Gastric Cancer Clinical Trial
Official title:
A Randomized, Multicenter, Double-Blind, Placebo-Controlled, Phase 2 Study of Weekly Paclitaxel With or Without KH903 in Patients With Advanced Gastric or Gastroesophageal Junction Adenocarcinoma, Refractory to or Progressive After First-Line Therapy With Platinum and Fluoropyrimidine
The purpose of this study is to evaluate the efficacy and safety of the study drug known as KH903 in participants with gastric and gastroesophageal cance
Status | Not yet recruiting |
Enrollment | 81 |
Est. completion date | January 15, 2022 |
Est. primary completion date | January 15, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - 1.Prior to any detailed procedures of this study, subjects are able to understand, voluntarily participate in and sign the informed consent approved by the ethics committee. - 2.Age = 18 years. - 3.Histologically confirmed, unresectable, locally advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma . - 4.Have at least 1 measurable lesion based on Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1. - 5.Have experienced documented objective radiographic or symptomatic disease progression during first-line therapy, or within 4 months after the last dose of first-line therapy with any platinum or/and fluoropyrimidine doublet for unresectable or metastatic disease.Second line chemotherapy is suitable for paclitaxel. - 6.Laboratory test values must meet the following criteria. ANC =1.5×109/L, platelets = 100×109/L, hemoglobin=9g/dL. Blood creatinine = 1.5 ×ULN or creatinine clearance = 50 mL/min/m2. Total bilirubin = 1.5× ULN(= 3 x ULN if Gilbert disease), AST and ALT = 2.5× ULN (= 5×ULN if hepatic metastasis). INR = 1.5× ULN, APTT = 1.5× ULN. Dipstick proteinuria <2+ or 24 hour proteinuria <1g . - 7.Good performance status Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 to 1. - 8.Life expectancy of = 3 months. Exclusion Criteria: - 1.Histologically confirmed squamous cell carcinoma or undifferentiated gastric cancer. - 2.Patients with disease progression within 6 months after previous adjuvant or neoadjuvant chemotherapy with paclitaxel, or patients with recurrent or metastatic gastric adenocarcinoma or GEJ adenocarcinoma treated with paclitaxel. - 3. GI perforation and/or fistulae in the 6 months preceding randomization. - 4.Deep-vein thrombosis, pulmonary embolism (PE), or any other episode of Uncontrolled thromboembolism in the 6 months preceding randomization. - 5.Any arterial thromboembolic event (such as myocardial infarction, unstable angina, cerebrovascular accident or transient ischemic attack) - 6.Uncontrolled hypertension (=150/100 mm Hg ) despite properly observed antihypertensive therapy. - 7.Known brain metastasis. - 8.Known allergy to paclitaxel or KH903. - 9.Serious concurrent infection or medical illness. - 10.Active hepatitis B virus or Active hepatitis C virus (HCV) infection at screening. - 11.Any condition which results in an undue risk for the patient during the trial participation according to the investigator. |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Chengdu Kanghong Biotech Co., Ltd. |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Progression-free survival(PFS) | Date of randomization until the date of first documented Progression or date of death from any cause, whichever came first | Time from date of randomization until the date of first documented Progression or date of death from any cause, whichever came frist,assessed up to18 months | |
Secondary | Objective Response Rate (ORR) | Percentage of Participants with a Best Overall Response (BOR) of Partial Response (PR) or Complete Response (CR) | Time from date of randomization until the date of first documented CR or PR,assessed up to18 months | |
Secondary | Duration of Response (DOR) | is defined as the time from first documented evidence of CR or PR until the date of first documented progression as assessed by RECIST 1.1 or death; assessed up to18 months | Time from first documented evidence of CR or PR until the date of first documented progression ,assessed up to18 months | |
Secondary | Disease Control Rate (DCR) | Percentage of Participants who have achieved CR, PR and SD to study treatment; | Time from date of randomization until the date of first documented Progression,assessed up to18 months | |
Secondary | AE | Number of Subjects with treatment-related adverse events (AEs)Defined by all | AEs(NCI CTCAE 5.0) collected at each cycle,Assessed up to18 months |
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