Studying the PAGODA Algorithm for Chemotherapy Dose Changes to Prevent Unplanned Treatment Delays
This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.
About the trial
This study seeks to learn whether using the PAGODA algorithm to guide chemotherapy dosing will lower the chance of unplanned delays during chemotherapy for cancer in the gastrointestinal system compared to usual care.
Original English text from ClinicalTrials.gov
Who can (and can't) join
✓ Qualifies
- •Potwierdzony lub podejrzewany rak żołądka, jelit lub pobliskich narządów.
- •Leczenie chemioterapią FOLFOX jest standardową metodą leczenia dla danego stadium choroby.
- •Rak dotyczy przełyku, żołądka, jelita cienkiego, dwunastnicy (ampulla Vatera), wyrostka robaczkowego, jelita grubego, odbytnicy lub ma nieznane pochodzenie z podejrzeniem raka układu pokarmowego.
- •Pacjent otrzymał co najmniej jedną dawkę chemioterapii FOLFOX w pierwszym dniu cyklu.
- •Planowane leczenie obejmuje co najmniej cztery cykle chemioterapii FOLFOX.
- •Pacjent ma ukończone 18 lat.
- •Ogólny stan zdrowia pacjenta pozwala na normalną aktywność (stan sprawności ECOG 0-2).
- •Badania krwi wskazują na odpowiednią liczbę białych krwinek i płytek krwi oraz prawidłowe wskaźniki wątrobowe i nerkowe.
✗ Disqualifies
- •Wcześniejsze leczenie systemowe raka żołądka/jelit (poza pierwszym cyklem FOLFOX) nie jest dozwolone.
- •Pacjenci wymagający profilaktycznego podawania czynników wzrostu białych krwinek w pierwszym cyklu FOLFOX z powodu wysokiego ryzyka gorączki i spadku białych krwinek nie mogą brać udziału w badaniu.
- •Wcześniejsza reakcja alergiczna na oksaliplatynę lub inne leki z grupy platynowców, fluorouracyl, leukoworynę lub ich składniki.
- •Kobiety w ciąży lub karmiące piersią, ponieważ badanie obejmuje leki, które mogą być szkodliwe dla płodu.
Simplified criteria — AI translation
Trial details
- Minimum age
- 18 Years
- Last updated (source)
- July 2, 2026
- Sex
- No restrictions
Therapies / drugs in trial
Locations (344)
Fairbanks Memorial Hospital
Fairbanks, United States
Cancer Center at Saint Joseph's
Phoenix, United States
Mercy Hospital Fort Smith
Fort Smith, United States
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro, United States
CARTI Cancer Center
Little Rock, United States
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, United States
Mercy Cancer Center - Carmichael
Carmichael, United States
Mercy San Juan Medical Center
Carmichael, United States
Mercy Cancer Center - Elk Grove
Elk Grove, United States
Mercy Cancer Center
Merced, United States
Mercy Cancer Center - Rocklin
Rocklin, United States
Mercy Cancer Center - Sacramento
Sacramento, United States
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, United States
Mission Hope Medical Oncology - Santa Maria
Santa Maria, United States
Saint Joseph's Medical Center
Stockton, United States
Woodland Memorial Hospital
Woodland, United States
Penrose-Saint Francis Healthcare
Colorado Springs, United States
Rocky Mountain Cancer Centers-Penrose
Colorado Springs, United States
Saint Francis Cancer Center
Colorado Springs, United States
CommonSpirit Cancer Center Mercy
Durango, United States
Mercy Medical Center
Durango, United States
CommonSpirit Saint Anthony Hospital Cancer Center
Lakewood, United States
Longmont United Hospital
Longmont, United States
Saint Mary Corwin Medical Center
Pueblo, United States
Saint Anthony North Hospital
Westminster, United States
Beebe Medical Center
Lewes, United States
Beebe South Coastal Health Campus
Millville, United States
Helen F Graham Cancer Center
Newark, United States
Medical Oncology Hematology Consultants PA
Newark, United States
Christiana Care Health System-Christiana Hospital
Newark, United States
Beebe Health Campus
Rehoboth Beach, United States
Christiana Care Health System-Wilmington Hospital
Wilmington, United States
Holy Cross Hospital
Fort Lauderdale, United States
Northside Hospital
Atlanta, United States
Tift Regional Medical Center
Tifton, United States
Saint Alphonsus Cancer Care Center-Boise
Boise, United States
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell, United States
Kootenai Health - Coeur d'Alene
Coeur d'Alene, United States
Idaho Urologic Institute-Meridian
Meridian, United States
Saint Alphonsus Cancer Care Center-Nampa
Nampa, United States
Kootenai Clinic Cancer Services - Post Falls
Post Falls, United States
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint, United States
OSF Saint Anthony's Health Center
Alton, United States
Illinois CancerCare-Bloomington
Bloomington, United States
