Neoplasms

Digestive System Diseases

All Conditions

Immune System Diseases

Rare Diseases

Stomach Neoplasms

Hypersensitivity

Adenocarcinoma

Carcinoma

Neoplasms, Glandular and Epithelial

Neoplasms by Histologic Type

Stomach Cancer

Biopsy of Gastric and cardia adenocarcinomas

Biopsy

Benoît ROMAIN, MD

Benoit ROMAIN, MD

Some subtypes of gastric and cardia tumors such as adenocarcinoma or gastric linitis with disseminated cells respond poorly to the pre-operative chemotherapy, and some of them do not respond to chemotherapy usually performed. Doing chemotherapy in these patients could delay their surgical management. The completion of chemotherapy for these patients would be a bad prognosis factor according to recent data from the literature. Therefore, the aim of this research is to find prognostic markers of sensitivity to chemotherapy usually performed. The investigators are going to use biopsies realized at diagnosis and select patients "good and bad" responders.

Primary purpose:

To study cardia and gastric tumors, molecular markers sensitivity to pre- and post- perative chemotherapy protocols (EOX protocol ... FOLFOX) or chemoradiation

Secondary purposes:

* To assess the impact of patients' lifestyle (via a questionnaire) on the response to chemotherapy
* To study markers of cancer stem cells
* To correlate clinical and molecular markers with patient survival and quality of life questionnaires
* To characterize the expression levels (Met, Her2, FGFR2) and mutations (p53 ras) in frequently deregulated genes in gastric cancers.
* To characterize the level of expression of predictive candidate markers (ΔNp73, TAp73, HDAC4, mir140, EZH2, CXCL12, CXCR4, CXCR7) found in the literature.
* To correlate the abnormalities found in the with tumor stages (before and after chemotherapy) and with 5 years overall survival and progression-free patients

Biomoleculars Markers of Sensitivity to Pre- and Post-operative Chemotherapy of Gastric and Cardia Adenocarcinomas: a Pilot Study

To search in gastric and cardia tumors molecular markers of sensitivity to pre- and post-operative chemotherapy protocols (EOX protocol ... FOLFOX) or chemoradiation

University Hospital, Strasbourg, France

Behaviors and Mental Disorders

Esophageal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Head and Neck Neoplasms

Gastrointestinal Diseases

Esophageal Diseases

Esophageal Cancer

Quality of Life

After SEMS placement, 2 home visits and a phonecall are made by a specialist nurse

Standard contact via Hotline and traditional referring methods

home visits by specialist nurse 2 times and 1 phonecall

Home visits

standard

Ole Steen Bjerring, MD

Michael B Mortensen, MD, PhD

Bjerring, MD

Mortensen, MD, PhD

Michael B Mortensen, MD,PhD

The aim of this study is to compare, specialist nurse home visits in patients with inoperable cancer in the esophagus or cardia, who are palliated with Self Expanding Metal Stent, to standard patient contact with regards to quality of life, number and character of reinterventions and cost-effectiveness.

The aim of this study is to compare, specialist nurse home visits in patients with inoperable cancer in the esophagus or gastro-esophageal junction (cardia), who are palliated with Self Expanding Metal Stent, to standard patient contact with regards to quality of life, number and character of reinterventions and cost-effectiveness.

Quality of Life With Esophageal Stent Trial

Prospective, Randomized Trial of the Effects on HRQoL, Cost-Utility and Reintervention Rate, of Nurse Home Visits, in Patients With SEMS Treated Malignant Disease in the Esophagus and Cardia.

Odense University Hospital

Michael Bau Mortensen

MD, PhD

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Biomoleculars Markers of Sensitivity to Pre- and Post-operative Chemotherapy of Gastric and Cardia Adenocarcinomas: a Pilot Study	NCT02491840	Gastric and Car...	Biopsy	18 Years -	University Hospital, Strasbourg, France
Quality of Life With Esophageal Stent Trial	NCT01044511	Esophageal Canc... Gastro-esophage...	Home visits standard	18 Years -	Odense University Hospital
Biomoleculars Markers of Sensitivity to Pre- and Post-operative Chemotherapy of Gastric and Cardia Adenocarcinomas: a Pilot Study	NCT02491840	Gastric and Car...	Biopsy	18 Years -	University Hospital, Strasbourg, France
Biomoleculars Markers of Sensitivity to Pre- and Post-operative Chemotherapy of Gastric and Cardia Adenocarcinomas: a Pilot Study	NCT02491840	Gastric and Car...	Biopsy	18 Years -	University Hospital, Strasbourg, France

Spots Global Cancer Trial Database for cardia cancer