Actively Recruiting

Phase 3
Age: 18Years - 75Years
All Genders
NCT05918094

Comparing Modified XELOX Plus Sintilimab With Standard XELOX Plus Sintilimab in First-line Treatment for HER2-negative Gastric/Gastroesophageal Junction Adenocarcinoma

Led by Sun Yat-sen University · Updated on 2024-01-26

540

Participants Needed

10

Research Sites

291 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a randomized, controlled, multicenter phase Ⅲ study to evaluate the therapeutic efficacy of modified XELOX plus sintilimab versus standard XELOX plus sintilimab in subjects with advanced HER2-negative gastric or gastroesophageal adenocarcinoma in the first-line treatment. The primary outcome is the progression-free survival (PFS), with a planned enrollment of 540 subjects.

CONDITIONS

Official Title

Comparing Modified XELOX Plus Sintilimab With Standard XELOX Plus Sintilimab in First-line Treatment for HER2-negative Gastric/Gastroesophageal Junction Adenocarcinoma

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Understand the study and voluntarily agree to participate by signing consent
  • Aged 18 to 75 years old
  • Have locally advanced or metastatic HER2-negative gastric or gastroesophageal adenocarcinoma confirmed by pathology
  • No prior systemic therapy, except completed neoadjuvant or adjuvant therapy with no recurrence for at least 6 months
  • Agree to provide stored tumor tissue or biopsy sample
  • ECOG performance status of 0 or 1
  • Expected survival time of at least 3 months
  • Adequate organ and bone marrow function within 7 days before enrollment with specified blood counts and liver, kidney function
  • Agree to use effective contraception during treatment and for 6 months afterward
Not Eligible

You will not qualify if you...

  • Previous treatment with immune checkpoint inhibitors
  • Receiving antitumor drugs, immunotherapy, or investigational treatments within 4 weeks before enrollment
  • Radiotherapy within 4 weeks before first dose
  • Major surgery within 4 weeks before enrollment or not fully recovered
  • Symptomatic brain metastases or carcinomatous meningitis unless stable for 4 weeks with mild neurological symptoms
  • History of other cancers unless in complete response for 2 years or certain treated skin or carcinoma in situ conditions
  • Active autoimmune disease requiring systemic therapy in past 2 years
  • History of gastrointestinal perforation or fistula in last 6 months
  • Intestinal obstruction requiring parenteral nutrition
  • HER2-positive gastric or gastroesophageal cancer
  • Uncontrolled heart conditions including recent severe cardiac insufficiency, unstable angina, recent heart attack, or significant arrhythmias
  • HIV infection
  • Active hepatitis B or C infection
  • Severe or uncontrolled infections within 4 weeks before first dose
  • History of organ or stem cell transplantation
  • Allergy or intolerance to study drugs
  • Live vaccine within 4 weeks before first dose or planned during study
  • Toxicity from previous cancer therapy not resolved to mild levels (grade 0-1)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 10 locations

1

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China, 510060

Actively Recruiting

2

The Affliated Cancer Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Actively Recruiting

3

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Not Yet Recruiting

4

Henan Cancer Hospital

Zhengzhou, Henan, China

Not Yet Recruiting

5

Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China, 430030

Not Yet Recruiting

6

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Not Yet Recruiting

7

The Second Hospital of Dalian Medical University

Dalian, Liaoning, China

Actively Recruiting

8

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Not Yet Recruiting

9

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Not Yet Recruiting

10

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Not Yet Recruiting

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Research Team

R

Ruihua Xu, MD

CONTACT

F

Feng Wang, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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