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Status unknownNCT02949258NCT-B4Updated Oct 31, 2016

Neoadjuvant Chemotherapy With SEEOX Regimen for Borrmann Type 4 Gastric Cancer

A Phase 2 interventional study of oxaliplatin and etoposide in Stomach Neoplasms and Gastric Cancer, sponsored by Jinling Hospital, China. Status unknown at 1 site in China. Open to participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2016-10-31.

Sponsored by Jinling Hospital, China · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2016), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
30 Years to 75 Years
Sex
All
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Study summary

Scirrhous gastric cancer, also known as linitis plastic or Borrmann type 4, is an aggressive tumor with an extremely poor prognosis. Aggressive surgical procedures and adjuvant chemotherapies have not improved the survival rate. The purpose of this study is to determine whether neoadjuvant Chemotherapy with SEEOX regimen via intra-arterial and intravenous administration are effective in the treatment of Borrmann type 4 gastric cancer.

Read the detailed description

Gastric cancer patients who diagnosed as Borrmann type 4 would be included in this study.They would receive 3 cycles of neoadjuvant chemotherapy with SEEOX regimen via combined intra-arterial and intravenous administration. The treatment schedule consisted of 3 courses (each, 2-week administration and 1-week withdrawal) of intra-arterial administration of oxaliplatin (150mg), etoposide (100mg) and epirubicin(30mg) by Seldinger method on day 1 and oral S-1(120mg) on days 1-14, followed by radical surgery.The efficacy and toxicity of SEEOX regimen would be examined.

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Conditions studied

  • Stomach Neoplasms
  • Gastric Cancer

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Keywords

  • gastric cancer
  • Borrmann type 4
  • Neoadjuvant chemotherapy
  • Intra-arterial administration
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In context

Stomach Neoplasms

2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.

This study's planned enrollment of 40 is below the median of 67 across 2,096 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Jinling Hospital, China is the lead sponsor of 126 studies on the registry; 34 are open to participants now.

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

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Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • histologically confirmed gastric adenocarcinoma;
  • males or females, aged 30-70 years;
  • gastroscopy and abdominal computed tomography (CT) scan-confirmed typical scirrhous gastric cancer (without definitive ulceration) that invaded more than half of the stomach;
  • no peritoneal metastasis confirmed by laparoscopic exploration and with cytological examination of peritoneal washing of the Douglas pouch;
  • eastern Cooperative Oncology Group performance status of 0 or 1;
  • no serious concomitant diseases that make survival period \< 3 years;
  • no prior anti-tumor therapy;
  • have signed informed consent before the beginning of treatment.

Exclusion criteria

Exclusion Criteria:

  • patients can not bear surgical procedure;
  • pregnant or lactating women;
  • previous cytotoxic chemotherapy, radiotherapy or immunotherapy;
  • with peritoneal metastasis or distant metastasis;
  • history of another malignancy within the last five years;
  • 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. 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 12 months;
  • organ allografts requiring immunosuppressive therapy;
  • serious uncontrolled intercurrent infections or other serious uncontrolled concomitant disease;
  • moderate or severe renal impairment: serum creatinine > 1.5 x upper limit of normal (ULN);
  • hypersensitivity to any drug of the study regimen;
  • unwilling or unable to comply with the protocol for the duration of the study.
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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
    SEEOX group

    A three-cycle neoadjuvant chemotherapy will be performed in all cases. In every cycle, oxaliplatin 150 mg, etoposide 100 mg and epirubicin 50 mg will be administered from the celiac artery on day 1. Oral S-1 120 mg per day will be given for days 1-14. The second cycle will be scheduled following a 1-week rest after the first cycle.After two courses of neoadjuvant chemotherapy, patients will be reevaluated and receive curative or palliative resection or exploratory laparotomy within 14 days after completing the second course of chemotherapy.

    Drug: oxaliplatin · Drug: etoposide · Drug: epirubicin · Drug: S1

Interventions

  • Drugoxaliplatin

    oxaliplatin 150 mg will be administered from the celiac artery on day 1 of every cycle in all cases

  • Drugetoposide

    etoposide 100 mg will be administered from the celiac artery on day 1 of every cycle in all cases

  • Drugepirubicin

    epirubicin 30 mg will be administered from the celiac artery on day 1 of every cycle in all cases

  • DrugS1

    Oral S-1 120 mg per day will be administered on days 1-14 of every cycle in all cases

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What researchers measure

Primary outcomes

  1. 2-year survival rate

    Time frame: up to 4 years

Secondary outcomes

  1. Overall response rate

    Time frame: up to 2 years

  2. R0 resection rate

    Time frame: up to 2 years

  3. Operative mortality rate

    Time frame: up to 2 years

  4. in-hospital mortality rate

    Time frame: up to 2 years

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Study locations

1 site
  • Research institue of general surgery, Jinling hospital
    Nanjing, Jiangsu 210000, China
    • Guoli Li, M.D. · Contact · +86-13851559752
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References and documents

Publications

  • Xiang XS, Su Y, Li GL, Ma L, Zhou CS, Ma RF. Phase II Study of Preoperative Intra-Arterial Epirubicin, Etoposide, and Oxaliplatin Combined with Oral S-1 Chemotherapy for the Treatment of Borrmann Type 4 Gastric Cancer. J Gastric Cancer. 2020 Dec;20(4):395-407. doi: 10.5230/jgc.2020.20.e40. Epub 2020 Dec 29. PubMed 33425441 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 31, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02949258
Lead sponsor
Jinling Hospital, China
Responsible party
Li Guoli (Professor, Jinling Hospital, China) — Principal investigator
First posted
Oct 31, 2016
Start date
Jan 2017
Primary completion
Jan 2019 (estimated)
Completion
Jan 2021 (estimated)
Last update
Oct 31, 2016

Study contacts

Qi He, M.D., PhD.
Contact
241549864@qq.com
+86-13851490577
Xulin Wang, M.D., PhD.
Contact
48651569@qq.com
+86-18900672829
Guoli Li, M.D.
study chair · Jinlin Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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