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ASC-201 Plus Trifluridine/Tipiracil for the Treatment of Advanced Gastric Cancer

Phase 1
Active, not recruiting
Conditions
Advanced Gastric Cancer.
MedDRA version: 20.0Level: SOCClassification code 10017947Term: Gastrointestinal disordersSystem Organ Class: 10017947 - Gastrointestinal disorders
Therapeutic area: Diseases [C] - Digestive System Diseases [C06]
Registration Number
EUCTR2021-003799-15-ES
Lead Sponsor
Ascelia Pharma AB
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
139
Inclusion Criteria

Patients are eligible to be included in the study only if all of the following criteria apply:
1. Capable of giving signed informed consent as described in Appendix 2 which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
2. Male or female patients must be =18 years of age, at the time of signing the informed consent.
3. Patients with histologically or cytologically confirmed gastric cancer or gastroesophageal junction adenocarcinoma.
4. Are candidates for trifluridine/tipiracil therapy, having metastatic gastric gastroesophageal junction adenocarcinoma, who have been previously treated with at least two prior systemic treatment regimens for advanced disease.
5. Has measurable disease based on RECIST v.1.1 as determined by the site study team.

Please see protocol v2.0 for full inclusion criteria.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 69
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 70

Exclusion Criteria

Patients are excluded from the study if any of the following criteria apply:
1. History of previous malignancy other than gastric cancer within the last 2 years except basal cell carcinoma or carcinoma in situ in solid organ.
2. Presence of chronic inflammatory bowel disease and/or bowel obstruction.
3. Homozygous for the uridine diphosphate glucuronosyltransferase (UGT1A1) *28 allele (Gilbert's syndrome) or otherwise known to have reduced UGT1A1 activity (applies for Phase 1 only).
4. Known central nervous system or brain metastases, unless previously treated and stable for 3 months.
5. Poorly controlled ascites and/or requirement for therapeutic paracentesis more frequently than once every 3 months.
6. Any other ongoing significant disease, or condition other than gastric cancer as judged by the Investigator to compromise the patients' ability to complete this study, eg but not limited to an active infection (including active hepatitis B, hepatitis C or HIV infections), unresolved pneumonia/pneumonitis, uncontrolled diabetes, poorly controlled hypertension or other cardiovascular disease.
7. Previously received irinotecan treatment for gastric cancer.
8. Receiving concomitant medication that are:
(a) Strong inhibitors (eg, ketoconazole) of CYP3A4, OR
(b) Strong inducers (eg, rifampicin, carbamazepine, phenobarbital, phenytoin, St John's wort) of CYP3A4, OR
(c) Substrates of human thymidine kinase (eg, zidovudine).
9. Receiving any other investigational agent within 4 weeks prior to Screening.
10. Enrolled in another clinical study with an IMP.

Please see protocol v2.0 for full exclusion criteria.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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