A Phase 2, Fast Real-time Assessment of Combination Therapies in Immuno-ONcology Study in Participants With Advanced Gastric Cancer (FRACTION-Gastric Cancer)
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 190
- 试验地点
- 28
- 主要终点
- Objective Response Rate (ORR) by Investigator
研究概览
简要总结
The purpose of this study is to evaluate the preliminary efficacy, safety, and tolerability of Nivolumab in combination with Ipilimumab or other treatment therapies in participants with advanced gastric 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
- None
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
- •Inoperable, advanced or metastatic esophageal cancer (EC), gastric cancer (GC) or gastroesophageal junction (GEJ) carcinoma and have histologically confirmed predominant adenocarcinoma and/or squamous carcinoma
- •Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
- •At least 1 lesion with measurable disease
排除标准
- •HER2-positive tumor and previously untreated with trastuzumab
- •Suspected, known or progressive central nervous system metastases
- •Other active malignancy requiring concurrent intervention
- •Active, known or suspected autoimmune disease
- •Other protocol-defined inclusion/exclusion criteria apply
研究组 & 干预措施
Nivolumab + Relatlimab
干预措施: Nivolumab (Biological)
Nivolumab + Relatlimab
干预措施: Relatlimab (Biological)
Nivolumab + BMS-986205
干预措施: Nivolumab (Biological)
Nivolumab + BMS-986205
干预措施: BMS-986205 (Biological)
Nivolumab + Rucaparib
干预措施: Nivolumab (Biological)
Nivolumab + Rucaparib
干预措施: Rucaparib (Drug)
Nivolumab + Ipilimumab
干预措施: Nivolumab (Biological)
Nivolumab + Ipilimumab
干预措施: Ipilimumab (Biological)
Ipilimumab + Rucaparib
干预措施: Ipilimumab (Biological)
Ipilimumab + Rucaparib
干预措施: Rucaparib (Drug)
Nivolumab + Ipilimumab + Rucaparib
干预措施: Nivolumab (Biological)
Nivolumab + Ipilimumab + Rucaparib
干预措施: Ipilimumab (Biological)
Nivolumab + Ipilimumab + Rucaparib
干预措施: Rucaparib (Drug)
结局指标
主要结局
Objective Response Rate (ORR) by Investigator
时间窗: From first dose of study treatment until progression or subsequent anticancer therapy, whichever occurs first (up to approximately 65 months)
ORR is the percent of participants whose best overall response (BOR) is complete response (CR) or partial response (PR). BOR is the best response from the start of the study treatment until objectively documented progression per RECIST v1.1 or subsequent anticancer therapy, whichever occurs first. CR is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) have reduction in short axis to \<10 mm. PR is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The Response Evaluation Criteria in Solid Tumors (RECIST) is a standard way to measure the response of a tumor to treatment. CR+PR, confidence interval based on Clopper and Pearson method.
Kaplan-Meier Analysis of Progression Free Survival Rate (PFSR) at 24 Weeks
时间窗: 24 weeks after first dose
The PFSR at 24 weeks is defined as the proportion of treated participants remaining progression free and surviving at 24 weeks since the first dosing date. Progressive Disease (PD) is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Point estimates are derived from Kaplan-Meier analyses, the 95% CIs are derived from Greenwood formula.
Median Duration of Response (DOR)
时间窗: From first dose to date of first documented tumor progression or death due to any cause, whichever occurred first (up to approximately 65 months)
Duration of Response (DOR) is the time between the date of first response and the date of first documented disease progression as determined by RECIST 1.1 or death due to any cause, whichever occurred first. Complete Response (CR) is the disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response (PR) is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Median computed using Kaplan -Meier method.
次要结局
- Number of Participants With Laboratory Abnormalities in Specific Thyroid Tests(From first dose to 100 days after last dose of study therapy (approximately 30 months))
- Number of Participants With AEs, SAEs, AEs Leading to Discontinuation, and Death(From first dose to 100 days after last dose of study therapy (assessed up to approximately 30 months))
- Number of Participants With Laboratory Abnormalities in Specific Liver Tests(From first dose to 100 days after last dose of study therapy (approximately 30 months))
