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OncoMatch/Clinical Trials/NCT03941561

S-1 for 9 Months Versus 1 Year for Stage II Gastric Cancer (SMAC)

Is NCT03941561 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies multiple treatments including S-1 for 9 months and S-1 for 1 year for gastric cancer.

Phase 3RecruitingFudan UniversityNCT03941561Data as of Jun 2026Location: China

Treatment: S-1 for 9 months · S-1 for 1 yearThe study aims to compare the efficacy and safety of S-1 for 9 months versus S-1 for 1 year as adjuvant chemotherapy after D2 resection in patients with gastric cancer. Hypothesis: For gastric patients after D2 resection, S-1 for 9 months shows non-inferiority to S-1 for 1 year in disease-free survival(DFS), overall survival (OS) and safety.

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Extracted eligibility criteria

Treatments studied

Other

S-1 for 9 monthsS-1 for 1 year

Cancer type

Gastric Cancer

Disease stage

Required: Stage II

Excluded: Stage I, III, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

Must have received: R0 surgery with lymphadenectomy

R0 surgery with lymphadenectomy

Cannot have received: anti-cancer drugs therapy

Patients (within 4 weeks) are receiving any other anti-cancer drugs therapy

Cannot have received: biological therapy

Patients (within 4 weeks) are receiving...biological therapy

Cannot have received: radiation therapy

Patients (within 4 weeks) are receiving...radiation therapy

Cannot have received: immunosuppressive therapy

Patients (within 4 weeks) are receiving...Immunosuppressive therapy

Lab requirements

Blood counts

WBC≥4.0 x 10^9 /L, NEU≥1.5 x 10^9 /L, PLT≥100 x 10^9 /L and HGB≥90g/L

Kidney function

normal kidney function

Liver function

normal liver function

Cardiac function

electrocardiogram normal; severe heart disease excluded

No contraindications to chemotherapy, including normal peripheral blood routine, liver, and kidney function and electrocardiogram (WBC≥4.0 x 10^9 /L, NEU≥1.5 x 10^9 /L, PLT≥100 x 10^9 /L and HGB≥90g/L). With severe heart disease, including congestive heart failure, uncontrolled arrhythmias, unstable angina, myocardial infarction, severe heart valve disease, and resistant hypertension [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT03941561 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anti-cancer drugs therapy, biological therapy, radiation therapy disqualifies patients from enrollment.

What disease stage is eligible?

Stage II is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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