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Trial Title: Radical Surgery for Advanced Gastric- or GEJ-cancer With Oligometastatic Dissmination to the Liver

NCT ID: NCT06627634

Condition: Survival

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Metastatectomia and standard treatment for resectable disease.
Description: Rather than palliative chemotherapy, the intervention offered to participants is preoperative chemotherapy, resection of primary tumour and metastatectomia of oligometastatic spread to the liver. If fit for post-operative chemotherapy, this is offered as well.
Arm group label: Treatment arm

Summary: Offering treatment with potential to cure for participants with no such offer in today's standard treatment options, by offering metastatectomia and standard treatment with intention to cure i.e., neoadjuvant chemotherapy and gastrectomy for participants with gastric- og gastroeusofageal junction cancer. Including 20 participants from all 4 centres in Denmark able to perform the surgical procedures in question. Endpoints: 2-year overall survival.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age > 18. - Presence of primary T1-T4N0-N3M1 adenocarcinoma of the stomach or GEJ and max. 30% liver involvement. - Primary tumour resectable, based on imaging workup. - Surgical operable patients with ASA-score36 ≤ III and WHO performance status37 0-1. - Patients eligible for treatment with systemic chemotherapy by FLOT regimen. - Informed consent is obtained. Exclusion Criteria: - Patient with non-resectable cancer. - Direct growth involving adjacent organs, i.e., pancreas, colon, blood vessels or bones. - Other malignant disease diagnosed or treated up to 2 years prior to inclusion, except non-aggressive cancers such as non-melanoma sin cancer. - Altered anatomy of the upper gastrointestinal tract due to previous surgery of the oesophagus, stomach, and duodenum. - BMI ≤ 18 - The patient is unable to understand and/or read the consent form. - Other serious illness or acute infections. - Pregnant or breastfeeding.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Aarhus Univercity hospital

Address:
City: Aarhus
Zip: 8200
Country: Denmark

Status: Recruiting

Contact:
Last name: Julie Lykke Harbjerg

Phone: +4520404424
Email: Juharb@rm.dk

Start date: December 1, 2020

Completion date: December 1, 2024

Lead sponsor:
Agency: Aarhus University Hospital
Agency class: Other

Collaborator:
Agency: Rigshospitalet, Denmark
Agency class: Other

Collaborator:
Agency: Aalborg University Hospital
Agency class: Other

Collaborator:
Agency: Odense University Hospital
Agency class: Other

Source: Aarhus University Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06627634

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