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Antimetabolite

Chemotherapy for Stomach Cancer with Peritoneal Carcinomatosis (STOPGAP Trial)

Phase 2
Recruiting
Led By Maheswari Senthil, MD
Research Sponsored by University of California, Irvine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Must have peritoneal cytology positive disease or peritoneal carcinomatosis detected by imaging, laparoscopy or laparotomy
Performance status: ECOG performance status ≤ 2 (Appendix A). ECOG 2 allowed is attributed to malignancy (rather than comorbidities)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights

STOPGAP Trial Summary

This trial is testing a new way to give chemotherapy to people with stomach cancer that has spread to the lining of the abdomen.

Who is the study for?
Adults aged 18-75 with gastric or gastroesophageal junction cancer and peritoneal carcinomatosis, who've had at least three months of initial treatment without visceral metastasis. Participants need good organ function, no severe heart conditions, infections, or other cancers in the last 3 years. Pregnant women are excluded and contraception is required during the trial.Check my eligibility
What is being tested?
The trial tests a combination of systemic chemotherapy (Leucovorin, Fluorouracil) followed by intraperitoneal Paclitaxel to see if it's safe and works for patients with stomach cancer that has spread to the lining of their abdomen.See study design
What are the potential side effects?
Possible side effects include nausea, fatigue, low blood counts leading to increased infection risk or bleeding problems, nerve damage causing numbness or tingling sensations (neuropathy), allergic reactions, and hair loss.

STOPGAP Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My cancer has spread to the lining of my abdomen.
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My ability to perform daily activities is limited due to my cancer, not other illnesses.
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I am between 18 and 75 years old.

STOPGAP Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of Treatment-Emergent Adverse Events [Safety]
Participants with Progression Free Survival at 1-Year
Secondary outcome measures
Overall Survival of Participants
Patient Reported Quality of Life Outcomes
Other outcome measures
Correlation of Plasma and Ascite Exosomal Gene Signature (EXOSIG) to Treatment Response
Expression of Plasma and Ascites Exosomal Gene Signature (EXOSIG)

Side effects data

From 2014 Phase 4 trial • 32 Patients • NCT01301729
59%
Leukopenia
56%
Neutropenia
34%
Hypoaesthesia
31%
Agranulocytosis
22%
Alopecia
22%
Asthenia
19%
Pyrexia
16%
Nail disorder
16%
Oedema peripheral
16%
Diarrhoea
16%
Hypophagia
13%
Neurotoxicity
13%
Alanine aminotransferase increased
13%
Cough
13%
Vomting
9%
Headache
9%
Musculoskeletal pain
9%
Aspartate aminotransferase increased
9%
Chest discomfort
9%
Rash
9%
Pigmentation disorder
9%
Nausea
9%
Bone marrow failure
9%
Anaemia
6%
Transaminases increased
6%
Insomnia
6%
Constipation
6%
Mouth ulceration
6%
Nasopharyngitis
6%
Paronychia
6%
Flushing
6%
Face oedema
6%
Thrombocytopenia
3%
Infection
3%
Upper respiratory tract infection
3%
Completed suicide
3%
Cataract
100%
80%
60%
40%
20%
0%
Study treatment Arm
Trastuzumab

STOPGAP Trial Design

1Treatment groups
Experimental Treatment
Group I: SingleArm: Systemic therapy and IP Paclitaxel in Gastric/GEJ Cancer Peritoneal CarcinomatosisExperimental Treatment3 Interventions
Patients will receive sequential intraperitoneal paclitaxel along with intravenous paclitaxel, 5-FU, and leucovorin on Days 1 and 8 of every 21 day cycle for 3 months.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Fluorouracil
FDA approved
Paclitaxel
FDA approved
Leucovorin
FDA approved

Find a Location

Who is running the clinical trial?

University of California, IrvineLead Sponsor
544 Previous Clinical Trials
1,923,008 Total Patients Enrolled
1 Trials studying Peritoneal Carcinomatosis
20 Patients Enrolled for Peritoneal Carcinomatosis
Maheswari Senthil, MDPrincipal Investigator - Chao Family Comprehensive Cancer Center
Loma Linda University Medical Center-East Campus, Loma Linda University Surgical Hospital, University of California-Irvine Medical Center
1 Previous Clinical Trials
4 Total Patients Enrolled

Media Library

Fluorouracil (Antimetabolite) Clinical Trial Eligibility Overview. Trial Name: NCT04762953 — Phase 2
Peritoneal Carcinomatosis Research Study Groups: SingleArm: Systemic therapy and IP Paclitaxel in Gastric/GEJ Cancer Peritoneal Carcinomatosis
Peritoneal Carcinomatosis Clinical Trial 2023: Fluorouracil Highlights & Side Effects. Trial Name: NCT04762953 — Phase 2
Fluorouracil (Antimetabolite) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04762953 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the regulatory status of Paclitaxel?

"Previous clinical data has provided partial assurance of Paclitaxel's safety, leading it to receive a score of 2."

Answered by AI

For what indications is Paclitaxel commonly prescribed?

"Paclitaxel is a widely used drug for treating the spread of neoplasm. It has also been found to be successful in managing macrocytic anemia, bladder cancer, pancreatic malignancies and other forms of cancer."

Answered by AI

Is this experiment presently accepting participants?

"That is correct. According to the information displayed on clinicaltrials.gov, this medical trial was first posted on February 18th 2021 and has since been searching for 35 patients from a single site."

Answered by AI

What is the total participant count for this research project?

"Affirmative. According to information available on clinicaltrials.gov, this medical experiment is actively searching for participants and was first posted on February 18th 2021 with the latest update occurring March 5th 2021. 35 individuals are required for this study at a single location."

Answered by AI

Is the minimum age requirement for participation in this research lower than twenty years?

"As indicated in the eligibility requirements, this trial is open to adults aged between 18 and 75. Additionally, there are separate trials for individuals younger than 18 (149 studies) as well as elderly persons over 65 years of age (4160 studies)."

Answered by AI

Are there any other medical tests that have utilized Paclitaxel to explore its efficacy?

"At present, 1151 clinical trials are being conducted on Paclitaxel with 341 of those studies in Phase 3. These investigations are spread across 64651 sites worldwide with a significant concentration in Shanghai."

Answered by AI

Which individuals are qualified to participate in this research?

"The clinical trial is currently recruiting 35 individuals with peritoneal carcinomatosis between the ages of 18 and 75. In order to qualify, applicants must fulfill a series of criteria including having histologically or cytologically confirmed primary gastric or gastroesophageal adenocarcinoma that has not progressed after systemic treatment for at least three months, an ECOG performance status ≤ 2 (attributed to malignancy rather than comorbidities), evidence of positive peritoneal disease by imaging, laparoscopy or laparotomy as well as meeting several baseline laboratory parameters such as leukocyte count ≥2,"

Answered by AI
~5 spots leftby Dec 2024