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临床试验/NL-OMON55397
NL-OMON55397已完成3 期

A Randomized, Active-Controlled, Partially Blinded, Biomarker Select, Phase III Clinical Trial of Pembrolizumab as Monotherapy and in Combination with Cisplatin+5-Fluorouracil versus Placebo+Cisplatin+5-Fluorouracil as First-Line Treatment in Subjects with Advanced Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma; - Pembrolizumab in Advanced Gastric or GEJ Adenocarcinoma

Merck Sharp & Dohme (MSD)0 个研究点目标入组 12 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
12

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 64(—)

入选标准

  • 1. Be willing and able to provide documented informed consent/assent for the
  • trial. The subject may also provide consent/assent for Future Biomedical
  • Research. However, the subject may participate in the main trial without
  • participating in Future Biomedical Research., 2. Be * 18 years of age on day of
  • providing documented informed consent (or acceptable age according to local
  • regulations, whichever is older)., 3. Have a performance status of 0 or 1 on
  • the Eastern Cooperative Oncology Group (ECOG) Performance Scale within 10 days
  • prior to the first dose of trial treatment., 4. Have histologically or
  • cytologically confirmed diagnosis of locally advanced unresectable or
  • metastatic gastric or GEJ adenocarcinoma. , 5. Be HER2/neu negative and PD-L1
  • positive., 6. Have measurable disease as defined by RECIST 1.1 as determined by
  • investigator assessment. Tumor lesions situated in a previously irradiated area
  • are considered measurable if progression has been demonstrated in such lesions.
  • , 7. Have provided tumor tissue sample deemed adequate for PD-L1 biomarker
  • analysis. , a. Notification of eligibility must be received prior to
  • randomization., b. Additional samples may be required if adequate tissue is not
  • provided., 8. Female subjects of childbearing potential must have a highly
  • sensitive negative urine or serum pregnancy test as required by local
  • regulation within 24 hours (urine) and within 72 hours (serum) prior to
  • receiving the first dose of study medication. If the urine test is positive or
  • cannot be confirmed as negative, a serum pregnancy test will be required. , 9.
  • Female subjects of childbearing potential must be willing to use an adequate
  • method of contraception, for the course of the study through 120 days after the
  • last dose of study medication. Note: Abstinence is acceptable if this is the
  • usual lifestyle and preferred contraception for the subject. , 10. Male
  • subjects of childbearing potential must agree to use an adequate method of
  • contraception starting with the first dose of study therapy through 120 days
  • after the last dose of study therapy. Note: Abstinence is acceptable if this is
  • the usual lifestyle and preferred contraception for the subject. , 11.
  • Demonstrate adequate organ function. All screening labs should be performed
  • within 10 days of treatment initiation.

排除标准

  • 1. Has squamous cell or undifferentiated gastric cancer., 2. Has had previous
  • therapy for locally advanced, unresectable or metastatic gastric/GEJ cancer.
  • Subjects may have received prior neoadjuvant or adjuvant therapy as long as it
  • was completed at least 6 months prior to randomization., 3. Has had major
  • surgery, open biopsy or significant traumatic injury within 28 days prior to
  • randomization, or anticipation of the need for major surgery during the course
  • of study treatment., 4. Has had radiotherapy within 14 days of randomization.
  • Subjects who received radiotherapy >14 days prior to randomization must have
  • completely recovered from any radiotherapy related AEs/toxicities., 5. Has a
  • known additional malignancy that is progressing or requires active treatment.
  • Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of
  • the skin that has undergone potentially curative therapy or in situ cervical
  • cancer., 6. Has known active central nervous system (CNS) metastases and/or
  • carcinomatous meningitis. Subjects with previously treated brain metastases
  • may participate provided they are stable (without evidence of progression by
  • imaging at least four weeks prior to the first dose of trial treatment and
  • neurologic symptoms have returned to baseline), have no evidence of new or
  • enlarging brain metastases, and are not using steroids for at least 7 days
  • prior to trial treatment. This exception does not include carcinomatous
  • meningitis which is excluded regardless of clinical stability., 7. Has an
  • active autoimmune disease that has required systemic treatment in past 2 years
  • (i.e. with use of disease modifying agents, corticosteroids or
  • immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or
  • physiologic corticosteroid replacement therapy for adrenal or pituitary
  • insufficiency, etc.) is not considered a form of systemic treatment. , 8. Has
  • a diagnosis of immunodeficiency or is receiving chronic systemic steroid
  • therapy (in dosin exceeding 10 mg daily of prednisone equivalent) or any other
  • form of immunosuppressive therapy within 7 days prior to the first dose of
  • trial drug. , 9. Has a history of (non-infectious) pneumonitis/interstitial
  • lung disease that required steroids or current pneumonitis/interstitial lung
  • disease. , 10. Has an active infection requiring systemic therapy., 11. Has a
  • history or current evidence of any condition (e.g. known deficiency of the
  • enzyme dihydropyrimidine dehydrogenase [DPD]), therapy, or laboratory
  • abnormality that might confound the results of the trial, interfere with the
  • subject*s participation for the full duration of the trial, or is not in the
  • best interest of the subject to participate, in the opinion of the treating
  • investigator., 12. Has known psychiatric or substance abuse disorders that
  • would interfere with cooperation with the requirements of the trial., 13. Is
  • pregnant or breastfeeding, or expecting to conceive or father children within
  • the projected duration of the trial, starting with the screening visit through
  • 120 days after the last dose of trial treatment., 14. Has received prior
  • therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent., 15. Has a known
  • history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies)., 16. Has
  • current active Hepatitis B (e.g., HBsAg reactive, posi

研究者

发起方
Merck Sharp & Dohme (MSD)

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