Combination Chemotherapy in Treating Patients With Advanced Stomach Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00004873
Recruitment Status : Completed
First Posted : January 27, 2003
Last Update Posted : May 15, 2012
Information provided by (Responsible Party):
Swiss Group for Clinical Cancer Research

Brief Summary:

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which combination chemotherapy regimen is most effective in treating advanced stomach cancer.

PURPOSE: Randomized phase II trial to compare the effectiveness of different regimens of combination chemotherapy in treating patients who have advanced stomach cancer.

Condition or disease Intervention/treatment Phase
Gastric Cancer Drug: cisplatin Drug: docetaxel Drug: epirubicin hydrochloride Drug: fluorouracil Phase 2

Detailed Description:


  • Compare the efficacy and tolerability of docetaxel, cisplatin, and fluorouracil (TCF) versus docetaxel and cisplatin (TC) versus epirubicin, cisplatin, and fluorouracil (ECF) in patients with advanced gastric carcinoma.
  • Compare the time to treatment failure, time to progression, and survival in this patient population treated with these regimens.
  • Compare the quality of life during the treatment period and after failure in this patient population.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to center, performance status (0 vs 1), and liver involvement (yes vs no). Patients are randomized to one of three treatment arms.

  • Arm I: Patients receive epirubicin IV bolus and cisplatin IV over 4 hours on day 1 plus fluorouracil IV continuously on days 1-21.
  • Arm II: Patients receive docetaxel IV over 1 hour and cisplatin IV over 4 hours on day 1.
  • Arm III: Patients receive docetaxel and cisplatin as in arm II and fluorouracil as in arm I.

Treatment regimen is repeated every 3 weeks for up to 8 courses in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed before randomization; at day 1 of courses 2, 4, and 6; and one month after treatment failure.

Patients with complete response or partial response are followed monthly for 3 months.

PROJECTED ACCRUAL: Approximately 111 patients will be accrued for this study.

Study Type : Interventional  (Clinical Trial)
Allocation: Randomized
Primary Purpose: Treatment
Official Title: Taxotere-Cisplatin-5FU (TCF) Versus Taxotere-Cisplatin (TC) Versus Epirubicin-Cisplatin-5FU (ECF) as Systemic Treatment for Advanced Gastric Carcinoma: A Randomized Phase II Trial
Study Start Date : August 1999
Actual Primary Completion Date : July 2003
Actual Study Completion Date : July 2003

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Stomach Cancer

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Histologically confirmed gastric carcinoma not amenable to curative surgery or in relapse after primary surgical resection

    • Locally advanced disease (i.e., measurable locoregional lymph nodes) OR
    • Metastatic disease
  • Bidimensionally measurable disease

    • At least 10 mm X 20 mm by chest x-ray or physical examination
    • At least 10 mm X 10 mm by CT scan
  • No CNS metastasis



  • 18 to 70

Performance status:

  • 0-1

Life expectancy:

  • Greater than 12 weeks


  • WBC count at least 4,000/mm^3
  • Platelet count at least 100,000/mm^3


  • Bilirubin no greater than 1.25 times upper limit of normal (ULN)
  • AST/ALT no greater than 2.5 times ULN
  • Alkaline phosphatase no greater than 5 times ULN


  • BUN normal
  • Creatinine normal
  • Creatinine clearance at least 60 mL/min
  • No severe hypercalcemia


  • No unstable cardiac disease requiring treatment
  • No congestive heart failure
  • No angina pectoris even if medically controlled
  • No significant arrhythmias
  • No prior myocardial infarction unless ejection fraction at least 50% by MUGA scan or echocardiogram


  • No prior significant neurologic or psychiatric disorders, including psychotic disorders, dementia or seizures that would preclude study
  • No peripheral neuropathy of any origin (alcohol, etc.) greater than grade 1


  • Fertile patients must use adequate contraception
  • No prior malignancy except basal cell skin cancer or adequately treated carcinoma in situ of the cervix
  • No active uncontrolled infection
  • No other serious illness or medical condition that would preclude study participation
  • No contraindication to corticosteroid use


Biologic therapy:

  • Not specified


  • No prior palliative chemotherapy
  • At least 12 months since prior adjuvant or neoadjuvant chemotherapy
  • No prior taxanes
  • Prior fluorouracil allowed in bolus form only
  • Prior cumulative dose of adjuvant or neoadjuvant cisplatin no greater than 300 mg/m2

Endocrine therapy:

  • Prior or concurrent prednisone (or equivalent) allowed for prophylaxis, acute hypersensitivity reactions, or chronic therapy (greater than 6 months) at doses no greater than 20 mg


  • Not specified


  • See Disease Characteristics


  • No other concurrent experimental drugs
  • No other concurrent anticancer therapies
  • At least 30 days since treatment in prior clinical trial

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00004873

Hopital Cantonal Universitaire de Geneva
Geneva, Switzerland, CH-1211
Sponsors and Collaborators
Swiss Group for Clinical Cancer Research
Study Chair: Arnaud Roth, MD Hopital Cantonal Universitaire de Geneve

Publications of Results:
Responsible Party: Swiss Group for Clinical Cancer Research Identifier: NCT00004873     History of Changes
Other Study ID Numbers: SAKK 42/99
First Posted: January 27, 2003    Key Record Dates
Last Update Posted: May 15, 2012
Last Verified: May 2012

Keywords provided by Swiss Group for Clinical Cancer Research:
stage III gastric cancer
stage IV gastric cancer
recurrent gastric cancer

Additional relevant MeSH terms:
Stomach Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Stomach Diseases
Antineoplastic Agents
Molecular Mechanisms of Pharmacological Action
Antimetabolites, Antineoplastic
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Antibiotics, Antineoplastic
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors