A Prospective, Randomized Controlled Clinical Study of The Efficacy and Safety of Taurine Combined With Sintilimab and Chemotherapy Versus Sintilimab Combined With Chemotherapy for Treatment of Advanced Gastric Cancer
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Overall survival (OS)
研究概览
简要总结
This project aims to evaluate the efficacy and safety of oral taurine supplementation combined with PD-1 inhibitor (sintilimab) and chemotherapy in inducing systemic CD8+ T cell responses and achieving improved gastric cancer patient outcomes than with sintilimab and chemotherapy alone.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 or older, no gender limitation;
- •Pathologically confirmed gastric cancer or adenocarcinoma of the gastroesophageal junction, local lesions cannot be radically resected or metastatic gastric cancer;
- •Expected survival of ≥ 3 months;
- •Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
- •At least one measurable lesion outside the stomach (RECIST 1.1);
- •Patients informed about the purpose and course of the study and provided a written consent to participate.
排除标准
- •Use of taurine agent within 1 month prior to randomization on this study;
- •Patients received prior systemic therapy for gastric cancer;
- •Patients with operable gastric cancer;
- •Patients with positive HER-2 and willing to receive herceptin treatment;
- •Patients with gastrointestinal obstruction or active bleeding in the gastrointestinal tract, as well as perforation and dysphagia;
- •Patients with active autoimmune disease that has required systemic treatment in past 2 years;
- •Patients diagnosed as immunodeficiency or receiving systemic steroid therapy or any other form of immunosuppressive therapy;
- •Patients with severe heart, lung, liver, kidney, endocrine, hematopoietic system or psychiatric diseases were considered not suitable for the study group;
- •Patients with other medical conditions that interfere with the trial and are deemed unsuitable for inclusion in the trial by the investigator;
- •Other conditions that the investigator thinks are not suitable to participate in this clinical trial.
研究组 & 干预措施
Taurine + Sintilimab + investigator's choice chemotherapy
Taurine + Sintilimab + XELOX or Taurine + Sintilimab + SOX or Taurine + Sintilimab + FOLFOX
干预措施: Taurine (Dietary Supplement)
Taurine + Sintilimab + investigator's choice chemotherapy
Taurine + Sintilimab + XELOX or Taurine + Sintilimab + SOX or Taurine + Sintilimab + FOLFOX
干预措施: Sintilimab (Biological)
Taurine + Sintilimab + investigator's choice chemotherapy
Taurine + Sintilimab + XELOX or Taurine + Sintilimab + SOX or Taurine + Sintilimab + FOLFOX
干预措施: XELOX regimen (Drug)
Taurine + Sintilimab + investigator's choice chemotherapy
Taurine + Sintilimab + XELOX or Taurine + Sintilimab + SOX or Taurine + Sintilimab + FOLFOX
干预措施: SOX regimen (Drug)
Taurine + Sintilimab + investigator's choice chemotherapy
Taurine + Sintilimab + XELOX or Taurine + Sintilimab + SOX or Taurine + Sintilimab + FOLFOX
干预措施: FOLFOX regimen (Drug)
Sintilimab + investigator's choice chemotherapy
Sintilimab + XELOX or Sintilimab + SOX or Sintilimab + FOLFOX
干预措施: Sintilimab (Biological)
Sintilimab + investigator's choice chemotherapy
Sintilimab + XELOX or Sintilimab + SOX or Sintilimab + FOLFOX
干预措施: XELOX regimen (Drug)
Sintilimab + investigator's choice chemotherapy
Sintilimab + XELOX or Sintilimab + SOX or Sintilimab + FOLFOX
干预措施: SOX regimen (Drug)
Sintilimab + investigator's choice chemotherapy
Sintilimab + XELOX or Sintilimab + SOX or Sintilimab + FOLFOX
干预措施: FOLFOX regimen (Drug)
结局指标
主要结局
Overall survival (OS)
时间窗: Up to 24 months
OS was defined as the time from randomization to death due to any cause.
Progression-free survival (PFS)
时间窗: Up to 24 months
PFS was defined as the time from randomization to the first documented disease progression (PD) per RECIST 1.1 based on independent radiology review or death due to any cause, whichever occurs first.
次要结局
- Objective response rate (ORR)(Up to 24 months)
- Safety profile(Up to 24 months)