Illinois CancerCare-Canton
Canton, United States
Memorial Hospital of Carbondale
Carbondale, United States
SIH Cancer Institute
Carterville, United States
Illinois CancerCare-Carthage
Carthage, United States
Centralia Oncology Clinic
Centralia, United States
Saint Mary's Hospital
Centralia, United States
Carle at The Riverfront
Danville, United States
Cancer Care Specialists of Illinois - Decatur
Decatur, United States
Decatur Memorial Hospital
Decatur, United States
Illinois CancerCare-Dixon
Dixon, United States
Carle Physician Group-Effingham
Effingham, United States
Crossroads Cancer Center
Effingham, United States
Illinois CancerCare-Eureka
Eureka, United States
Illinois CancerCare-Galesburg
Galesburg, United States
Illinois CancerCare-Kewanee Clinic
Kewanee, United States
Illinois CancerCare-Macomb
Macomb, United States
Carle Physician Group-Mattoon/Charleston
Mattoon, United States
SSM Health Good Samaritan
Mount Vernon, United States
Carle BroMenn Medical Center
Normal, United States
Carle Cancer Institute Normal
Normal, United States
Cancer Care Center of O'Fallon
O'Fallon, United States
HSHS Saint Elizabeth's Hospital
O'Fallon, United States
Illinois CancerCare-Ottawa Clinic
Ottawa, United States
Illinois CancerCare-Pekin
Pekin, United States
Illinois CancerCare-Peoria
Peoria, United States
Illinois CancerCare-Peru
Peru, United States
Valley Radiation Oncology
Peru, United States
Illinois CancerCare-Princeton
Princeton, United States
Southern Illinois University School of Medicine
Springfield, United States
Springfield Clinic
Springfield, United States
Springfield Memorial Hospital
Springfield, United States
Carle Cancer Center
Urbana, United States
Illinois CancerCare - Washington
Washington, United States
Northwest Cancer Center - Crown Point
Crown Point, United States
Northwest Oncology LLC
Dyer, United States
Northwest Cancer Center - Hobart
Hobart, United States
Saint Mary Medical Center
Hobart, United States
Saint Catherine Hospital
Indianapolis, United States
The Community Hospital
Munster, United States
Women's Diagnostic Center - Munster
Munster, United States
Northwest Cancer Center - Valparaiso
Valparaiso, United States
Mary Greeley Medical Center
Ames, United States
McFarland Clinic - Ames
Ames, United States
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, United States
McFarland Clinic - Boone
Boone, United States
Mercy Hospital
Cedar Rapids, United States
Oncology Associates at Mercy Medical Center
Cedar Rapids, United States
Mercy Cancer Center-West Lakes
Clive, United States
Greater Regional Medical Center
Creston, United States
Iowa Methodist Medical Center
Des Moines, United States
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines, United States
Broadlawns Medical Center
Des Moines, United States
Mercy Medical Center - Des Moines
Des Moines, United States
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, United States
McFarland Clinic - Trinity Cancer Center
Fort Dodge, United States
McFarland Clinic - Jefferson
Jefferson, United States
McFarland Clinic - Marshalltown
Marshalltown, United States
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee, United States
Mercy Medical Center-West Lakes
West Des Moines, United States
Central Care Cancer Center - Garden City
Garden City, United States
Central Care Cancer Center - Great Bend
Great Bend, United States
University of Kansas Cancer Center-Overland Park
Overland Park, United States
Mercy Hospital Pittsburg
Pittsburg, United States
CommonSpirit Saint Joseph Hospital - Bardstown
Bardstown, United States
Commonwealth Cancer Center-Corbin
Corbin, United States
CommonSpirit Saint Joseph Hospital - Lexington
Lexington, United States
Saint Joseph Radiation Oncology Resource Center
Lexington, United States
CommonSpirit Saint Joseph Medical Center - East Lexington
Lexington, United States
CommonSpirit Saint Joseph Hospital London
London, United States
CommonSpirit Saint Joseph Hospital Mount Sterling
Mount Sterling, United States
MaineHealth Cancer Care and IV Therapy - Brunswick
Brunswick, United States
MaineHealth Cancer Care Center of York County
Sanford, United States
MaineHealth Maine Medical Center- Scarborough
Scarborough, United States
MaineHealth Cancer Care and IV Therapy - South Portland
South Portland, United States
Christiana Care - Union Hospital
Elkton, United States
MyMichigan Medical Center Gratiot
Alma, United States
MyMichigan Medical Center Alpena
Alpena, United States
Trinity Health IHA - Obstetrics and Gynecology West Arbor
Ann Arbor, United States
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, United States
