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临床试验/NCT06256328
NCT06256328进行中(未招募)2 期

A Randomized, Multicenter, Double-blind, Phase II Study to Compare the Efficacy and Safety of the Treatment With ONO-4578 in Combination With Nivolumab, Fluoropyrimidine-based and Platinum- Based Chemotherapy (Hereinafter Referred to as Chemotherapy) With Those of the Treatment With Placebo in Combination With Nivolumab and Chemotherapy in Chemotherapy-naïve Participants With Human Epidermal Growth Factor Receptor 2 (HER2)-Negative Unresectable Advanced or Recurrent Gastric Cancer (Including Esophagogastric Junction Cancer)

Ono Pharmaceutical Co. Ltd63 个研究点 分布在 3 个国家目标入组 226 人开始时间: 2024年1月10日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
226
试验地点
63
主要终点
Progression-free survival (PFS) (site investigator assessment)

研究概览

简要总结

This study is to compare and evaluate the efficacy and safety of the treatment with ONO-4578 in combination with nivolumab and chemotherapy with those of the treatment with placebo in combination with nivolumab and chemotherapy in chemotherapy-naïve participants with HER2- negative unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer).

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
Triple (Participant, Care Provider, Investigator)

入排标准

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

入选标准

  • Patients with gastric or esophagogastric junction cancer histologically diagnosed as adenocarcinoma
  • Patients have not been treated with systemic chemotherapy as first-line therapy
  • Patients who can provide tumor tissue samples

排除标准

  • Patients unable to take oral medicines
  • Patients with HER2-positive
  • Patients with contraindications to nivolumab, oxaliplatin, S-1, or capecitabine
  • Patients who have a history of severe drug-related adverse reactions caused by non- steroidal anti-inflammatory drugs (NSAIDs) or who have complications caused by NSAIDs requiring treatment
  • Patients with concurrent autoimmune disease or a history of chronic or recurrent autoimmune disease, such as rheumatoid arthritis
  • Patients with headache and/or nausea associated with brain metastasis

研究组 & 干预措施

ONO-4578+Nivolumab+chemotherapy

Experimental

干预措施: ONO-4578 (Drug)

ONO-4578+Nivolumab+chemotherapy

Experimental

干预措施: S-1 (Drug)

ONO-4578+Nivolumab+chemotherapy

Experimental

干预措施: Oxaliplatin (Drug)

ONO-4578+Nivolumab+chemotherapy

Experimental

干预措施: Capecitabine (Drug)

ONO-4578+Nivolumab+chemotherapy

Experimental

干预措施: Nivolumab (Drug)

placebo+Nivolumab+chemotherapy

Placebo Comparator

干预措施: Oxaliplatin (Drug)

placebo+Nivolumab+chemotherapy

Placebo Comparator

干预措施: Capecitabine (Drug)

placebo+Nivolumab+chemotherapy

Placebo Comparator

干预措施: S-1 (Drug)

placebo+Nivolumab+chemotherapy

Placebo Comparator

干预措施: Nivolumab (Drug)

placebo+Nivolumab+chemotherapy

Placebo Comparator

干预措施: Placebo (Drug)

结局指标

主要结局

Progression-free survival (PFS) (site investigator assessment)

时间窗: up to 2years

次要结局

  • Objective response rate (ORR) (site investigator assessment)(up to 2years)
  • Adverse event (AE)(Up to 30 days after the last dose)
  • Overall survival (OS)(up to 2years)
  • Progression-free survival after the next line of therapy (PFS2) (site investigator assessment)(up to 2years)
  • Best overall response (BOR) (site investigator assessment)(up to 2years)
  • Duration of response (DOR) (site investigator assessment)(up to 2years)
  • Disease control rate (DCR) (site investigator assessment)(up to 2years)
  • Time to response (TTR) (site investigator assessment)(up to 2years)
  • Maximum percent change in the sum diameters of the target lesions (site investigator assessment)(up to 2years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (63)

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