Gastric Cancer Clinical Trial
Official title:
Combination of Checkpoint Inhibitor and Radiotherapy for Recurrent Gastric Cancer After Initial Treatment With Standard Therapy (CIRCUIT).
This study aims to evaluate safety and efficacy of nivolumab (anti-PD-1 antibody), which is approved as tertiary therapy, and neoadjuvant short-term limited local radiotherapy in patients with unresectable recurrent gastric cancer who progressed (intolerance or PD) after standard treatment (primary and secondary chemotherapy) and have more than one lesion assessable in diagnostic imaging (one lesion must be >=2cm).
In patients with unresectable recurrent gastric cancer who progressed (intolerance or PD)
after standard treatment (primary and secondary chemotherapy) and have more than one lesion
assessable in diagnostic imaging (one lesion must be >=2cm), localized short-term
radiotherapy of 22.5 Gy/5 fractions/5 days will be applied to a symptomatic lesion or the
largest asymptomatic lesion suitable for irradiation (Day 1-5). Nivolumab will be
administered starting from Day 15-22 at a dose of 3 mg/kg (body wait) every 2 weeks to a
total of 6 courses (end of intervention).
The patients will be observed up to Day 180±14 and evaluated on Day 180±14 (end of study).
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