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Status unknownNCT02855788Updated Aug 4, 2016

Metronomic Chemotherapy in Advanced Gastric Cancer

A Phase 2 interventional study of Paclitaxel 60mg/m2, Oxaliplatin 50mg/m2, Leucovorin 20mg/m2, and 5-FU 425mg/m2 IV weekly in Metastatic Gastric Cancer and Locally Advanced Gastric Cancer, sponsored by Huashan Hospital. Status unknown at 2 sites in 2 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2016-08-04.

Sponsored by Huashan Hospital · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

phase II study of weekly metronomic chemotherapy using weekly Paclitaxel, Oxaliplatin, Leucovorin and 5-FU (POLF) in patients with advanced gastric cancer

Read the detailed description

About 80% of patients with advanced gastric cancer are diagnosed at an advanced stage with limited treatment options including systemic chemotherapy with or without radiation. Commonly used maximally tolerated dose (MTD) chemotherapy such as DCT, ECF, FOLFOX regimens induce responses in the range of 20 to 50% with median survival in the range of 10 to 12 months. Metronomic chemotherapy has been found to have more consistent anti-tumor effects through anti-angiogenic and immunomodulating effects. Preliminary clinical studies of weekly POLF have found very encouraging clinical activities and low overall toxicities in pancreatic cancer and gastric cancer. Here we conduct a formal clinical trial to determine the clinical efficacy and side effect profiles of this regimen in patients with advanced gastric cancer.

02

Conditions studied

  • Metastatic Gastric Cancer
  • Locally Advanced Gastric Cancer

Keywords

  • gastric cancer
  • gastroesophageal cancer
  • metastatic
  • advanced
03

In context

Stomach Neoplasms

2,914 studies on the registry are indexed under Stomach Neoplasms; 881 are open to participants now.

This study's planned enrollment of 40 is below the median of 66 across 2,143 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Huashan Hospital is the lead sponsor of 247 studies on the registry; 105 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. pathologically confirmed gastric cancer AJCC stage III or IV
  2. measurable disease based on CT or endoscopy exam
  3. non-surgical candidates or patients who declined surgery
  4. non-radiation candidates or patients who declined radiation
  5. patients who are able to sign informed consent
  6. patients who are 2 weeks out and recovered from surgery
  7. patients who have completed radiation to relieve obstructive symptoms
  8. patient who previously received Oxaliplatin and 5-FU in other MTD regimens
  9. adequate marrow function: neutrophil >1000/ul, Hgb >10g/dl, Plt>50,000

Exclusion criteria

Exclusion Criteria:

  1. allergic to any of the drugs involved
  2. concurrent malignancies
  3. severe co-morbidities of heart, lungs, kidneys and bone marrow
  4. severe psychological disorder
  5. severe malnutrition
  6. difficult to heal or unhealed wound
  7. ECOG performance status equal or over 3
  8. uncontrolled complications from the malignancy
  9. uncontrolled CNS metastasis
  10. peripheral neuropathy grade 3 or above
  11. pregnancy or breast feeding
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    POLF regimen

    Paclitaxel 60mg/m2, Oxaliplatin 50mg/m2, Leucovorin 20mg/m2, and 5-FU 425mg/m2 IV weekly

    Drug: Paclitaxel 60mg/m2, Oxaliplatin 50mg/m2, Leucovorin 20mg/m2, and 5-FU 425mg/m2 IV weekly

Interventions

  • DrugPaclitaxel 60mg/m2, Oxaliplatin 50mg/m2, Leucovorin 20mg/m2, and 5-FU 425mg/m2 IV weekly

    Drug page: Paclitaxel

    metronomic chemotherapy

    Also known as: Taxol, Eloxatin

06

What researchers measure

Primary outcomes

  1. response rate

    based on Recist 1.1

    Time frame: 3 months

Secondary outcomes

  1. adverse events

    based on NCI-CTC v.2

    Time frame: 2 years

  2. progression free survival

    median

    Time frame: 2 years

  3. overall survival

    median

    Time frame: 2 years

07

Study locations

1 of 2 sites recruiting
  • Seattle Integrative Cancer Center
    Seattle, Washington 98188, United States
    • Nick N Chen, M.D., Ph.D. · Contact · nicknchenmd@gmail.com · 206-588-1722
    • Deb Ellifritt, BS · Contact · debe@siccwa.com · 207-588-1722
    • Nick N Chen, M.D., Ph.D. · Principal investigator
    Not yet recruiting
  • Huashan Hospital
    Shanghai, Shanghai Municipality 200040, China
    • Zhongguang Luo, M.D. · Contact · luozg8@126.com · 021-5288237
    • Jun Zhang, M.D. · Contact · archsteed@163.com · 021-5288237
    • Jie Liu, M.D. · Principal investigator
    • Nick N Chen, M.D., Ph.D. · Principal investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02855788
Lead sponsor
Huashan Hospital
Collaborators
Seattle Integrative Cancer Center
Responsible party
Nick Chen (Visiting Professor, Huashan Hospital) — Principal investigator
First posted
Aug 4, 2016
Start date
May 2015
Primary completion
Jul 2018 (estimated)
Completion
Oct 2018 (estimated)
Last update
Aug 4, 2016

Study contacts

Nick N Chen, M.D., Ph.D.
Contact
nicknchenmd@gmail.com
206-588-1722
Jie Liu, M.D.
Contact
jieliu@fudan.edu.cn
021-5288236
Jie Liu, M.D.
principal investigator · Huashan Hospital
Nick N Chen, M.D., Ph.D.
principal investigator · Seattle Integrative Cancer Center
Jun Zhang, M.D.
study director · Huashan Hospital
Zhongguang Luo, M.D.
study director · Huashan Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Paclitaxel

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