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HLX07+HLX10+Chemotherapy or HLX07 Monotherapy in Patients With Advanced Metastatic Gastric Cancer

Phase 2
Conditions
Gastric Cancer (GC) Gastroesophageal Junction Cancer (GEJ)
Interventions
Drug: HLX07+HLX10+oxaliplatin+capecitabine
Registration Number
NCT05246982
Lead Sponsor
Shanghai Henlius Biotech
Brief Summary

This study is conducted in patients with advanced metastatic gastric cancer including gastroesophageal junction cancer. This study includes two arms: A and B. Arm A (patients with HER2 negative and PD-L1 CPS≥5 ) will receive HLX07 combination therapy with HLX10 and chemotherapy (oxaliplatin+capecitabine) as first-line treatment. Arm B will receive HLX07 monotherapy as third-line or above treatment. All of eligible patients will receive study drug treatment until loss of clinical benefit, unacceptable toxicity, death, withdrawal of informed consent (whichever occurs first, HLX10 treatment up to 2 years).

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  1. Volunteer to participate in this clinical study; completely understand and know this study as well as sign the informed consent form (ICF); be willing to follow and be able to complete all study procedures;
  2. Age ≥ 18 years and ≤ 75 years when ICF is signed;
  3. Unresectable locally advanced, or metastatic gastric cancer including gastroesophageal junction cancer, and histopathologically confirmed diagnosis of adenocarcinoma;
  4. Arm A: never received systemic anti-tumor drug therapy before, with HER2 negative and PD-L1 CPS≥5; Arm B: failed to prior systemic anti-tumor therapy (at least 2 lines);
  5. Measurable lesion according to RECIST v1.1 by IRRC;
  6. ECOG score 0-1;
  7. Expected survival 12 weeks.
Exclusion Criteria
  1. Has other active malignancies within 5 years before the first administration of the study drug;
  2. Plan to or have previously received organ or bone marrow transplantation;
  3. Uncontrollable pleural effusion, pericardial effusion or ascites requiring repeated drainage;
  4. Arm A: previously received antibody drugs against immune checkpoints (such as PD-1, PD-L1, CTLA4, etc.) and / or antibody drugs against EGFR; Arm B: previously received antibody drug treatment against EGFR;
  5. Have received any research drugs within 14 days before the first use of the study drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm AHLX07+HLX10+oxaliplatin+capecitabineHER2 negative and PD-L1 CPS≥5, as first-line therapy
Arm BHLX07As third-line or above therapy
Primary Outcome Measures
NameTimeMethod
ORRUp to 2 years

Objective response rate by IRRC assessment per RECIST 1.1

PFSFrom the first dose until firstly confirmed and recorded disease progression or death (whichever occurs earlier), assessed up to 2 years

Progression-free survival by IRRC assessment per RECIST 1.1

Secondary Outcome Measures
NameTimeMethod
DORFrom the date when CR or PR (whichever recorded earlier) is firstly achieved until the date when disease progression or death is firstly recorded (whichever occurs earlier),assessed up to 2 years

Duration of response by IRRC/INV assessment per RECIST 1.1

OSFrom the date of first dose unitl the date of death from any cause,assessed up to 2 years

Overall survival

ORRUp to 2 years

Objective response rate by INV assessment per RECIST 1.1

PFSFrom the first dose until firstly confirmed and recorded disease progression or death (whichever occurs earlier), assessed up to 2 years

Objective response rate by INV assessment per RECIST 1.1

Trial Locations

Locations (2)

Gansu Wuwei Tumor Hospital

🇨🇳

Wuwei, Gansu, China

Fudan University shanghai cancer center

🇨🇳

Shanghai, China

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