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NCT04447352: PREVENT
HIPEC + FLOT vs. FLOT Alone in Patients With Gastric Cancer and GEJ (PREVENT)
Phase 3 trial testing 5-Fluorouracil in Gastric Cancer in 200 participants. Currently enrolling.
1 November 2026
Quick facts
| Lead sponsor | Krankenhaus Nordwest |
|---|---|
| Phase | Phase 3 |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 200 |
| Start date | 17 December 2020 |
| Primary completion | 1 November 2026 |
| Estimated completion | 1 May 2027 |
| Sites | 15 locations across Germany |
Drugs / interventions tested
- 5-Fluorouracil
- Leucovorin (leucovorin) — full drug profile →
- Oxaliplatin (Oxaliplatin) — full drug profile →
- Docetaxel (Docetaxel) — full drug profile →
- Cisplatin (cisplatin) — full drug profile →
Conditions studied
- Gastric Cancer — all drugs for Gastric Cancer →
- Gastroesophageal Junction Adenocarcinoma — all drugs for Gastroesophageal Junction Adenocarcinoma →
Sponsor
Krankenhaus Nordwest — full company profile →
Who can join
Adults 18 to 75, any sex, with Gastric Cancer or Gastroesophageal Junction Adenocarcinoma. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
This is a multicenter, randomized, controlled, open-label study evaluating efficacy and safety of perioperative FLOT chemotherapy plus intraoperative HIPEC versus FLOT chemotherapy alone in patients with resectable localized and locally advanced diffuse and mixed type adenocarcinoma of the stomach and Type II/III GEJ.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
Preventive HIPEC in combination with perioperative FLOT versus FLOT alone for resectable diffuse type gastric and gastroesophageal junction type II/III adenocarcinoma - the phase III "PREVENT"- (FLOT9) trial of the AIO /CAOGI /ACO.
Götze TO, Piso P, Lorenzen S, Bankstahl US, et al · · 2021 · cited 38× · PMID 34715810 · DOI 10.1186/s12885-021-08872-8 -
Gastric Cancer With Peritoneal Metastasis-A Comprehensive Review of Current Intraperitoneal Treatment Modalities.
Prabhu A, Mishra D, Brandl A, Yonemura Y. · · 2022 · cited 27× · PMID 35719946 · DOI 10.3389/fonc.2022.864647 -
Poorly cohesive cells gastric carcinoma including signet-ring cell cancer: Updated review of definition, classification and therapeutic management.
Drubay V, Nuytens F, Renaud F, Adenis A, et al · · 2022 · cited 23× · PMID 36160745 · DOI 10.4251/wjgo.v14.i8.1406 -
Effect of hyperthermic intraperitoneal chemotherapy on survival and recurrence rates in advanced gastric cancer: a systematic review and meta-analysis.
Patel M, Arora A, Mukherjee D, Mukherjee S. · · 2023 · cited 17× · PMID 37158149 · DOI 10.1097/js9.0000000000000457 -
Prophylactic surgery plus hyperthermic intraperitoneal chemotherapy (HIPEC CO2) versus standard surgery for gastric carcinoma at high risk of peritoneal carcinomatosis: short and long-term outcomes (GOETH STUDY)-a collaborative randomized controlled trial by ACOI, FONDAZIONE AIOM
Di Giorgio A, Gerardi C, Abatini C, Melotti G, et al · · 2022 · cited 11× · PMID 36457115 · DOI 10.1186/s13063-022-06880-y -
Hyperthermic intraperitoneal chemotherapy (HIPEC) plus systemic chemotherapy versus systemic chemotherapy alone in locally advanced gastric cancer after D2 radical resection: a randomized-controlled study.
Yu P, Huang X, Huang L, Dai G, et al · · 2023 · cited 9× · PMID 37392201 · DOI 10.1007/s00432-023-05019-z -
Gastric Cancer (GC) with Peritoneal Metastases (PMs): An Overview of Italian PSM Oncoteam Evidence and Study Purposes.
Sammartino P, De Manzoni G, Marano L, Marrelli D, et al · · 2023 · cited 8× · PMID 37370747 · DOI 10.3390/cancers15123137 -
Update of randomized controlled trials evaluating cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in prevention and therapy of peritoneal metastasis: a systematic review.
Noiret B, Piessen G, Eveno C. · · 2022 · cited 8× · PMID 35812007 · DOI 10.1515/pp-2021-0152
Verify or expand the search:
- PubMed search for NCT04447352
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
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Trials testing the same drug.
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Other recruiting trials for Gastric Cancer
Currently open trials in the same condition.
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- NCT07464470 — Comparison of Molecular-Genetic Concordance of the Primary Tumor and Brain Metastases of Gastroesophageal Cancers · recruiting
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- NCT07448493 — Local Treatment Strategies for Brain Metastases of Gastric and Esophageal Cancer · active not recruiting
Other Krankenhaus Nordwest trials
Trials by the same sponsor.
- NCT03673072 — Neoadjuvant Chemotherapy With Gemcitabine Plus Cisplatin Followed by Radical Liver Resection Versus Immediate Radical Li · Phase 3 · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04447352 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Krankenhaus Nordwest
- Last refreshed: 12 November 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04447352.
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