Inclusion Criteria:
- Histologically or cytologically documented locally advanced, metastatic or recurrent
gastric cancer for which convention therapy of a platinum/fluoropyrimidine
combination is indicated
- Predicted 'responder' to platinum and fluoropyrimidine based on tumour expression
signature derived from in-vitro sensitivity array
- At least one measurable defined by RECIST
- Age >=21 years old
- Performance status (ECOG) 0-2
- Life expectancy >3 months
- No significant problems for oral intake and drug administration
- Adequate organ functions:
bone marrow function (ANC = 1,500/uL, Platelet = 100,000/ uL, Hb = 8.0 g/dl) renal
function: serum creatinine = UNL (if serum creatinine > ULN, creatinine clearance should
be = 60 mL/min) hepatic function (Total bilirubin < 2 x UNL and AST/ALT levels < 3 x ULN
without liver metastasis, total bilirubin < 3x ULN and AST/ALT levels < 5 x ULN with liver
metastasis)
- Recovery from relevant toxicity to previous treatment before study entry
- Ability to understand and willingness to sign a written informed consent before study
entry
Exclusion Criteria:
- Prior chemotherapy for gastric cancer except neoadjuvant or adjuvant systemic therapy
if terminated at least 6 months before the start of treatment in this study
- Prior radiotherapy was administered to target lesions selected for this study
- Second primary malignancy (except in situ carcinoma of the cervix or adequately
treated basal cell carcinoma of the skin or prior malignancy treated more than 5
years ago without recurrence)
- Presence of symptomatic or progressing CNS metastasis
- Serious illness or medical conditions:
Congestive heart failure (NYHA class III or IV), unstable angina or myocardial infarction
within the past 3 months Hepatic cirrhosis (= Child class B) Psychiatric disorder that may
interfere with protocol compliance Active infection
- Known hypersensitivity to platinum or fluoropyrimidine.
- Pregnant or lactating woman. Women of child bearing potential not using a
contraceptive method
- Sexually active fertile men not using effective birth control during medication of
study drug and up to 6 months after completion of study drug if their partners are
women of child-bearing potential
- Any patients judged by the investigator to be unfit to participate in the study
- Predicted 'non-responder' to platinum and fluoropyrimidine based on tumour expression
signature derived from in- vitro sensitivity array