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CompletedNCT03485196Updated Aug 10, 2022

The Relationship Between Microsatellite Instability and Efficacy of Fluorouracil Based Adjuvant Chemotherapy in Gastric Cancer After Operation

An observational study in Gastric Cancer, sponsored by Affiliated Hospital of Qinghai University. Completed at 3 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-08-10.

Sponsored by Affiliated Hospital of Qinghai University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The relationship between Microsatellite instability and efficacy of fluorouracil based adjuvant chemotherapy in gastric cancer after operation.

Read the detailed description

To explore the relationship between Microsatellite instability and efficacy of fluorouracil based adjuvant chemotherapy in gastric cancer after operation.

02

Conditions studied

  • Gastric Cancer

Keywords

  • Microsatellite Instability
  • Fluorouracil
  • Adjuvant chemotherapy
  • Efficacy
  • Operation
03

In context

Stomach Neoplasms

3,399 studies on the registry are indexed under Stomach Neoplasms; 992 are open to participants now.

This study's enrollment of 1,000 is above the median of 278 across 790 observational studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Affiliated Hospital of Qinghai University is the lead sponsor of 18 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

gastric cancer

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. Histopathology or cytopathology proven gastric cancer;
  2. Operable advanced gastric cancer patients: primary lesions can be completely excision, no distant ;
  3. Postoperative patients who can tolerate 5-FU based (5-FU,S-1 or Capecitabine) chemotherapy;
  4. of at least 6 months;
  5. (Eastern Cooperative Oncology Group ) score 0-1;
  6. Age: 18\~80 years old;
  7. Normal hemodynamic indices before the recruitment (including blood cell count and liver/kidney function).

    • For example: WBC(White blood cell count )>4.0×109/L; NEU(Neutrophils)>1.5×109/L; (Platelet)>100×109/L;
  8. Roughly normal cardiopulmonary function: No coronary heart disease, myocardial infarction, pulmonary heart disease, hypertension;
  9. Not concomitant with other uncontrollable benign diseases before the recruitment;
  1. Voluntarily signed the .

Exclusion criteria

Exclusion Criteria:

  1. Advanced gastric cancer patients with distant and inoperable ;
  2. Patients who cannot tolerate 5-FU based chemotherapy;
  3. Pregnant or lactating women;
  4. Patients who have no desire to participate in the study.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (actual)
Patient registry
No

Groups and cohorts

  • MSI-H group

    We use the immunohistochemical expression of mismatch repair proteins (MutS protein homolog 2( MSH2),MutS protein homolog 6( MSH6) and PMS2(postmeiotic segregation increased 2 )) to Determine the MSI status . When one antibodies or more show negative nuclear staining of the tumor cells, the MSI state can be defined as Microsatellite instability high (MSI-H).

    Other: Microsatellite instability

  • MSI-L group

    We use the immunohistochemical expression of mismatch repair proteins (MLH1, MSH2, MSH6 and PMS2) to Determine the MSI status . when all the four antibodies show positive nuclear staining of the tumor cells, the MSI state can be defined as Microsatellite stable (MSI-L).

    Other: Microsatellite instability

  • MSS group

    We use the immunohistochemical expression of mismatch repair proteins (MLH1, MSH2, MSH6 and PMS2) to Determine the MSI status . when all the four antibodies show positive nuclear staining of the tumor cells, the MSI state can be defined as Microsatellite stable (MSS).

    Other: Microsatellite instability

Interventions

  • OtherMicrosatellite instability

    The microsatellite instability status are definite to three type:MSI-H, MSI-L,and MSS. The gastric cancer patients who received D2 resection were included in 3 groups:MSI-H group, MSI-L group,and MSS group. All patient must be accept fluorouracil(5-FU) based adjuvant chemotherapy. We will analyze the relationship between MSI status and efficacy of 5-FU based adjuvant chemotherapy by observing the survival period of patients with different MSI status.

06

What researchers measure

Primary outcomes

  1. Disease Free Survival

    The time from the primary operation to disease recurrence or death.

    Time frame: 5 years

Secondary outcomes

  1. Overall survival(OS)

    The The time from operation to death or the last follow-up. The time from operation to death or the last follow-up.

    Time frame: 5 years

07

Study locations

3 sites
  • The Second Hospital Affiliated to Lanzhou University
    Lanzhou, Gansu, China
  • Qinghai University Affiliated Hospital
    Xining, Qinghai 810000, China
  • People's Hospital of Qinghai Province
    Xining, Qinghai, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2017 to primary completion in Apr 2021, 49 months.

Of 322 non-industry observational studies under Stomach Neoplasms, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 171. This study's 49 months is below that.

Counting every sponsor, half of 364 studies reached it within 54 months; a quarter within 29 and three quarters within 119.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 25, 2018
First posted
Apr 2, 2018
StartActual
Mar 1, 2017
Primary completionActual
Apr 1, 2021
CompletionActual
Apr 1, 2021
Last update
Aug 10, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03485196
Lead sponsor
Affiliated Hospital of Qinghai University
Collaborators
Qinghai People's Hospital, LanZhou University
Responsible party
Jiuda Zhao (Professor, Affiliated Hospital of Qinghai University) — Principal investigator
First posted
Apr 2, 2018
Start date
Mar 1, 2017
Primary completion
Apr 1, 2021
Completion
Apr 1, 2021
Last update
Aug 10, 2022

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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