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Clinical Trials/NCT07716449
NCT07716449Not yet recruitingPhase 3

A Randomized, Open-label, Multicenter Phase III Clinical Study of QLS31905 in Combination With CAPOX Versus Sintilimab in Combination With CAPOX as First-line Treatment in Patients With Unresectable Locally Advanced or Metastatic CLDN18.2-positive, PD-L1 CPS < 5 Gastric or Gastroesophageal Junction Adenocarcinoma

Qilu Pharmaceutical Co., Ltd.0 sites560 target enrollmentStarted: August 1, 2026Last updated:
Conditions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Not yet recruiting
Enrollment
560
Primary Endpoint
Progression free survival (PFS)

Study Overview

Brief Summary

This study is a randomized, open, multicenter phase III clinical study designed to compare the efficacy and safety of QLS31905 injection combined with CAPOX versus sintilimab combined with CAPOX in the first-line treatment of CLDN18.2 positive, PD-L1 CPS < 5 unresectable locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

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

Inclusion Criteria

  • Subjects voluntarily participate in the study and sign the informed consent form;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1;
  • Expected survival time ≥ 12 weeks;
  • Histologically or cytologically confirmed diagnosis of gastric or gastroesophageal junction adenocarcinoma;
  • No prior systemic anti-tumor treatment for unresectable locally advanced or metastatic disease;
  • At least one measurable lesion per RECIST v1.1;
  • Patients with adequate cardiac, liver, renal function, etc.

Exclusion Criteria

  • Known history of allergy to any component of the study drug;
  • Other second primary malignant neoplasm within 5 years;
  • Significant cardiovascular and cerebrovascular disorders within 6 months before randomization;
  • Haemorrhage requiring haemostatic treatment within 3 months prior to randomisation;
  • Previous or current interstitial pneumonia, pulmonary fibrosis, pneumoconiosis, etc;
  • Previous treatment targeting CLDN18.2;
  • Patients with added risks associated with the study or may interfere with the interpretation of study results as determined by the investigator, or deemed unsuitable by the investigator.

Outcomes

Primary Outcomes

Progression free survival (PFS)

Time Frame: Up to 44 months

PFS is defined as the duration from randomization to the first imaging confirmation of progressive disease by Blinded Independent Central Review (BICR) evaluation or death due to any cause (whichever occurs first).

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

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