Bronson Battle Creek
Battle Creek, United States
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton, United States
Trinity Health Medical Center - Brighton
Brighton, United States
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton, United States
Trinity Health Medical Center - Canton
Canton, United States
Chelsea Hospital
Chelsea, United States
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, United States
Hematology Oncology Consultants-Clarkston
Clarkston, United States
Newland Medical Associates-Clarkston
Clarkston, United States
Henry Ford Health Saint John Hospital
Detroit, United States
Henry Ford River District Hospital
East China Township, United States
OSF Saint Francis Hospital and Medical Group
Escanaba, United States
Cancer Hematology Centers - Flint
Flint, United States
Genesee Hematology Oncology PC
Flint, United States
Genesys Hurley Cancer Institute
Flint, United States
Hurley Medical Center
Flint, United States
MyMichigan Medical Center Gladwin
Gladwin, United States
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids, United States
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, United States
Trinity Health Grand Rapids Hospital
Grand Rapids, United States
Henry Ford Saint John Hospital - Academic
Grosse Pointe Woods, United States
Henry Ford Saint John Hospital - Breast
Grosse Pointe Woods, United States
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods, United States
Bronson Methodist Hospital
Kalamazoo, United States
West Michigan Cancer Center
Kalamazoo, United States
Beacon Kalamazoo Cancer Center
Kalamazoo, United States
Beacon Kalamazoo
Kalamazoo, United States
University of Michigan Health - Sparrow Lansing
Lansing, United States
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, United States
Henry Ford Saint John Hospital - Macomb Medical
Macomb, United States
Henry Ford Warren Hospital - Breast Macomb
Macomb, United States
Schoolcraft Memorial Hospital
Manistique, United States
MyMichigan Medical Center Midland
Midland, United States
MyMichigan Medical Center Mount Pleasant
Mount Pleasant, United States
Trinity Health Muskegon Hospital
Muskegon, United States
Corewell Health Lakeland Hospitals - Niles Hospital
Niles, United States
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores, United States
Hope Cancer Center
Pontiac, United States
Michigan Healthcare Professionals Pontiac
Pontiac, United States
Newland Medical Associates-Pontiac
Pontiac, United States
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, United States
Corewell Health Reed City Hospital
Reed City, United States
MyMichigan Medical Center Saginaw
Saginaw, United States
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph, United States
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph, United States
MyMichigan Medical Center Tawas
Tawas City, United States
Munson Medical Center
Traverse City, United States
Henry Ford Health Warren Hospital
Warren, United States
Henry Ford Madison Heights Hospital - Breast
Warren, United States
Henry Ford Warren Hospital - GLCMS
Warren, United States
University of Michigan Health - West
Wyoming, United States
Huron Gastroenterology PC
Ypsilanti, United States
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti, United States
Riverwood Healthcare Center
Aitkin, United States
Essentia Health - Baxter Clinic
Baxter, United States
Sanford Joe Lueken Cancer Center
Bemidji, United States
Essentia Health Saint Joseph's Medical Center
Brainerd, United States
Minnesota Oncology - Burnsville
Burnsville, United States
Minnesota Oncology Hematology PA-Chaska
Chaska, United States
Mercy Hospital
Coon Rapids, United States
Minnesota Oncology - Coon Rapids
Coon Rapids, United States
Essentia Health - Saint Joseph's Crosslake Clinic
Crosslake, United States
Essentia Health - Deer River Clinic
Deer River, United States
Essentia Health Saint Mary's - Detroit Lakes Clinic
Detroit Lakes, United States
Essentia Health Cancer Center
Duluth, United States
Essentia Health Saint Mary's Medical Center
Duluth, United States
Miller-Dwan Hospital
Duluth, United States
Fairview Southdale Hospital
Edina, United States
Minnesota Oncology - Edina
Edina, United States
Essentia Health - Ely Clinic
Ely, United States
Essentia Health - Fosston
Fosston, United States
Essentia Health Hibbing Clinic
Hibbing, United States
Essentia Health - International Falls Clinic
International Falls, United States
Fairview Clinics and Surgery Center Maple Grove
Maple Grove, United States
Minnesota Oncology - Maple Grove
