Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06038578

A Study of TRK-950 When Used in Combination With Ramucirumab and Paclitaxel in Patients With Gastric Cancer

Led by Toray Industries, Inc · Updated on 2025-08-03

146

Participants Needed

27

Research Sites

142 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will assess the efficacy, safety, optimal dose and ADA and NAbs development of TRK-950 at two separate dose levels in combination with ramucirumab and paclitaxel (RAM+PTX) as compared with RAM + PTX treatment alone in participants with gastric or gastro-esophageal junction (GEJ) adenocarcinoma.

CONDITIONS

Official Title

A Study of TRK-950 When Used in Combination With Ramucirumab and Paclitaxel in Patients With Gastric Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed metastatic or locally advanced unresectable gastric or gastro-esophageal junction adenocarcinoma
  • Eligible to receive Ramucirumab plus Paclitaxel treatment
  • Documented disease progression during or after treatment as specified by treatment history
  • Presence of measurable primary or metastatic disease by CT scan per RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy of at least 3 months
  • Age 18 years or older in the US and Japan, 19 or older in Korea
  • Signed written informed consent approved by an Institutional Review Board
  • Adequate organ function from tests done within 14 days before treatment
  • Use of effective contraception during the study and for 6 months after last dose for men and women of child-producing potential
  • Pre-screening consent to assess tumor tissue for CAPRIN-1 staining meeting specified cutoff
Not Eligible

You will not qualify if you...

  • Prior treatment with ramucirumab or paclitaxel
  • HER2 positive gastric or gastro-esophageal junction adenocarcinoma
  • Major surgery within 28 days before randomization
  • Corrected QT interval longer than 470 msec (females) or 450 msec (males) using Fridericia's formula
  • Symptomatic congestive heart failure or poorly controlled cardiac arrhythmia
  • Arterial thrombotic event within 3 months before randomization
  • History or current pneumonitis requiring steroids
  • Symptomatic venous thromboembolism or current anticoagulant treatment except low-dose prophylaxis
  • Uncontrolled high blood pressure despite treatment
  • Active uncontrolled infections requiring systemic therapy
  • Pregnant or nursing women
  • Radiation therapy within 2 weeks or chemotherapy/immunotherapy/targeted/investigational therapy within 4 weeks prior to randomization
  • Significant bleeding disorders or gastrointestinal bleeding within 3 months prior
  • Clinically significant ascites or recent paracentesis
  • History of gastrointestinal perforation or fistula within 6 months prior
  • Serious or non-healing wounds, peptic ulcers, or bone fractures within 28 days prior
  • Bowel obstruction, inflammatory bowel disease, extensive intestinal resection, Crohn's disease, ulcerative colitis, or chronic diarrhea
  • Active infection with HIV, hepatitis B or C; controlled hepatitis allowed
  • Concurrent enrollment in incompatible clinical trials or recent investigational drug use within 28 days prior to randomization

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 27 locations

1

City of Hope

Duarte, California, United States, 91010

Actively Recruiting

2

City of Hope at Orange County Lennar Foundation Cancer Center

Irvine, California, United States, 92618

Actively Recruiting

3

University of California, Los Angeles

Santa Monica, California, United States, 90404

Actively Recruiting

4

Texas Oncology Arlington North

Arlington, Texas, United States, 76012

Actively Recruiting

5

Texas Oncology Bedford

Bedford, Texas, United States, 76022

Actively Recruiting

6

Texas Oncology Dallas Methodist

Dallas, Texas, United States, 75203

Actively Recruiting

7

Texas Oncology Dallas Medical City

Dallas, Texas, United States, 75230

Actively Recruiting

8

Texas Oncology Dallas Presbyterian

Dallas, Texas, United States, 75231

Actively Recruiting

9

Texas Oncology Methodist Charlton Cancer Center

Dallas, Texas, United States, 75237

Actively Recruiting

10

Texas Oncology-Sammons Cancer Center

Dallas, Texas, United States, 75246

Actively Recruiting

11

Texas Oncology Fort Worth Cancer Center

Fort Worth, Texas, United States, 76104

Actively Recruiting

12

Texas Oncology Grapevine

Grapevine, Texas, United States, 76051

Actively Recruiting

13

Texas Oncology Plano East

Plano, Texas, United States, 75075

Actively Recruiting

14

Texas Oncology Plano West

Plano, Texas, United States, 75093

Actively Recruiting

15

Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center

Yokohama, Kanagawa, Japan, 241-8515

Actively Recruiting

16

Saitama Prefectural Hospital Organization Saitama Cancer Center

Shinden, Saitama, Japan, 362-0806

Actively Recruiting

17

Shizuoka Cancer Center

Nagaizumi-cho, Shizuoka, Japan, 411-8777

Actively Recruiting

18

National Cancer Center Hospital

Chūōku, Japan, 104-0045

Actively Recruiting

19

Osaka International Cancer Institute

Chūōku, Japan, 541-8567

Actively Recruiting

20

National Cancer Center Hospital East

Kashiwa, Japan, 277-8577

Actively Recruiting

21

The Cancer Institute Hospital of JFCR

Kōtoku, Japan, 135-8550

Actively Recruiting

22

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea, 13605

Actively Recruiting

23

Chonnam National University Hwasun Hospital

Hwasun, Jeollanam-do, South Korea, 58128

Actively Recruiting

24

Kyungpook National University Chilgok Hospital

Daegu, South Korea, 41404

Actively Recruiting

25

Severance Hospital

Seoul, South Korea, 03722

Actively Recruiting

26

ASAN Medical Center

Seoul, South Korea, 05505

Actively Recruiting

27

Samsung Medical Center

Seoul, South Korea, 06351

Actively Recruiting

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Research Team

(

(Asia sites)Toray Contact for Clinical Trial Information

CONTACT

(

(US sites) Contact for Clinical Trial Information

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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A Study of TRK-950 When Used in Combination With Ramucirumab and Paclitaxel in Patients With Gastric Cancer | DecenTrialz