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临床试验/NCT06649292
NCT06649292招募中3 期

An Open, Randomized,Positive Control, Multicenter Phase III Clinical Study of SHR A1904 for Injection Compared With Investigator's Choice of Therapy in Claudin18.2 Positive Patients With Second-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma

Shanghai Hengrui Pharmaceutical Co., Ltd.1 个研究点 分布在 1 个国家目标入组 524 人开始时间: 2024年11月22日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
524
试验地点
1
主要终点
Overall Survival

研究概览

简要总结

The study evaluated the overall survival (OS) of SHR-A1904 versus investigator-selected treatment in second-line CLDN18.2-positive advanced GC/GEJC patients

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 18 to 75 years old (including boundary values)
  • Volunteer to participate in this clinical study and sign informed consent;
  • ECOG score 0-1;
  • Expected survival ≥3 months;
  • Gastric or Gastroesophageal Junction Adenocarcinoma;
  • positive CLDN18.2 expression in tumor tissue;
  • There is at least one measurable or evaluable lesion that meets the RECIST 1.1 criteria;
  • Adequate bone marrow and organ function.

排除标准

  • Received anti-tumor therapies such as chemotherapy, radiotherapy, biological therapy, targeted therapy, or immunotherapy within 4 weeks before the first dose of the study
  • HER2 posotive (IHC 3+ or IHC 2+/ISH +);
  • Toxicities caused by previous anticancer therapy were not recovered to CTCAE 5.0 Grade≤1;
  • Individuals with Leptomeningeal metastasis or Active brain metastases;
  • Individuals with a history of GI perforation or fistula, unstable GI bleeding;
  • Individuals with a history of severe cardiovascular and cerebrovascular diseases;
  • The researcher determined that there are other situations that are not suitable for participation.

研究组 & 干预措施

Treatment group A: SHR-A1904

Experimental

干预措施: SHR-A1904 (Drug)

Treatment group B: Paclitaxel, Docetaxel, Irinotecan.

Active Comparator

干预措施: Paclitaxel, Docetaxel, Irinotecan (Drug)

结局指标

主要结局

Overall Survival

时间窗: Until death, assessed up to approximately 2 years

Measure description: Defined as time from randomization until the date of death due to any cause

次要结局

  • Progression-free survival (PFS) by investigator assessment(Until progression or death, assessed up to approximately 1 year)
  • Objective response rate (ORR) by investigator assessment(Until progression, assessed up to approximately 1 year)
  • Duration of response (DOR) by investigator assessment(Until progression or death, assessed up to approximately 1 year)
  • Disease control rate (DCR) by investigator assessment(Until progression, assessed up to approximately 1 year)
  • Incidence and severity of adverse events (AEs)/serious adverse events (SAEs)(until to 90 days after the last dose,assessed up to approximately 2 years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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