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A multicenter, phase 1/2 study of Ramucirumab plus Nivolumab as second-line therapy in participants with gastric or GEJ cancer

Phase 1
Conditions
Advanced or recurrent unresectable gastric or GEJ cancer
Registration Number
JPRN-UMIN000025560
Lead Sponsor
Department of Head and Neck Oncology, National Cancer Center Japan Hospital
Brief Summary

46 advanced gastric cancer patients (median age 66 years) were enrolled. No dose limiting toxicities were observed in the phase 1 part. With median follow up time of 10.2 month, 6-month progression free survival rate was 37.4% (90% confidential intervals: 25.7-49.2%), which met the primary endpoint of the phase 2 part. objective responce rate/disease responce rate were 26.7%/62.2%. Median progression free survival/overall survival were 2.9/9.0 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
46
Inclusion Criteria

Not provided

Exclusion Criteria

- Patients have double cancer - Patients have infection required systemic therapy - Known central nervous system (CNS) metastasis - Patients with history of pneumonitis or pulmonary fibrosis - Patients with history of serious anaphylaxis induced by antibody preparation - Patients who have known active autoimmune disease or history of chronic recurrent autoimmune disease - Female who is pregnant, lactating or suspected pregnancy - Patients with psychosis or dementia to interfere to obtain informed consent appropriately

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Phase 1 Number of participants with dose limiting toxicities (DLTs) for 28 days from first administration Phase 2 Progression free survival rate after 6 months
Secondary Outcome Measures
NameTimeMethod
Phase 1 Number of participants with adverse events Phase 2 Overall response rate (ORR) Disease control rate (DCR) Progression-free survival (PFS) Overall survival (OS) Number of participants with adverse events
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