Tumor messenger ribonucleic acid (mRNA) expression levels may have a promising role as potential predictive biomarkers for chemotherapy. Peritoneal carcinomatosis appears to be the most common pattern of metastasis or recurrence and is associated with poor prognosis in gastric cancer patients. Intraperitoneal chemotherapy is widely accepted strategy in the treatment of peritoneal dissemination. In this study, our aim is to evaluate the impact of individualized selection of chemotherapeutics and intraperitoneal combined with system chemotherapy on overall survival, disease free survival, response rate, and safety of advanced gastric cancer patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
240
intraperitoneal and/or intravenous
intravenous
intraperitoneal
intraperitoneal and/or intravenous
intraperitoneal and/or intravenous
oral
Ma'anshan People's Hospital
Ma’anshan, Anhui, China
RECRUITINGJiangyin People's Hospital
Jiangyin, Jiangsu, China
RECRUITINGNanjing Gaochun People's Hospital
Nanjing, Jiangsu, China
RECRUITINGNanjing Lishui People's Hospital
Nanjing, Jiangsu, China
RECRUITINGThe Comprehensive Cancer Center of Nanjing Drum Tower Hospital
Nanjing, Jiangsu, China
RECRUITINGSuqian People's Hospital
Suqian, Jiangsu, China
RECRUITINGXuzhou Central Hospital
Xuzhou, Jiangsu, China
RECRUITINGAffiliated Hospital of Jiangsu University
Zhenjiang, Jiangsu, China
RECRUITINGProgression-free Survival (PFS)
the follow-up visit of PFS will be performed every 6 weeks
Time frame: up to 1 year
Overall Survival (OS)
OS means that from the first dose of treatment drug to death or lost, the follow-up visit will be performed every 3 months till death or lost
Time frame: up to 2 years
Objective Response Rate
CT/MRI will be performed every 2 cycles of treatment for efficacy evaluation
Time frame: up to 24 weeks
Adverse Events
participants will be followed for the duration of hospital stay
Time frame: up to 1 months
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