Can some stomach cancer patients skip chemo after surgery?

NCT ID NCT07751302

First seen Aug 07, 2026 ยท Last updated Aug 07, 2026

Summary

This trial is testing whether close follow-up is as good as adjuvant chemotherapy for patients with early-stage (IB-IIA) stomach or gastroesophageal junction cancer after curative surgery. Patients are divided into low-risk and high-risk groups based on factors like lymph node involvement. High-risk patients are randomly assigned to either close monitoring or chemotherapy with an oral drug. The goal is to see which approach better prevents cancer recurrence and improves survival.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Tegafur Gimeracil Oteracil Potassium Capsules (an oral chemotherapy drug)
What this could lead to
If successful, this could show that some patients with early-stage stomach cancer can safely skip chemotherapy and just be closely monitored, reducing treatment burden while maintaining similar outcomes.
What could go wrong
The trial is early and may not show a clear benefit for either approach. Chemotherapy can cause side effects, and close follow-up might miss early recurrence in some patients.

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • The First Affiliated Hospital of Air Force Military Medical University

    RECRUITING

    Xi'an, Shaanxi, 710032, China