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Japanese Journal of Clinical Oncology Advance Access originally published online on November 7, 2005
Japanese Journal of Clinical Oncology 2005 35(11):672-675; doi:10.1093/jjco/hyi179
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© 2005 Foundation for Promotion of Cancer Research


Clinical Trial Note

A Randomized Phase III trial of Post-operative Adjuvant Oral Fluoropyrimidine versus Sequential Paclitaxel/Oral Fluoropyrimidine; and UFT versus S1 for T3/T4 Gastric Carcinoma: The Stomach Cancer Adjuvant Multi-institutional Trial Group (Samit) Trial

Akira Tsuburaya1, Junichi Sakamoto2, Satoshi Morita3, Yasuhiro Kodera4, Michiya Kobayashi5, Yumi Miyashita6 and John S. Macdonald7

1 Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, 2 Department of Epidemiological and Clinical Information Management, 3 Department of Epidemiology and Healthcare Research, Kyoto University, Kyoto, 4 Department of Surgery, Nagoya University, Nagoya, 5 Department of Surgery, Kochi University, Kochi, 6 Department of Clinical research of Aichi Cancer Center Aichi Hospital, Okazaki, Japan and 7 Gastrointestinal Oncology Service, St Vincent's Comprehensive Cancer Center, New York, NY, USA

For reprints and all correspondence: Akira Tsuburaya, Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, 1-1-2, Nakao, Asahi-ku, Yokohama 2410815, Japan. E-mail: tuburayaa{at}kcch.jp

Received August 2, 2005; accepted September 6, 2005

Paclitaxel, S1 and their combined sequential administration is proposed to be examined installing UFT as an active control of adjuvant chemotherapy for curatively resected T3–4 gastric cancer in a multicenter Phase III trial. The primary endpoint is disease-free survival and the secondary endpoints are incidence of adverse events, overall survival and compliance. The sample size is 370 per treatment arm (1480 in total) for two hypotheses of the superiority of sequential use of paclitaxel followed by oral fluoropyrimidines to fluoropyrimidines (UFT/S1) alone and the non-inferiority of S1 to UFT to be tested by two-by-two factorial design. Abdominal CT or US is performed every 3 months in the first 2 years and every 6 months thereafter for 3 years in total to ensure recurrence data collection. This trial could appraise sequential combination therapy and efficacy of new drugs as adjuvant for gastric cancer treatment.

Key Words: adjuvant chemotherapy • gastric cancer • UFT • S1 • paclitaxel


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Y. Ueda, T. Fujimura, S. Kinami, Y. Hirono, A. Yamaguchi, H. Naitoh, T. Tani, M. Kaji, H. Yamagishi, K. Miwa, et al.
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