About this trial
Offering treatment with potential to cure for participants with no such offer in today's standard treatment options, by offering metastatectomia and standard treatment with intention to cure i.e., neoadjuvant chemotherapy and gastrectomy for participants with gastric- og gastroeusofageal junction cancer. Including 20 participants from all 4 centres in Denmark able to perform the surgical procedures in question.
Endpoints: 2-year overall survival.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > 18.
Presence of primary T1-T4N0-N3M1 adenocarcinoma of the stomach or GEJ and max. 30% liver involvement.
Primary tumour resectable, based on imaging workup.
Surgical operable patients with ASA-score36 ≤ III and WHO performance status37 0-1.
Disqualifiers
Patient with non-resectable cancer.
Direct growth involving adjacent organs, i.e., pancreas, colon, blood vessels or bones.
Other malignant disease diagnosed or treated up to 2 years prior to inclusion, except non-aggressive cancers such as non-melanoma sin cancer.
Altered anatomy of the upper gastrointestinal tract due to previous surgery of the oesophagus, stomach, and duodenum.
Trial design
Single group
Treatments tested in this trial
Metastatectomia and standard treatment for resectable disease.
Procedure/SurgeryRather than palliative chemotherapy, the intervention offered to participants is preoperative chemotherapy, resection of primary tumour and metastatectomia of oligometastatic spread to the liver. If fit for post-operative chemotherapy, this is offered as well.
Treatment groups
Trial outcomes
Primary outcomes
Survival
Overall survival
Sponsors and contacts
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Aarhus University Hospital
Lead sponsor
Rigshospitalet, Denmark
Collaborator
Aalborg University Hospital
Collaborator
Odense University Hospital
Collaborator