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Gastric cancer is a high incidence in Asia, and one of the leading cause of death in Korea. A cure rate is improving due to early diagnosis. However, the 5-year survival rate of gastric cancer excluding early gastric cancer is about 40 ~ 67%. Therefore, several methods for lowering the recurrence rate have been attempted and concurrent chemoradiotherapy can be considered as a method to lower the recurrence rate of gastric cancer. The purpose of this study is to evaluate the pathologic response rate and safety of patients who underwent surgery after chemoradiotherapy.
Gastric cancer is a high incidence in Asia, and one of the leading cause of death in Korea. A cure rate is improving due to early diagnosis. However, the 5-year survival rate of gastric cancer excluding early gastric cancer is about 40 ~ 67%. Therefore, several methods for lowering the recurrence rate have been attempted and concurrent chemoradiotherapy can be considered as a method to lower the recurrence rate of gastric cancer. The purpose of this study is to evaluate the pathologic response rate and safety of patients who underwent surgery after chemoradiotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SP+CCRT | Experimental | S-1 20mg/m2, bid (D1~14, D22~35) Cisplatin 30mg/m2/day (W1, 2, 4, 5) radiation 45Gy per 5 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TS-1 + cisplatin | Drug | S-1 20mg/m2, bid (D1~14, D22~35) Cisplatin 30mg/m2/day (W1, 2, 4, 5) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| pathological response rate | to evaluate pathological response rate in locally advanced resectable gastric cancer | 10 week |
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Inclusion Criteria:
Age ≥ 20 years old
Histologically confirmed gastric adenocarcinoma
clinical stage : resectable gastric cancer
Eastern Cooperative Oncology Group performance status 0 or 1
no prior chemotherapy and radiotherapy
measurable lesion or evaluable lesion according to Response Evaluation Criteria in Solid Tumors version 1.1 criteria
Patients with adequate organ function
Signed informed consent
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Severance Hospital, Yonsei University Health System | Seoul | 03722 | South Korea |
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| ID | Term |
|---|---|
| C103828 | titanium silicide |
| D002945 | Cisplatin |
| D011827 | Radiation |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
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| radiation |
| Radiation |
radiation 45Gy per 5 weeks |
|
| D055585 |
| Physical Phenomena |