Maple Grove, United States
Minnesota Oncology Hematology PA-Maplewood
Maplewood, United States
Saint John's Hospital - Healtheast
Maplewood, United States
Abbott-Northwestern Hospital
Minneapolis, United States
Hennepin County Medical Center
Minneapolis, United States
Essentia Health - Moose Lake Clinic
Moose Lake, United States
New Ulm Medical Center
New Ulm, United States
Essentia Health - Park Rapids
Park Rapids, United States
Essentia Health - Saint Joseph's Pequot Lakes Clinic
Pequot Lakes, United States
Essentia Health - Saint Joseph's Pine River Clinic
Pine River, United States
Fairview Northland Medical Center
Princeton, United States
North Memorial Medical Health Center
Robbinsdale, United States
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, United States
Regions Hospital
Saint Paul, United States
United Hospital
Saint Paul, United States
Essentia Health Sandstone
Sandstone, United States
Saint Francis Regional Medical Center
Shakopee, United States
Essentia Health - Saint Joseph's Staples Clinic
Staples, United States
Lakeview Hospital
Stillwater, United States
Sanford Thief River Falls Medical Center
Thief River Falls, United States
Essentia Health Virginia Clinic
Virginia, United States
Ridgeview Medical Center
Waconia, United States
Rice Memorial Hospital
Willmar, United States
Minnesota Oncology Hematology PA-Woodbury
Woodbury, United States
Sanford Cancer Center Worthington
Worthington, United States
Fairview Lakes Medical Center
Wyoming, United States
Baptist Memorial Hospital and Cancer Center-Golden Triangle
Columbus, United States
Baptist Cancer Center-Grenada
Grenada, United States
Baptist Memorial Hospital and Cancer Center-Union County
New Albany, United States
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford, United States
Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven, United States
Mercy Oncology and Hematology - Clayton-Clarkson
Ballwin, United States
Central Care Cancer Center - Bolivar
Bolivar, United States
Cox Cancer Center Branson
Branson, United States
Mercy Cancer Center - Cape Girardeau
Cape Girardeau, United States
Saint Francis Medical Center
Cape Girardeau, United States
Parkland Health Center - Farmington
Farmington, United States
Freeman Health System
Joplin, United States
Mercy Hospital Joplin
Joplin, United States
Lake Regional Hospital
Osage Beach, United States
Mercy Clinic-Rolla-Cancer and Hematology
Rolla, United States
Phelps Health Delbert Day Cancer Institute
Rolla, United States
Heartland Regional Medical Center
Saint Joseph, United States
Sainte Genevieve County Memorial Hospital
Sainte Genevieve, United States
Mercy Hospital Springfield
Springfield, United States
CoxHealth South Hospital
Springfield, United States
Mercy Infusion Center - Chippewa
St Louis, United States
Mercy Hospital South
St Louis, United States
Missouri Baptist Medical Center
St Louis, United States
Mercy Hospital Saint Louis
St Louis, United States
Missouri Baptist Sullivan Hospital
Sullivan, United States
BJC Outpatient Center at Sunset Hills
Sunset Hills, United States
Mercy Hospital Washington
Washington, United States
Community Hospital of Anaconda
Anaconda, United States
Billings Clinic Cancer Center
Billings, United States
Bozeman Health Deaconess Hospital
Bozeman, United States
Benefis Sletten Cancer Institute
Great Falls, United States
Great Falls Clinic
Great Falls, United States
Hi-Line Sletten Cancer Center
Havre, United States
Benefis Helena Specialty Center
Helena, United States
Logan Health Medical Center
Kalispell, United States
Community Medical Center
Missoula, United States
CHI Health Saint Francis
Grand Island, United States
CHI Health Good Samaritan
Kearney, United States
Alegent Health Immanuel Medical Center
Omaha, United States
Alegent Health Bergan Mercy Medical Center
Omaha, United States
Alegent Health Lakeside Hospital
Omaha, United States
University of New Mexico Cancer Center
Albuquerque, United States
James J Peters VA Medical Center
The Bronx, United States
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst, United States
Sanford Bismarck Medical Center
Bismarck, United States
Essentia Health Cancer Center-South University Clinic
Fargo, United States
Sanford South University Medical Center
Fargo, United States
Southpointe-Sanford Medical Center Fargo
Fargo, United States
Sanford Medical Center Fargo
Fargo, United States
Sanford Broadway Medical Center
Fargo, United States
Sanford Roger Maris Cancer Center
Fargo, United States
Essentia Health - Jamestown Clinic
Jamestown, United States
Good Samaritan Hospital - Cincinnati
