Official Title: A Phase II Study of Systemic Therapy With CPT-11 Camptosar HCl and Cisplatin in Patients With Advanced Gastric Cancer to be Followed by Surgical Resection and Postoperative Intraperitoneal Chemotherapy
Status: COMPLETED
Status Verified Date: 2011-04
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
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 and combining chemotherapy with surgery may kill more tumor cells
PURPOSE This phase II trial is studying how well irinotecan and cisplatin followed by surgery floxuridine and cisplatin work in treating patients with stomach cancer
Detailed Description: OBJECTIVES
Determine the complete and partial response rates and time to treatment failure in patients with advanced gastric cancer treated with neoadjuvant irinotecan and cisplatin followed by surgery then intraperitoneal floxuridine and cisplatin Determine the rate of potentially curative surgery in patients receiving this regimen Determine the toxicity and tolerance of this regimen in these patients
OUTLINE Patients receive cisplatin IV and irinotecan IV once a week for 4 weeks This course is repeated 2 weeks later
Patients who achieve complete or partial remission or stable disease undergo resection 4 weeks after the last chemotherapy dose
Patients with no residual macroscopic disease begin adjuvant intraperitoneal IP chemotherapy 1 week after surgery Chemotherapy consists of floxuridine IP over 30 minutes on days 1-3 and days 22-24 and cisplatin IP on days 3 and 24
PROJECTED ACCRUAL A total of 18-33 patients will be accrued for this study within 2 years