AI Prediction of Gastric Cancer Response to Neoadjuvant Chemotherapy

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorChinese Academy of Sciences

About this trial

This study seeks to develop a deep-learning-based intelligent predictive model for the efficacy of neoadjuvant chemotherapy in gastric cancer patients. By utilizing the patients' CT imaging data, biopsy pathology images, and clinical information, the intelligent model will predict the post-neoadjuvant chemotherapy efficacy and prognosis, offering assistance in personalized treatment decisions for gastric cancer patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 years or older;

Pathologically diagnosed with advanced gastric cancer in accordance with the American AJCC's TNM staging standards;

Have not undergone any systematic anti-cancer treatments before neoadjuvant chemotherapy and have not had surgery for local progression or distant metastasis;

Received standard neoadjuvant chemotherapy as recommended by the clinical guidelines, and have documented treatment details;

Disqualifiers

Patients whose CT or pathology images are unclear, making lesion assessment infeasible;

Patients diagnosed with other concurrent tumors.

Trial population

The study population comprises gastric cancer patients from various hospitals. Participants are individuals diagnosed with advanced gastric cancer and are currently undergoing neoadjuvant chemotherapy treatments. Selection is based on criteria such as age, specific diagnosis, past treatment history, and the clarity of their medical images and pathology images.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Neoadjuvant Chemotherapy

    Drug

    Participants in this group are diagnosed with gastric cancer and are scheduled to undergo neoadjuvant chemotherapy as a part of their treatment regimen. The specific chemotherapy drugs, dosages, and schedules will be determined according to established clinical guidelines and the participant's specific condition.

Treatment groups

200 Participants
are divided into 1 treatment group
Group A: Gastric Cancer Patients Undergoing Neoadjuvant Chemotherapy1 intervention

Trial outcomes

Primary outcomes

1

Area under the receiver operating characteristic curve (AUC) for TRG prediction by the AI model

The AUC will be used to evaluate the performance of the AI model in predicting TRG grading of gastric cancer patients after neoadjuvant chemotherapy. An AUC of 1 indicates perfect prediction, while an AUC of 0.5 indicates prediction no better than chance.

Time frame
two months
2

Accuracy of TRG prediction by the AI model

Accuracy measures the proportion of true positive and true negative predictions made by the AI model among all predictions. It indicates the capability of the model to correctly classify patients into their respective TRG gradings.

Time frame
two months

Secondary outcomes

1

Progression-Free Survival (PFS) at 3 years

The duration from the date of patient confirmation to the date of tumor progression or death of the patient, whichever occurs first.

Time frame
Three years
2

Overall Survival (OS) at 5 years

The duration from the date of patient confirmation to the date of death of the patient.

Time frame
Five years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Chinese Academy of Sciences

Lead sponsor

Institute of Automation, Chinese Academy of Sciences

Sponsor institution

Peking University Cancer Hospital & Institute

Collaborator

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Collaborator

Yunnan Cancer Hospital

Collaborator

Henan Cancer Hospital

Collaborator

Zhenjiang First People's Hospital

Collaborator

First Hospital of China Medical University

Collaborator

Cancer Hospital of Guangxi Medical University

Collaborator

Peking University People's Hospital

Collaborator

Tianjin Medical University Cancer Institute and Hospital

Collaborator

The First Affiliated Hospital of Zhengzhou University

Collaborator

Nanfang Hospital, Southern Medical University

Collaborator

The Affiliated Hospital of Qingdao University

Collaborator

Ruijin Hospital

Collaborator

Sixth Affiliated Hospital, Sun Yat-sen University

Collaborator

Peking Union Medical College Hospital

Collaborator

Xiangya Hospital of Central South University

Collaborator

Affiliated Cancer Hospital & Institute of Guangzhou Medical University

Collaborator

The First Affiliated Hospital of Soochow University

Collaborator

First Affiliated Hospital, Sun Yat-Sen University

Collaborator

Fujian Medical University Union Hospital

Collaborator

Fujian Cancer Hospital

Collaborator

San Raffaele University Hospital, Italy

Collaborator