A Multicenter, Randomized, Controlled Phase II Clinical Study of Comparison of Docetaxel for Injection (Albumin-bound) and Taxotere in Second-line or Above Locally Advanced or Metastatic Gastric Adenocarcinoma or Gastroesophageal Junction Adenocarcinoma
Overview
- Phase
- Phase 2
- Intervention
- Docetaxel for injection (Albumin-bound)
- Conditions
- Gastric Adenocarcinoma
- Sponsor
- CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Progression-Free-Survival (PFS)
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
This trial is a multicenter, randomized, controlled clinical study to evaluate the efficacy and safety of Docetaxel for Injection (Albumin-bound) and Taxotere in locally advanced or metastatic gastric adenocarcinoma or gastroesophageal junction adenocarcinoma.
Detailed Description
One hundred patients with locally advanced or metastatic gastric adenocarcinoma or gastric esophageal junction adenocarcinoma will be randomly assigned to the test group or the control group. All patients will receive Docetaxel for injection (Albumin-bound) or Taxotere for treatment until disease progression. Regular visits and imaging examinations will be conducted to compare the efficacy and safety of the two groups.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age: 18-75 (inclusive) (Whichever is on the day of signing the informed consent form).
- •Willing to sign the informed consent form, willing and able to follow the program to accept visits, treatment and laboratory tests.
- •Gastric adenocarcinoma or adenocarcinoma of gastroesophageal junction confirmed by histology or cytology.
- •Locally advanced or metastatic gastric adenocarcinoma or adenocarcinoma of gastroesophageal junction after receiving at least first-line systematic treatment (defined as platinum/fluorouracil containing dual drug chemotherapy, with or without immunotherapy).
- •Previous history with positive Her-2 expression requires anti-Her-2 medication; unknown Her-2 expression should define Her-2 status before enrollment.
- •Adequate main organ function.
- •Eastern Cooperative Oncology Group (ECOG) score 0-
- •Expected lifetime≥ 3 months.
- •Female patients of childbearing age must have a negative serum pregnancy test within 7 days prior to randomization; patients must agree to take adequate contraception from signing of ICF through 6 months after last dose, during which time women are not breastfeeding; male patients must agree to contraception and refuse sperm donation.
- •At least one assessable lesion according to RECIST V1.1; The area should not have received radiotherapy in the past, or there is evidence that the lesion has made definite progress after radiotherapy.
Exclusion Criteria
- •Other active malignant tumors in the first 5 years of randomization.
- •Uncontrolled serous cavity effusion requiring frequent drainage or medical intervention within 7 days before randomization.
- •Patients with central nervous system metastasis.
- •Patients whose previous medical history shows dMMR/MSI-H and who have not received immunotherapy in the past are not suitable for enrollment, and those whose dMMR/MSI status is unknown need to clarify the status before enrolment.
- •Patients who have used paclitaxel/docetaxel in the past (except patients with disease progression more than one year after neoadjuvant/adjuvant treatment with paclitaxel/docetaxel).
- •History of serious cardiovascular disease within 6 months before randomization.
- •History of gastrointestinal perforation and/or fistula within 6 months before randomization.
- •Hypertension with poor control during the screening period.
- •Patients with active hepatitis B, hepatitis C or HIV.
- •Patients with severe chronic or active infections that require systemic antimicrobial, antifungal, or antiviral therapy.
Arms & Interventions
Docetaxel for Injection (Albumin-bound)
Docetaxel for Injection (Albumin-bound) will be administrated by intravenous infusion once every 3 weeks.
Intervention: Docetaxel for injection (Albumin-bound)
Taxotere
Taxotere will be administrated by intravenous infusion once every 3 weeks.
Intervention: Taxotere
Outcomes
Primary Outcomes
Progression-Free-Survival (PFS)
Time Frame: Up to approximately 2 years
The duration is from the randomized time to disease progression or death due to any reason.
Secondary Outcomes
- Overall response rate (ORR)(Up to approximately 2 years)
- Disease control rate (DCR)(Up to approximately 2 years)
- Incidence of AE and SAE(Up to approximately 2 years)
- Duration of Response (DoR)(Up to approximately 2 years)
- Overall survival (OS)(Up to approximately 2 years)