Safety and Activity of IMAB362 in Combination With Zoledronic Acid and Interleukin-2 in CLDN18.2-positive Gastric Cancer

NCT ID: NCT01671774

Last Updated: 2024-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-16

Study Completion Date

2014-10-13

Brief Summary

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The purpose of the trial is to assess the immunological effects and their kinetics, the safety and activity of IMAB362 plus Zoledronic acid with/without low to intermediate doses of Interleukin-2 in subjects with advanced gastroesophageal cancer.

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Detailed Description

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Conditions

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CLDN18.2-positive Gastric Adenocarcinoma CLDN18.2-positive Adenocarcinoma of the Gastroesophageal Junction CLDN18.2-positive Adenocarcinoma of Esophagus

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Study Groups

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IMAB362 + ZA

Participants received IMAB362 on Day 1 of each 3-week cycle (every 3 weeks). Participants received ZA on Day 1.

Group Type EXPERIMENTAL

IMAB362

Intervention Type DRUG

800 mg/m2 on d 1 of cycle 1. 600 mg/m2 on d 1 of every other cycle

Zoledronic acid

Intervention Type DRUG

4 mg on d 1 of cycle 1 and cycle 3

IMAB362 + ZA + IL-2 (1 million IU)

Participants received IMAB362 on Day 1 of each 3-week cycle (every 3 weeks). Participants received ZA on Day 1 and IL-2 on Days 1 to 3 of Cycles 1 and 3 only.

Group Type EXPERIMENTAL

IMAB362

Intervention Type DRUG

800 mg/m2 on d 1 of cycle 1. 600 mg/m2 on d 1 of every other cycle

Zoledronic acid

Intervention Type DRUG

4 mg on d 1 of cycle 1 and cycle 3

Interleukin-2 (1 million IU)

Intervention Type DRUG

1 million IU on day 1, 2 and 3 of cycles 1 and 3.

IMAB362 + ZA + IL-2 (3 million IU)

Participants received IMAB362 on Day 1 of each 3-week cycle (every 3 weeks). Participants received ZA on Day 1 and IL-2 on Days 1 to 3 of Cycles 1 and 3 only.

Group Type EXPERIMENTAL

IMAB362

Intervention Type DRUG

800 mg/m2 on d 1 of cycle 1. 600 mg/m2 on d 1 of every other cycle

Zoledronic acid

Intervention Type DRUG

4 mg on d 1 of cycle 1 and cycle 3

Interleukin-2 (3 million IU)

Intervention Type DRUG

3 million IU on day 1, 2 and 3 of cycles 1 and 3.

IMAB362

Participants received IMAB362 only on Day 1 of each cycle every 3 weeks.

Group Type ACTIVE_COMPARATOR

IMAB362

Intervention Type DRUG

800 mg/m2 on d 1 of cycle 1. 600 mg/m2 on d 1 of every other cycle

Interventions

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IMAB362

800 mg/m2 on d 1 of cycle 1. 600 mg/m2 on d 1 of every other cycle

Intervention Type DRUG

Zoledronic acid

4 mg on d 1 of cycle 1 and cycle 3

Intervention Type DRUG

Interleukin-2 (1 million IU)

1 million IU on day 1, 2 and 3 of cycles 1 and 3.

Intervention Type DRUG

Interleukin-2 (3 million IU)

3 million IU on day 1, 2 and 3 of cycles 1 and 3.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed adenocarcinoma of the stomach, the esophagus or the gastroesophageal junction
* Inoperable locally advanced disease, resections with R0, R1 or R2 outcome or metastatic disease.
* CLDN18.2 expression confirmed by immunohistochemistry in paraffin embedded tumor tissue sample.
* Measurable and/or non-measurable disease as defined according to RECIST v1.1
* Age ≥ 18 years
* Written informed consent
* ECOG performance status (PS) 0-1
* Life expectancy \> 3 months

Exclusion Criteria

* Prior hypersensitivity reaction or intolerance to one of the compounds of the study treatment
* Known HIV infection or known symptomatic hepatitis (A, B, C)
* Clinical symptoms of cerebral metastases
* Pregnancy or breastfeeding
* Patients treated with any bisphosphonate-based therapeutic for any indication during the previous year
* Hypocalcemia that requires medication. Corrected (adjusted for serum albumin) serum calcium \< 8 mg/dl (2 mmol/L) or \> 12 mg/dL (3.0 mmol/L)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Global Development, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institut für Klinische Forschung, Krankenhaus Nordwest GmbH

Frankfurt am Main, Hesse, Germany

Site Status

BAG / Onkologische Schwerpunktpraxis

Dresden, Saxony, Germany

Site Status

Charité Universitätsmedizin Berlin - CVK, Med. Klinik m.S. Hämatologie und Onkologie

Berlin, , Germany

Site Status

Freiburg University Medical Center, Department of Internal Medicine II, Gastroenterology and Hepatology

Freiburg im Breisgau, , Germany

Site Status

Leipzig University Hospital, University Cancer Center (UCCL)

Leipzig, , Germany

Site Status

University Hospital Tuebingen, Department of Internal Medicine I - Gastroenterology, Hepatology, Infectious Diseases

Tübingen, , Germany

Site Status

Ulm University Hospital, Center for Internal Medicine

Ulm, , Germany

Site Status

Piejuras Hospital, Oncology Clinic

Liepāja, , Latvia

Site Status

Riga East University Hospital, LLC, Latvian Oncology Center

Riga, , Latvia

Site Status

Countries

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Germany Latvia

References

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Lordick F, Thuss-Patience P, Bitzer M, Maurus D, Sahin U, Tureci O. Immunological effects and activity of multiple doses of zolbetuximab in combination with zoledronic acid and interleukin-2 in a phase 1 study in patients with advanced gastric and gastroesophageal junction cancer. J Cancer Res Clin Oncol. 2023 Aug;149(9):5937-5950. doi: 10.1007/s00432-022-04459-3. Epub 2023 Jan 6.

Reference Type DERIVED
PMID: 36607429 (View on PubMed)

Related Links

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https://www.trialsummaries.com/Study/StudyDetails?id=25767&tenant=MT_AST_9011

Link to plain language summary of the study on the Trial Results Summaries website

Other Identifiers

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2011-005509-64

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GM-IMAB-001-04

Identifier Type: -

Identifier Source: org_study_id

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