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Stomach Neoplasms clinical trials

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NCT ID: NCT04082364 Active, not recruiting - Gastric Cancer Clinical Trials

Combination Margetuximab, Retifanlimab, Tebotelimab, and Chemotherapy Phase 2/3 Trial in HER2+ Gastric/GEJ Cancer

MAHOGANY
Start date: September 30, 2019
Phase: Phase 2/Phase 3
Study type: Interventional

This is a Phase 2/3, randomized, open-label study for the treatment of patients with HER2-positive Gastric cancer (GC) or Gastroesophageal Junction (GEJ) cancer conducted in two parts. Part A is a single-arm cohort (Cohort A, 40 to 110 patients) will evaluate safety and efficacy of margetuximab plus retifanlimab. Part B Part 1 has 4 arms (50 patients/arm). Patients will be randomized to margetuximab plus retifanlimab plus chemotherapy, margetuximab plus tebotelimab, plus chemotherapy, margetuximab plus chemotherapy, or trastuzumab plus chemotherapy.

NCT ID: NCT04071184 Recruiting - Gastric Cancer Clinical Trials

Study of Alofanib in Patients With Metastatic Gastric Cancer

Start date: May 26, 2019
Phase: Phase 1
Study type: Interventional

This is a non-randomized multicenter phase 1b clinical trial of the safety and pharmacokinetics, as well as the preliminary efficacy of monotherapy with alofanib, an allosteric fibroblast growth factor receptor 2 inhibitor, in patients with advanced gastric cancer who have exhausted the resource of standard therapy.

NCT ID: NCT04062656 Active, not recruiting - Gastric Cancer Clinical Trials

Perioperative Immunotherapy vs. Chemo-immunotherapy in Patients With Advanced GC and AEG

IMAGINE
Start date: September 26, 2019
Phase: Phase 2
Study type: Interventional

IMAGINE is a Phase II, randomized, two-arm, chemotherapy controlled modular trial in subjects with histologically confirmed, resectable gastric cancer (GC) or adenocarcinoma of the gastroesophageal junction (AEG). Up to 22 patients will be included in each arm of the trial.

NCT ID: NCT04062058 Recruiting - Gastric Cancer Clinical Trials

A Phase II Study of Total Neoadjuvant Therapy for Locally Advanced Gastric Cancer

Start date: November 20, 2019
Phase: Phase 2
Study type: Interventional

This prospective, single arm phase II study is designed to evaluate the rate of pathologic complete response of neoadjuvant chemoradiotherapy and neoadjuvant chemotherapy followed by surgery for locally advanced gastric adenocarcinoma

NCT ID: NCT04056260 Not yet recruiting - Stomach Neoplasm Clinical Trials

ICG-NIR Guided Lymph Node Dissection in Gastric Cancer

Start date: March 20, 2020
Phase: N/A
Study type: Interventional

As the survival rate of patients with gastric cancer has increased, there has been a growing interest in interventions that improve postoperative quality of life. Therefore minimally invasive surgery or endoscopic resection has been performed much more frequently. However, adequate lymph node dissection is important as well. The aim of the study is to identify the feasibility of indocyanine green - near infra-red (ICG-NIR) guided sentinel lymph node dissection for the treatment of gastric cancer.

NCT ID: NCT04053725 Recruiting - Stomach Neoplasms Clinical Trials

Prediction of the Efficacy of ctDNA in Immunotherapy for Advanced Gastric Cancer

Start date: February 1, 2019
Phase:
Study type: Observational

Gastric cancer is one of the common malignant tumors in China, with relatively high incident rate and mortality among the population. Surgery is the conventional treatment option for early and intermediate-stage stage gastric cancer, but postoperative relapse is the major issue. Circulating tumor DNA (ctDNA) is tumor-derived fragmented DNA with an average size of 166 bp, mixed with cell free DNA (cfDNA) of other sources in blood circulation.ctDNA is reflecting the most up-to-date status of tumor genome. Hence, it is considered as a new biomarker for tumor, which can be qualitative, quantitative and used for disease monitoring. The present clinical trial aims to explore the possibility of clinical utility of serum ctDNA as a clinical index to predict the efficacy in immunotherapy for advanced gastric cancer.

