Overview

Combination Chemotherapy After Surgery in Treating Patients With Cancer of the Esophagus or Stomach

Status:
Completed
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
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 giving them after surgery, may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy, consisting of paclitaxel and cisplatin, given after surgery in treating patients with cancer of the esophagus or stomach.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Eastern Cooperative Oncology Group
Collaborator:
National Cancer Institute (NCI)
Treatments:
Albumin-Bound Paclitaxel
Cisplatin
Paclitaxel
Criteria
DISEASE CHARACTERISTICS: Histologically proven adenocarcinoma of the esophagus,
gastroesophageal junction or cardia T2N1, T3 any N, T4 any N, and negative margins Proximal
and distal margins of resection must be negative No metastases Must be within 4-12 weeks
from date of surgery and clinically without evidence of local-regional or distant
recurrence

PATIENT CHARACTERISTICS: Age: 18 and over Performance Status: ECOG 0-1 Life Expectancy: Not
specified Hematopoietic: Absolute granulocyte count at least 1,500/mm3 Platelet count at
least 120,000/mm3 Hepatic: SGOT no greater than 2 times upper limit of normal (ULN)
Bilirubin no greater than 2 times ULN Renal: Creatinine within institutional normal limits
Cardiovascular: No New York Heart Association class III or IV heart disease No symptomatic
coronary artery disease No myocardial infarction within 6 months No clinically significant
conduction system abnormalities such as second or third degree heart block or bundle branch
block Neurologic: No symptomatic peripheral neuropathy No psychosis Other: Not pregnant or
nursing Effective contraceptive method must be used by fertile patients No significant
hearing loss No concurrent uncontrolled infection or medical illness No concurrent
malignancies within 3 years, except: Nonmelanoma skin cancer Carcinoma in situ of the
cervix No history of allergy to drugs containing cremophor No hypersensitivity to E. coli
derived proteins

PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent immunotherapy Chemotherapy: No
prior chemotherapy No other concurrent chemotherapy Endocrine therapy: Not specified
Radiotherapy: No prior radiotherapy No concurrent radiotherapy Surgery: See Disease
Characteristics