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A randomised study of continuous infusional 5-fluorouracil (5FU) with or without bolus mitomycin-C in patients with advanced oesophago-gastric cancer
ISRCTN ISRCTN43866427
ClinicalTrials.gov identifier
Public title A randomised study of continuous infusional 5-fluorouracil (5FU) with or without bolus mitomycin-C in patients with advanced oesophago-gastric cancer
Scientific title
Acronym N/A
Serial number at source RMH E/C 1040
Study hypothesis Added 16/04/2009:
To compare protracted venous infusion (PVI) fluorouracil (5-FU) with PVI 5-FU plus mitomycin C (MMC) in patients with advanced oesophago-gastric cancer.

As of 05/08/09 this trial was updated. All updates can be found under the relevant field with the above update date.
Ethics approval Added 16/04/2009: The study was approved by the Local Research and Ethics Committee at each of the five participating centres.
Study design Multicentre randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Advanced oesophago-gastric cancer
Participants - inclusion criteria 1. Histological evidence of metastatic carcinoma of the oesophagus or stomach
2. Histological evidence of locally advanced oesophageal or gastric carcinoma, not amenable to surgery or radiotherapy and for whom high dose chemotherapy or more intensive chemotherapy is not appropriate, normally around the age of 60
Participants - exclusion criteria 1. Intra-cerebral metastases
2. History of other malignancy (apart from adequately treated non-melanotic skin cancer or carcinoma in situ of the uterine cervix)
3. Uncontrolled angina pectoris or clinically significant cardiac dysrhythmias
4. Pregnancy
5. Any psychological condition precluding informed consent
Anticipated start date 01/07/1994
Anticipated end date 31/03/2001
Status of trial Completed
Patient information material
Target number of participants 254
Interventions Two arms:
1. Protracted venous infusion (PVI) 5FU 300 mg/m^2/day over 24 weeks
2. PVI 5FU 300 mg/m^2/day over 24 weeks and mitomycin-C 7 mg/m^2 (total dose no more than 56 mg) four courses over 24 weeks
Primary outcome measure(s) Added 16/04/2009:
1. Tumour response, assessed by computed tomography (CT) scan before chemotherapy, 6-weekly during chemotherapy and 3-monthly thereafter until death or disease progression
2. Survival
3. Toxicity, evaluated on a weekly basis and graded according to the National Cancer Institute Common Toxicity Criteria (NCI CTC)
4. Quality of life, assessed using European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 questionnaires before randomisation and every 12 weeks thereafter
Secondary outcome measure(s) No secondary outcome measures
Sources of funding The Royal Marsden NHS Foundation Trust (UK)
Trial website
Publications 2002 results in http://www.ncbi.nlm.nih.gov/pubmed/12377644
Contact name Dr  D  Cunningham
  Address GI and Lymphoma Units
Department of Medicine
Royal Marsden Hospital
Downs Road
  City/town Sutton
  Zip/Postcode SM2 5PT
  Country United Kingdom
Sponsor The Royal Marsden NHS Foundation Trust (UK)
  Address Downs Road
  City/town Sutton
  Zip/Postcode SM2 5PT
  Country United Kingdom
Date applied 19/08/2002
Last edited 05/08/2009
Date ISRCTN assigned 19/08/2002
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