The purpose of this study is to assess the efficacy and safety of patients who receive concurrent neoadjuvant chemoradiotherapy for Siewert II ,III of locally advanced HER-2 negative adenocarcinoma at gastroesophageal junction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
48
apatinib:250mg qd po
1000mg/m2 bid d1-14
130 mg/m2 Ivgtt d1 q3w
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
RECRUITINGThe pathological complete response rate(pCR)
The lesion disappeared completely by pathology
Time frame: within 3 weeks after surgery
Objective response rate (ORR)
Baseline to measured stable disease
Time frame: within 3 weeks after surgery
R0-resection rate
There was no residual by the microscope
Time frame: within 3 weeks after surgery
Disease-free survival(DFS)
Baseline to measured date of recurrence or death from any cause
Time frame: 3 year
Overall survival (OS)
Baseline to measured date of death from any cause
Time frame: 3years
Adverse events
Toxicity according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0.The number of Participants with adverse events will be recorded at each treatment visit.
Time frame: 3 year
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45Gy/25f (1.8Gy/f/d,5 f/w)