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Clinical Trials/NCT07334431
NCT07334431
Recruiting
Phase 1

Fruquintinib Combined With Trastuzumab and XELOX as First-line Treatment in Patients With HER2-positive Advanced Gastric or Gastroesophageal Junction Adenocarcinoma: an Open-label, Single-arm, Single-center Phase Ib/II Clinical Study

Henan Cancer Hospital1 site in 1 country45 target enrollmentStarted: February 22, 2024Last updated:

Overview

Phase
Phase 1
Status
Recruiting
Enrollment
45
Locations
1
Primary Endpoint
Recommended Phase 2 doses (RP2Ds)

Overview

Brief Summary

This study was designed to evaluate the safety and efficacy of fruquintinib plus trastuzumab, and XELOX as first-line treatment for HER2-positive advanced gastric or gastroesophageal junction (GEJ) adenocarcinoma.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Have fully understood the study and voluntarily signed the informed consent;
  • 18-75 years old (including 18 and 75 years old);
  • Pathologically determined advanced gastric or gastroesophageal junction adenocarcinoma;
  • No previous anti-tumor treatment for metastatic diseases;
  • HER2 positive;
  • Eastern Cooperation Oncology Group (ECOG) performance status of 0-1;
  • Life expectancy ≥ 3 months;
  • At least one measurable lesion according to RECIST version 1.1;
  • The functions of vital organs met the following requirements (Blood components and cell growth factors were not allowed within 14 days before enrollment):
  • Absolute neutrophil count ≥1.5×109/L;

Exclusion Criteria

  • Failure to comply with the study protocol or study procedure;
  • Previous treatment with vascular endothelial growth factor receptor (VEGFR) inhibitors, chemotherapy or immune checkpoint inhibitors;
  • Have had other malignancies within the past 5 years, except basal cell or squamous cell carcinoma of the skin after radical surgery, or carcinoma in situ of the cervix;
  • Known presence of symptomatic central nervous system metastasis or brain metastases;
  • Had autoimmune disease or history of autoimmune disease within 4 weeks before enrollment;
  • Previously received allogeneic bone marrow transplantation or organ transplantation;
  • Uncontrolled malignant ascites (defined as ascites that cannot be controlled by diuretics or puncture as determined by the researcher);
  • Severe cardiovascular disease, including unstable angina pectoris or myocardial infarction, occurs within 6 months before the start of study treatment;
  • Subjects who are allergic to the investigational drug or any of its adjuncts;
  • Participated in other domestic unapproved or unmarketed drug clinical trials and accepted the corresponding experimental drug treatment within 4 weeks before enrollment;

Arms & Interventions

fruquintinib+trastuzumab + XELOX

Experimental

Intervention: fruquintinib+trastuzumab + XELOX (Drug)

Outcomes

Primary Outcomes

Recommended Phase 2 doses (RP2Ds)

Time Frame: When the first cycle of treatment is completed(approximately 21 days)

To determine the recommended phase 2 dose of fruquintinib, according to the dose limiting toxicities (DLTs).

PFS

Time Frame: Up to 3 years

PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first.

Secondary Outcomes

  • OS(Up to 3 years)
  • ORR(Up to 3 years)
  • DCR(Up to 3 years)

Investigators

Sponsor Class
Other Gov
Responsible Party
Sponsor

Study Sites (1)

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