Preoperative intraperitoneal chemotherapy in adjuvant hyperthermia adjunctive therapy in advanced gastric cancer with high-risk of peritoneal recurrence - a multicentre randomized trial.

2024-516042-18-00 Protocol GastricCHIMERAtrial Phase II and Phase III (Integrated) Ended

Start 8 Sep 2021 · End 28 Jan 2025 · Status Ended · 1 EU/EEA countries · 6 sites · Protocol GastricCHIMERAtrial

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ended
Participants planned 182
Countries 1
Sites 6

Gastric Carcinoma

To evaluate the effectiveness of perioperative FLOT4 chemotherapy in combination with preoperative intraperitoneal chemotherapy for hyperthermia (HIPEC) in patients with advanced gastric cancer at high risk of metastases to the peritoneal cavity - the main aim of the study is to reduce the frequency of peritoneal recur…

Key facts

Sponsor
Uniwersytet Jagiellonski Collegium Medicum
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
8 Sep 2021 → 28 Jan 2025
Decision date (initial)
2024-09-06
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-516042-18-00
EudraCT number
2020-001419-25

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy

To evaluate the effectiveness of perioperative FLOT4 chemotherapy in combination with preoperative intraperitoneal chemotherapy for hyperthermia (HIPEC) in patients with advanced gastric cancer at high risk of metastases to the peritoneal cavity - the main aim of the study is to reduce the frequency of peritoneal recurrences 6 months after gastrectomy compared to the group of patients treated without HIPEC.

Secondary objectives 4

  1. Improvement in overall survival over the period of 6 months, 1 year, 3 and 5 years - counted from the date of gastric resection
  2. Improvement in disease-free survival over the period of 6 months, 1, 3 and 5 years - counted from the day on which the gastric resection was performed
  3. Reduction in relapse rates over 6 months, 1, 3 and 5 years
  4. Assessment of the incidence of postoperative complications on the Clavien-Dindo scale

Conditions and MedDRA coding

Gastric Carcinoma

VersionLevelCodeTermSystem organ class
21.0 LLT 10007350 Carcinoma gastric 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. gastric cancer confirmed in histological examination of material taken during gastroscopy and biopsy of the tumour
  2. advanced gastric cancer (cT3/T4a, cN0-3b)
  3. no distant metastases on chest, abdominal and pelvic computed tomography (cM0)
  4. age 18-75
  5. signed written informed consent
  6. completion of at least 3 cycles of preoperative FLOT chemotherapy

Exclusion criteria 9

  1. lack of confirmation of gastric cancer in histologic examination of biopsy material taken during gastroscopy
  2. age > 75
  3. Performance status 3 or higher in ECOG/WHO scale
  4. previous abdominal surgery other than appendectomy or laparoscopic cholecystectomy
  5. pregnancy or lactation
  6. lack of written informed consent
  7. other simultaneous neoplasm
  8. previous systemic treatment or radiotherapy for other neoplasm
  9. serious dysfagia requiring surgical treatment before previous chemotherapy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Peritoneal recurrence rate
  2. Recurrence rates
  3. Quality of life assessment by means of QLQ-C30 and STO22 questionaries

Secondary endpoints 3

  1. Overall survival
  2. Disease free survival
  3. Ocena parametrów jakości życia przy użyciu kwestionariusza QLQC30 oraz STO22

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

SCP139021 · ATC

Route of administration
INFUSION
Max daily dose
300 mg/m2 milligram(s)/sq. meter
Max total dose
300 mg/m2 milligram(s)/sq. meter
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L01XX19 — IRINOTECAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Uniwersytet Jagiellonski Collegium Medicum

Sponsor organisation
Uniwersytet Jagiellonski Collegium Medicum
Address
Ul. Sw. Anny 12
City
Cracow
Postcode
31-008
Country
Poland

Scientific contact point

Organisation
Uniwersytet Jagiellonski Collegium Medicum
Contact name
Biuro ds. Badan Klinicznych

Public contact point

Organisation
Uniwersytet Jagiellonski Collegium Medicum
Contact name
Biuro ds. Badan Klinicznych

Locations

1 EU/EEA country · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ended 182 6
Rest of world 0

Investigational sites

Poland

6 sites · Ended
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
Oddział Kliniczny Chirurgii Ogólnej, Onkologicznej, Gastroenterologicznej i Transplantologii, Ul. Macieja Jakubowskiego 2, 30-688, Cracow
Uniwersytecki Szpital Kliniczny Nr 1 W Lublinie
Klinika Chirurgii Onkologicznej, Ul. Stanislawa Staszica 16, 20-081, Lublin
Dolnoslaskie Centrum Onkologii Pulmonologii I Hematologii
Oddział Chirurgii Nowotworów Przewodu Pokarmowego, Pl. Ludwika Hirszfelda 12, 53-413, Wroclaw
Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W Bydgoszczy
Oddział Kliniczny Chirurgii Onkologicznej, Ul. Izabeli Romanowskiej 2, 85-796, Bydgoszcz
Szpital Uniwersytecki Imienia Karola Marcinkowskiego W Zielonej Gorze Sp. z o.o.
Kliniczny Oddział Chirurgii Ogólnej i Onkologicznej, Ul. Zyty 26, 65-046, Zielona Gora
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Klinika Chirurgii Onkologicznej, Ul. Garncarska 11, 31-115, Cracow

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2021-09-08 2021-09-08 2025-01-28

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
2024-516042-18-00 Final summary of results
SUM-108369
2025-11-27T08:56:35 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
2024-516042-18-00 Lay person summary of results 2025-11-27T08:57:19 Submitted Laypersons Summary of Results

Documents 15 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) 2024-516042-18-00 Lay person summary of results 1
Protocol (for publication) D_Approved protocol 2024-516042-18-00_BLINDED 1.4
Protocol (for publication) D_Patient facing documents QLQ-C30 1
Protocol (for publication) D_Patient facing documents QLQ-STO22 1
Protocol (for publication) D_Protocol 2024-516042-18-00 1.4
Recruitment arrangements (for publication) Sponsor Statement 1
Subject information and informed consent form (for publication) L_SIS and ICF 1.4
Subject information and informed consent form (for publication) L_SIS and ICF clause 1.3
Subject information and informed consent form (for publication) L_SIS and ICF Leaflet 1
Summary of Product Characteristics (SmPC) (for publication) E2 SmPC Irinotecan Accord 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Campto 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Irinotecan Kabi 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Irinotecan Medac 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC IRINOTECAN STADA 1
Summary of results (for publication) 2024-516042-18-00 Final summary of results 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-30 Poland Acceptable
2024-09-02
2024-09-06