Cincinnati, United States
Bethesda North Hospital
Cincinnati, United States
TriHealth Cancer Institute-Westside
Cincinnati, United States
TriHealth Cancer Institute-Anderson
Cincinnati, United States
Mercy Hospital Oklahoma City
Oklahoma City, United States
Saint Alphonsus Cancer Care Center-Baker City
Baker City, United States
Saint Alphonsus Cancer Care Center-Ontario
Ontario, United States
Lehigh Valley Hospital-Cedar Crest
Allentown, United States
Lehigh Valley Hospital - Muhlenberg
Bethlehem, United States
Christiana Care Health System-Concord Health Center
Chadds Ford, United States
Pocono Medical Center
East Stroudsburg, United States
Lehigh Valley Hospital-Hazleton
Hazleton, United States
Prisma Health Cancer Institute - Spartanburg
Boiling Springs, United States
Prisma Health Cancer Institute - Easley
Easley, United States
Prisma Health Cancer Institute - Butternut
Greenville, United States
Prisma Health Cancer Institute - Faris
Greenville, United States
Prisma Health Cancer Institute - Eastside
Greenville, United States
Prisma Health Cancer Institute - Greer
Greer, United States
Prisma Health Cancer Institute - Seneca
Seneca, United States
Sanford Cancer Center Oncology Clinic
Sioux Falls, United States
Sanford USD Medical Center - Sioux Falls
Sioux Falls, United States
Baptist Memorial Hospital and Cancer Center-Collierville
Collierville, United States
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis, United States
VCU Massey Comprehensive Cancer Center
Richmond, United States
VCU Community Memorial Health Center
South Hill, United States
VCU Health Tappahannock Hospital
Tappahannock, United States
Saint Joseph Medical Center Hematology and Oncology - Silverdale
Silverdale, United States
Aspirus Cancer Care-Antigo-Volm Cancer Center
Antigo, United States
Ascension Northeast Wisconsin-Saint Elizabeth Cancer Center-Appleton
Appleton, United States
Duluth Clinic Ashland
Ashland, United States
Northwest Wisconsin Cancer Center
Ashland, United States
Ascension Southeast Wisconsin Hospital-Elmbrook Campus-Brookfield
Brookfield, United States
Ascension Calumet Hospital-Chilton
Chilton, United States
Ascension Southeast Wisconsin Hospital - Franklin
Franklin, United States
Reiman Cancer Center-Ascension Wisconsin Health Center-Rawson
Franklin, United States
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, United States
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay, United States
Essentia Health-Hayward Clinic
Hayward, United States
Tamarack Health Hayward Medical Center
Hayward, United States
Gundersen Lutheran Medical Center
La Crosse, United States
Aspirus Medford Hospital
Medford, United States
Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon
Mequon, United States
Ascension Southeast Wisconsin Hospital-Saint Joseph-Milwaukee
Milwaukee, United States
Ascension Columbia Saint Mary's Hospital-Milwaukee Campus
Milwaukee, United States
Ascension Saint Francis Hospital-Milwaukee
Milwaukee, United States
Cancer Center of Western Wisconsin
New Richmond, United States
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls, United States
Ascension Northeast Wisconsin-Mercy Hospital-Oshkosh
Oshkosh, United States
Ascension All Saints Hospital-Spring Street-Racine
Racine, United States
Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
Rhinelander, United States
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan, United States
Sheboygan Physicians Group
Sheboygan, United States
Essentia Health-Spooner Clinic
Spooner, United States
Aspirus Cancer Care - Stevens Point
Stevens Point, United States
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay, United States
Essentia Health Saint Mary's Hospital - Superior
Superior, United States
Aspirus Cancer Care-Wausau
Wausau, United States
Ascension Southeast Wisconsin Hospital-Mayfair Road-Wauwatosa
Wauwatosa, United States
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids, United States
Memorial Hospital of Laramie County
Cheyenne, United States
Billings Clinic-Cody
Cody, United States
FHP Health Center-Guam
Tamuning, Guam
Cancer Center-Metro Medical Center Bayamon
Bayamón, Puerto Rico
Puerto Rico Hematology Oncology Group
Bayamón, Puerto Rico
Doctors Cancer Center
Manati, Puerto Rico
San Juan Community Oncology Group
San Juan, Puerto Rico
Centro Comprensivo de Cancer de UPR
San Juan, Puerto Rico
PROncology
San Juan, Puerto Rico
San Juan City Hospital
San Juan, Puerto Rico
Trial contact
Contact information from ClinicalTrials.gov. Contact in English.
Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/3/2026.