NCT ID: NCT04050787 Recruiting - Overall Survival Clinical Trials

Spleen-Preserving No. 10 Lymph Node Dissection in Gastric Cancer

Start date: July 21, 2019
Phase: N/A
Study type: Interventional

This study is to conduct a randomized controlled trial of two kinds of radical gastrectomy for patients with proximal gastric cancer. One is laparoscopic D2 radical total gastrectomy combined with spleen-preserving No.10 lymph node dissection , another one is laparoscopic D2 radical total gastrectomy without clearing the No. 10 lymph nodes of the spleen. We explore the effect of the two procedures on the survival of patients, as well as the surgical complications associated with the two procedures, the number of lymph node dissection, the operation time and the amount of intraoperative blood loss. Furthermore, we also want to discuss the application value of laparoscopic lymph node dissection for spleen preservation in radical gastrectomy for proximal gastric cancer.

NCT ID: NCT04047004 Completed - Gastric Cancer Clinical Trials

Adjuvant PIPAC in Gastric Cancer Patients

PIPAC-OPC4
Start date: March 11, 2020
Phase: Phase 1
Study type: Interventional

In this study patients will be offered intraperitoneal atomized chemotherapy as a supplement to the standard treatment of high-risk gastric cancer (laparoscopic removal of the stomach). Two commercially available oncologic drugs will be used (doxorubicin and cisplatin).

NCT ID: NCT04044859 Recruiting - Ovarian Cancer Clinical Trials

ADP-A2M4CD8 as Monotherapy or in Combination With Either Nivolumab or Pembrolizumab in HLA-A2+ Subjects With MAGE-A4 Positive Tumors (SURPASS)

Start date: August 20, 2019
Phase: Phase 1
Study type: Interventional

This study will investigate the safety and tolerability of ADP-A2M4CD8 T-cell therapy in subjects who have the appropriate human leukocyte antigen (HLA) and MAGE-A4 tumor antigen. Tumor indications include endometrial, esophageal, esophagogastric junction (EGJ), gastric, head and neck, melanoma, non-small cell lung (NSCLC), ovarian or urothelial cancer.

NCT ID: NCT04040374 Completed - Gastric Cancer Clinical Trials

Artificial Intelligence Versus Expert Endoscopists for Diagnosis of Gastric Cancer

Start date: July 1, 2019
Phase: N/A
Study type: Interventional

Title: A single-center, retrospective randomized controlled trial of artificial intelligence (AI) versus expert endoscopists for diagnosis of gastric cancer in patients who underwent upper gastrointestinal endoscopy. Précis: this single-center, retrospective randomized controlled trial will include 500 outpatients who underwent upper gastrointestinal endoscopy for gastric cancer screening and will compare the diagnostic detection rate for gastric cancer of AI and expert endoscopists. Objectives Primary Objective: to evaluate the diagnostic detection rate for gastric cancer of AI and expert endoscopists. Secondary Objectives: to determine whether AI is not inferior to expert endoscopists in terms of the number of images analyzed for diagnosis of gastric cancer and intersection over union (IOU), and the detection rate of diagnosis of early and advanced gastric cancer. Endpoints Primary Endpoint: diagnosis of gastric cancer. Secondary Endpoints: image based diagnosis of gastric cancer and IOU. Population: in total, 500 males and females aged ≥ 20 years who underwent upper gastrointestinal endoscopy for screening of gastric cancer at a single hospital in Japan. Describe the Intervention: AI-based diagnosis of gastric cancer based on upper gastrointestinal endoscopy images. Study Duration: 3 months.