Can heated chemotherapy boost survival in stomach cancer?
NCT ID NCT01882933
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This phase III trial is investigating whether adding heated chemotherapy (HIPEC) to standard surgery improves survival for people with advanced stomach cancer. Participants are randomly assigned to receive either surgery alone or surgery plus HIPEC, where a heated chemotherapy solution is circulated in the abdomen during the operation. The study aims to see if this extra step helps patients live longer without the cancer returning.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Heated chemotherapy (oxaliplatin) delivered directly into the abdomen during surgery (HIPEC)
- What this could lead to
- If successful, this approach could become a standard addition to surgery for advanced gastric cancer, potentially improving long-term survival.
- What could go wrong
- The trial is still in progress, and results are not yet known. HIPEC carries risks like infection or kidney issues, and it may not improve survival for all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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367 people
The number who actually took part.
- Started
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Jun 2013
- Finished
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Jun 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 \< age ≤ 75 years old * White blood cells \> 3,500/mm3, neutrophils ≥ 1,500/mm3, platelets ≥ 100,000/mm3 * Good renal functions, serum creatinine values being \< 1.5 mg/dl and creatinine clearance \> 60 ml/min * Performance Status ≤1, Karnofsky Index ≥ 70% * Serum bilirubin ≤ 2 mg/dl * Having given written informed consent prior to any procedure related to the study. * Covered by a Health System where applicable, and/or in compliance with the recommendations of the national laws in force relating to biomedical research * Not under any administrative or legal supervision * Histologically evidenced resectable T3 or T4 gastric adenocarcinoma for which a curative gastrectomy is scheduled, with invasion into the serosa AND/OR lymph node metastasis (determined from data obtained by endoscopic ultrasound and chest, abdomen and pelvis CT scan) AND/OR positive peritoneal cytology (sampled during the preoperative laparoscopy). AND/OR * Perforated gastric adenocarcinoma AND/OR * Siewert III adenocarcinoma of the cardia for which a gastrectomy by exclusive abdominal laparotomy is scheduled * Females of childbearing age potential and male subjects with partners of childbearing potential using efficient contraceptive measures (as judged by the investigator).Subjects randomised in the arm with HIPEC should be informed and accept that these requirements should also extend to : * 4 months after the treatment with Oxaliplatin for female subjects, * 6 months after the treatment with Oxaliplatin for male subjects. Exclusion Criteria: * Prior malignant tumors with detectable signs of recurrence * Gastric stump adenocarcinoma * Presence of comorbidities, notably serious chronic diseases or organ failure General conditions * Any subject in exclusion period of a previous study according to applicable regulations * Pregnancy or breastfeeding * Females of childbearing age potential or male subjects with partners of childbearing potential not using medically accepted contraceptive measures, as judged by the investigator Interfering substance * Contraindication to any drug contained in the chemotherapy regimen Specific to the study * Life threatening toxicity before surgery * Distant metastases (liver, lung. ovaries, etc) * Tumoral infiltration of the head or body of the pancreas * Patients presenting an adenocarcinoma of the cardia Siewert I or II * Existence of macroscopic peritoneal implants * Patients with clinically significant ascites (\> 500 cc) even if cytology is negative for cancer cells, in the absence of other non-malignant causes of ascites
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Département de Chirurgie Digestive - CHU d'Angers
Angers, 49100, France
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Département de Chirurgie Digestive et Hépatobiliaire, Institut Gustave Roussy
Villejuif, 94805, France
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Département de Chirurgie Digestive, CHU d'Amiens
Amiens, 80054, France
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Fundación Jiménez Díaz Hospital
Madrid, 28040, Spain
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Hospital Sant Joan Despí Moises Broggi
Barcelona, 08970, Spain
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Hospital Universitario Principe de Asturias
Alcalá de Henares, 28805, Spain
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Hospital Universitario de Fuenlabrada
Madrid, 28942, Spain
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Hospital Universitario de La Paz
Madrid, 28046, Spain
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Md Anderson Cancer Center
Madrid, 28033, Spain
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Service d'Oncologie Digestive, Hôpital de la Timone
Marseille, 13005, France
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Service de Chirurgie Digestive Oncologique, CLCC Alexis Vautrin
Vandœuvre-lès-Nancy, 54511, France
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Service de Chirurgie Digestive Oncologique, CLCC Paul Papin
Angers, 49033, France
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Service de Chirurgie Digestive et Générale, Hôpital Huriez
Lille, 59067, France
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Service de Chirurgie Digestive et de Physiologie Digestive, Hôpital Ch. Nicolle
Rouen, 76031, France
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Service de Chirurgie Digestive et de l'Urgence, Hôpital Michallon
Grenoble, 38043, France
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Service de Chirurgie Digestive, CLCC Léon Bérard
Lyon, 69373, France
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Service de Chirurgie Digestive, CLCC René Gauducheau
Nantes, 44805, France
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Service de Chirurgie Digestive, CRLC Val d'Aurelle
Montpellier, 34298, France
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Service de Chirurgie Digestive, Hôpital Archet II
Nice, 06200, France
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Service de Chirurgie Digestive, Hôpital Jean Minjoz, CHU Besançon
Besançon, 25030, France
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Service de Chirurgie Digestive, Hôpital Lariboisière
Paris, 75475, France
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Service de Chirurgie Digestive, Hôpital Nord
Saint-Etienne, 42055, France
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Service de Chirurgie Digestive, Hôpital du Bocage
Dijon, 21079, France
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Service de Chirurgie Digestive, Institut Curie
Paris, 75005, France
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Service de Chirurgie Générale Digestive et Endocrinienne, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon
Pierre-Bénite, 69495, France
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Service de Chirurgie Générale et Digestive, Hôpital Purpan
Toulouse, 31059, France
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Service de Chirurgie Générale et Digestive, Hôpital Saint-Antoine, APHP
Paris, 75012, France
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Service de Chirurgie Générale et Viscérale, CHU de Reims - Hôpital Robert Debré
Reims, 51092, France
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Service de Chirurgie Viscérale et Digestive, Hôpital de Hautepierre
Strasbourg, 67200, France
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Service de Chirurgie Viscérale et Oncologique, Hôpital Saint-Louis
Paris, 75010, France
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Service de Chirurgie Viscérale, CHU Estaing
Clermont-Ferrand, 63003, France
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Service de Chirurgie Viscérale, CHU de Poitiers
Poitiers, 86021, France
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Service de Chirurgie Viscérale, CLCC François Baclesse
Caen, 14076, France
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