Evaluate survival benefit of surgical treatment after FLOT regimen conversion therapy of Her-2 Negative and single site metastasis adenocarcinoma of the stomach / gastroesophageal compared with chemotherapy, use relevant biomarkers to evaluate the efficacy of chemotherapy and seek for patients with Her-2 negative and metastatic adenocarcinoma of the stomach / gastroesophageal surviving benefit from surgical treatment after the FLOT regimen conversion therapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
112
FLOT regimen chemotherapy
After received 4 cycles FLOT regimen chemotherapy , D2 gastric resection and imaging metastases resection was performed. Then continue 4 cycles of FLOT regimen chemotherapy (Chemotherapy begins within 4-6 weeks after surgery)
Henan Cancer Hospital/The affiliated Cancer Hospital of ZhengZhou university
Zhengzhou, Henan, China
Progression-free Survival (PFS)
From date of randomization until the date of first documented progression or date of death from any cause
Time frame: up to 2 year
Overall survival(OS)
the first day of treatment to death or last survival confirm date
Time frame: up to 24 months
Objective Response Rate (ORR)
From date of randomization until the date of death from any cause
Time frame: up to 1 year
R0 resection rate
Tumor tissue was completely resected as a percentage of all surgical patients
Time frame: up to 1 year
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