Status:

NOT_YET_RECRUITING

A Study of Anti-PD-1 and LAG-3 Bispecific Antibody(AK129) Combined With Chemotherapy With or Without Cadonilimab in the First-line Treatment of Unresectable Locally Advanced or Metastatic G/ GEJ Adenocarcinoma

Lead Sponsor:

Akeso

Conditions:

Gastric Adenocarcinoma

Gastroesophageal Junction Adenocarcinoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

PHASE2

Brief Summary

Phase Ib/II clinical study of AK129 combined with chemotherapy with or without cadonilimab in first-line treatment of advanced HER2 negative gastric cancer or gastroesophageal junction adenocarcinoma

Eligibility Criteria

Inclusion

  • The subject must sign the written informed consent form(ICF) voluntarily.
  • Aged ≥ 18 to ≤ 75 years,male and female at the time of signing the ICF.
  • Histologically confirmed adenocarcinoma of the gastric or gastroesophageal junction (GEJ).
  • Inoperable locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma.
  • Participants had not previously received systemic therapy for locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma.
  • According to RECIST v1.1 criteria, subjects had at least one measurable tumor target.

Exclusion

  • Subjects with known HER2 positive gastric or gastroesophageal junction adenocarcinoma.
  • Histopathological examination confirmed other pathological types.
  • Had received palliative local therapy for non-target lesions within 2 weeks before the first administration.
  • Past treatment with immune checkpoint inhibitors,immune checkpoint agonists,immune cell therapy and any treatment targeting the immune mechanism of tumor action.
  • History of gastrointestinal perforation and fistula within 6 months before the first dose.
  • Active or previously documented inflammatory bowel disease,inability to swallow, malabsorption syndrome.
  • Active malignancy within the last 3 years.
  • Active or untreated brain metastases, meningeal metastases, spinal cord compression, or pia meningeal disease are known to exist.
  • The presence of clinical symptoms of pleural effusion, pericardial effusion, or abdominal effusion, or the need for frequent drainage.
  • There was an active autoimmune disease that required systemic treatment within 2 years prior to the start of the study.

Key Trial Info

Start Date :

September 10 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2026

Estimated Enrollment :

294 Patients enrolled

Trial Details

Trial ID

NCT06586294

Start Date

September 10 2024

End Date

July 1 2026

Last Update

September 19 2024

Active Locations (1)

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1

Zhejiang Cancer Hospital

Hanzhou, Zhejiang, China, 310005

A Study of Anti-PD-1 and LAG-3 Bispecific Antibody(AK129) Combined With Chemotherapy With or Without Cadonilimab in the First-line Treatment of Unresectable Locally Advanced or Metastatic G/ GEJ Adenocarcinoma | DecenTrialz