Mauer ME, Hasan B, Welch J, Ott K, Hoelscher A, Schneider PM, Bechstein W, Wilke H, Lutz MP, Nordlinger B, Van Cutsem E, Siewert JR, Schlag PM. Neoadjuvant chemotherapy compared with surgery alone for locally advanced cancer of the stomach and cardia: European Organisation for Research and Treatment of Cancer randomized trial 40954. J Clin Oncol. 2010 Dec 10;28(35):5210-8. doi: 10.1200/JCO.2009.26.6114. Epub 2010 Nov 8. PubMed 21060024 ↗
  • Schuhmacher C, Schlag P, Lordick F, et al.: Neoadjuvant chemotherapy versus surgery alone for locally advanced adenocarcinoma of the stomach and cardia: randomized EORTC phase III trial #40954. [Abstract] J Clin Oncol 27 (Suppl 15): A-4510, 2009.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00004099
Lead sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Jul 1999
Primary completion
Feb 2004
Last update
Sep 24, 2012

Study contacts

Christoph Schuhmacher
study chair · Technical University of Munich
View the source record on ClinicalTrials.gov ↗

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