Overview

Efficacy and Safety of Sintilimab Combined Intraperitoneal and Intravenous Paclitaxel Plus Oral S-1 in Gastric Cancer Patients With Peritoneal Metastasis

Status:
Recruiting
Trial end date:
2023-12-01
Target enrollment:
0
Participant gender:
All
Summary
In this phase 2 study, we combined sintilimab, paclitaxel and S-1 as regimen to treat gastric cancer patients with peritoneal metastasis. We are aim to estimate the efficacy and safety of this regimen in the phase 2 study.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Ruijin Hospital
Treatments:
Paclitaxel
Criteria
Inclusion Criteria:

1. Histologically confirmed gastric adenocarcinoma;

2. Peritoneal metastases from gastric cancer requiring definitive diagnosis by
laparoscopy, and without gastric outflow tract obstruction and intestinal obstruction;

3. Written (signed) informed consent;

4. Age ≥ 18 years at registration;

5. Eastern Cooperative Oncology Group (ECOG) score ≤ 2;

6. Expected life expectancy > 3 months;

7. Adequate bone marrow, liver, and renal functions. absolute neutrophil count of
≥1.5×109/L; absolute neutrophil count of ≥1.5×109/L; platelet count of ≥100×109/L;
hemoglobin ≥90g/L; bilirubin of <1.5×upper limit of normal [ULN]; alanine
aminotransferase and aspartate aminotransferase of <2.5×ULN; serum creatinine of
≤1.5×ULN; creatinine clearance of >50 mL/min; TSH ≤1×ULN (if abnormal, T3 and T4
levels should be inspected at the same time, if T3 and T4 levels are normal, they can
be included in the group); APTT ≤1.5×ULN and INR ≤1.5×ULN; myocardial enzymogram
≤1×ULN.

Exclusion Criteria:

1. Confirmed of evidence of distant metastasis other than peritoneal metastasis
(e.g.liver metastasis, lung metastasis, para-aortic lymph node metastasis, etc.);

2. During pregnancy, within 28 days of post parturition, or during lactation;

3. Synchronous or metachronous (within 5 years) malignancies.

4. Severe mental disease, uncontrolled epilepsy, or central nervous system disease;

5. Clinically severe (i.e. active) heart disease, such as symptomatic coronary heart
disease, New York Heart Association (NYHA) class II or more severe congestive heart
failure or arrhythmia requiring drug intervention, or a history of myocardial
infarction in the last 12 months;

6. Upper gastrointestinal obstruction or abnormal physiological function or malabsorption
syndrome may affect S-1 absorbers;

7. Known peripheral neuropathy (> NCI-CTC AE 1). However, patients with only
disappearance of deep tendon reflex (DTR) need not be excluded;

8. Patients on steroid or immunosuppressant treatment after organ transplant;

9. Patients with severe uncontrolled recurrent infections or other severe uncontrolled
concomitant disease;

10. Moderate or severe renal damage [creatinine clearance ≤ 50 ml/min], or serum
creatinine > upper limit of normal (ULN), 115 μmol/L;

11. Known dihydropyrimidine dehydrogenase (DPD) deficiency;

12. Anaphylaxis to paclitaxel or any research drug ingredient.

13. Active autoimmune disease or history of refractory autoimmune disease; Subjects with
hypothyroidism requiring only hormone replacement therapy and skin diseases without
systemic treatment (such as vitiligo, psoriasis or alopecia) can be selected;

14. HIV antibody positive, active hepatitis B or C (hepatitis B: HBsAg positive and HBV
DNA ≥10 copies/ml; hepatitis C: HCV antibody and HCV-RNA positive, requiring antiviral
treatment at the same time);

15. Steroid or other systemic immunosuppressive therapy was used 14 days before admission,
excluding local or physiological doses of systemic glucocorticoids (eg. no more than
10mg/day of prednisone or other glucocorticoids of equivalent dose) by nasal spray,
inhalation or other routes, or hormones used to prevent allergy of contrast agents;

16. Uncontrolled arrhythmia and myocardial infarction within 12 months before admission or
active tuberculosis.