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临床试验/NCT06250894
NCT06250894招募中2 期

A Clinical Study of the Efficacy and Safety of Sintilimab in Combination With Chemotherapy (S-1/Oxaliplatin, SOX) and Radiotherapy for the Neoadjuvant Treatment of Locally Advanced Esophagogastric Junction Adenocarcinoma

Wuhan Union Hospital, China1 个研究点 分布在 1 个国家目标入组 32 人开始时间: 2021年3月30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
招募中
发起方
入组人数
32
试验地点
1
主要终点
Pathologic Complete Response

研究概览

简要总结

The purpose of this study is to access the safety and efficacy of neoadjuvant Immunotherapy (Sintilimab, PD-1 inhibitor) combined with chemotherapy (S-1+Oxaliplatin) and radiotherapy for locally advanced esophagogastric junction adenocarcinoma.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 18-70, male and female.
  • Histologically confirmed locally advanced esophagogastric junction Adenocarcinoma cT3-4aNxM0 (AJCC v8), Siewert typed as type II-III.
  • No previous anti-tumor treatment.
  • ECOG score was 0-
  • Expected survival of ≥ 6 months
  • Adequate organ reserve function.

排除标准

  • Malignant disease other than gastric cancer (excluding radically treated basal cell carcinoma of the skin, squamous epithelial carcinoma of the skin, and/or radically resected carcinoma in situ) diagnosed within 5 years.
  • Known Her-2 positive( IHC 3+ or FISH positve).
  • Patients have received immunotherapy, such as PD-1 antibody, PD-L1 antibody and CTLA4 antibody
  • Severe allergic reaction to monoclonal antibody.
  • Receiving systemic glucocorticoid therapy within 7 days prior to the first dose of the study
  • Known endoscopic signs of active bleeding from the lesion

研究组 & 干预措施

Neoadjuvant immunotherapy-chemoradiotherapy

Experimental

This is a one arm study, enrolled locally advanced EGJ patients will receive Sintilimab (PD-1 inhibitor) and combined with preoperative chemoradiotherapy and operation.

generic name:PD-1; dosage form:Injection; dosage:200mg (20ml); frequency:every 3 weeks; duration:3 times before operation and 3-5 times after operation

干预措施: PD-1inhibitor (Drug)

结局指标

主要结局

Pathologic Complete Response

时间窗: 10 days after operation

No malignant tumor cells were detected in the removed specimens including primary tumor and lymph nodes

次要结局

  • Disease-Free-Survival (DFS)(Through study completion, an average of 1 year)
  • Objective response rate (ORR)(6 months after the recruitment of the last subject.)
  • Overall survival (OS)(Through study completion, an average of 1 year)
  • Number of participants with AEs (Adverse Events)(Through study completion, an average of 1 year)
  • Major pathologic response (MPR)(10 days after operation)

研究者

发起方
Wuhan Union Hospital, China
申办方类型
Other
责任方
Sponsor

研究点 (1)

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