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NCT03425058: MENCA-GC

Molecular Evaluation of Neoadjuvant Chemotherapy for Locally Advanced Gastric Cancer

Completed Last updated 9 August 2022
What this trial tests

trial in Gastric Cancer in 80 participants. Completed in 1 October 2021.

Timeline
22 November 2017
Primary endpoint
1 February 2020
1 October 2021

Quick facts

Lead sponsorPeking University Cancer Hospital & Institute
StatusCompleted
Study typeOBSERVATIONAL
Enrollment80
Start date22 November 2017
Primary completion1 February 2020
Estimated completion1 October 2021
Sites1 location across China

Conditions studied

Sponsor

Peking University Cancer Hospital & Institute

Who can join

18 and older, any sex, with Gastric Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Gastric cancer (GC) is a leading global health problem and is the third most common cause of cancer related death. Neoadjuvant chemoradiotherapy (nCRT) followed by surgery is the mainstay treatment for locally advanced gastric cancer, and variable degrees of tumor regression are observed after nCRT. Treatment strategies, including close surveillance without immediate surgery, have been investigated to spare patients with complete tumor regression from potentially adverse outcomes of radical surgery. However, clinical and radiological assessment of treatment response does not deliver an ideal accuracy of patients identification with complete response. In the present study, we focused on the clinical courses of patients who have developed locally advanced gastric cancer, and investigated the potential clinical utility of the detection of deficient MMR(dMMR), microsatellite instability(MSI) status and the decreasing level of circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) as promising biomarkers for the diagnosis and prediction of GC during treatment progress. Twenty milliliters of plasma were collected at 3 time points: before nCRT; after 2 cycles of nCRT; and after surgery. Firefly ctDNA NGS assays were used to track ctDNA mutations previously characterized in paired tumor tissue by massively parallel sequencing (MPS). We investigated whether circulating tumor DNA (ctDNA) detection can reflect tumor response to nCRT and detect minimal residual disease(MRD) after surgery. We compared CTC and ctDNA levels to clinical, radiological and pathological assessment modalities for nCRT response. The results will provide lots of information which may contribute to promote the treatment of GC patients. We want to introduce these strategies into clinical practice if possible.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Clinical applications and perspectives of circulating tumor DNA in gastric cancer.
    Li JH, Zhang DY, Zhu JM, Dong L. · · 2024 · cited 14× · PMID 38184573 · DOI 10.1186/s12935-024-03209-4
  2. Liquid biopsy: circulating tumor DNA monitors neoadjuvant chemotherapy response and prognosis in stage II/III gastric cancer.
    Zhang M, Yang H, Fu T, Meng M, et al · · 2023 · cited 11× · PMID 37356061 · DOI 10.1002/1878-0261.13481
  3. Blood-Based Surveillance Biomarkers for Gastroesophageal Cancers.
    Dadgar N, Anees M, Sherry C, Park HY, et al · · 2025 · cited 2× · PMID 41228346 · DOI 10.3390/cancers17213552

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Other recruiting trials for Gastric Cancer

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