PMID- 37201078 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230521 IS - 2078-6891 (Print) IS - 2219-679X (Electronic) IS - 2078-6891 (Linking) VI - 14 IP - 2 DP - 2023 Apr 29 TI - A small-scale, exploratory real-world study of nab-paclitaxel combined with oxaliplatin and tegafur in the perioperative treatment of advanced gastric cancer: a study protocol for a real-world clinical trial. PG - 1131-1140 LID - 10.21037/jgo-23-131 [doi] AB - BACKGROUND: Nanoparticle albumin-bound paclitaxel (nab-paclitaxel) is an optimized and improved derivative of paclitaxel with superior efficacy and fewer adverse reactions, and it is widely used in the treatment of advanced gastric cancer. However, there is a paucity of data regarding the safety and efficacy of nab-paclitaxel combined with oxaliplatin (LBP) and tegafur in the treatment of patients with advanced gastric cancer. METHODS: This analysis is a prospective, single-center, open-label, historically controlled real-world study designed to include 10 patients with advanced gastric cancer treated with nab-paclitaxel combined with LBP and tegafur gimeracil oteracil potassium. The primary and main efficacy outcomes are safety indicators, including the incidence of adverse drug reactions and adverse events (AEs), as well as the outliers of laboratory indicators and vital signs. The secondary efficacy outcomes are overall survival (OS), objective response rate (ORR), disease control rate (DCR), and proportion of dose suspensions, dose reductions and discontinuations. DISCUSSION: Based on the findings of previous studies, we wished to assess the safety and efficacy of nab-paclitaxel combined with LBP and tegafur in the treatment of advanced gastric cancer. The trial requires constant contact and monitoring. The purpose is to determine a superior protocol in terms of patient survival, and pathological and objective response. TRIAL REGISTRATION: This trial has been registered with the Clinical Trial Registry: NCT05052931 (registration date: 2021/9/12). CI - 2023 Journal of Gastrointestinal Oncology. All rights reserved. FAU - Zheng, Jiyang AU - Zheng J AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Wang, Shu AU - Wang S AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Xu, Guanghui AU - Xu G AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Wang, Juan AU - Wang J AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Wang, Yuhao AU - Wang Y AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Luo, Jialin AU - Luo J AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Wang, Yan AU - Wang Y AD - Department of Gastroenterology, Xijing 986 Hospital, The Fourth Military Medical University, Xi'an, China. FAU - Yang, Jianjun AU - Yang J AD - Department of Digestive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. LA - eng SI - ClinicalTrials.gov/NCT05052931 PT - Journal Article DEP - 20230427 PL - China TA - J Gastrointest Oncol JT - Journal of gastrointestinal oncology JID - 101557751 PMC - PMC10186493 OTO - NOTNLM OT - Nanoparticle albumin-bound paclitaxel (nab-paclitaxel) OT - advanced gastric cancer OT - exploratory real-world study OT - oxaliplatin (LBP) OT - perioperative treatment COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jgo.amegroups.com/article/view/10.21037/jgo-23-131/coif). The authors have no conflicts of interest to declare. EDAT- 2023/05/18 19:12 MHDA- 2023/05/18 19:13 PMCR- 2023/04/29 CRDT- 2023/05/18 16:54 PHST- 2023/01/19 00:00 [received] PHST- 2023/04/17 00:00 [accepted] PHST- 2023/05/18 19:13 [medline] PHST- 2023/05/18 19:12 [pubmed] PHST- 2023/05/18 16:54 [entrez] PHST- 2023/04/29 00:00 [pmc-release] AID - jgo-14-02-1131 [pii] AID - 10.21037/jgo-23-131 [doi] PST - ppublish SO - J Gastrointest Oncol. 2023 Apr 29;14(2):1131-1140. doi: 10.21037/jgo-23-131. Epub 2023 Apr 27.