Andecaliximab With mFOLFOX6 as First Line Treatment for Advanced Gastric or Gastroesophageal Junction Adenocarcinoma

NCT ID: NCT02545504

Last Updated: 2020-05-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

432 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-13

Study Completion Date

2019-05-15

Brief Summary

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The primary objective of this study is to compare the efficacy of andecaliximab (GS-5745) versus placebo in combination with modified fluorouracil (5-FU), leucovorin (LV), and oxaliplatin (OXA) (mFOLFOX6) as measured by overall survival.

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Detailed Description

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Conditions

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Gastric Adenocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Andecaliximab

Andecaliximab plus mFOLFOX6 (LV+5-FU+OXA) during Cycles 1-6, followed by andecaliximab plus LV+5-FU during subsequent cycles

Group Type EXPERIMENTAL

Andecaliximab

Intervention Type DRUG

800 mg administered intravenously on Days 1 and 15 of each 28-day treatment cycle

Leucovorin

Intervention Type DRUG

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

5-fluorouracil

Intervention Type DRUG

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Oxaliplatin

Intervention Type DRUG

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Placebo

Placebo plus mFOLFOX6 (LV+5-FU+OXA) during Cycles 1-6, followed by placebo plus LV+5-FU during subsequent cycles

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered intravenously on Days 1 and 15 of each treatment cycle

Leucovorin

Intervention Type DRUG

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

5-fluorouracil

Intervention Type DRUG

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Oxaliplatin

Intervention Type DRUG

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Interventions

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Andecaliximab

800 mg administered intravenously on Days 1 and 15 of each 28-day treatment cycle

Intervention Type DRUG

Placebo

Administered intravenously on Days 1 and 15 of each treatment cycle

Intervention Type DRUG

Leucovorin

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Intervention Type DRUG

5-fluorouracil

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Intervention Type DRUG

Oxaliplatin

Administered intravenously per standard of care on Days 1 and 15 of each treatment cycle

Intervention Type DRUG

Other Intervention Names

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GS-5745 LV 5-FU OXA

Eligibility Criteria

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Inclusion Criteria

* Adults with histologically confirmed adenocarcinoma of the stomach or gastroesophageal junction that is inoperable, locally advanced or metastatic and not amenable to curative therapy
* Adequate hematologic, liver, coagulation and kidney function
* Eastern Cooperative Oncology Group (ECOG) ≤ 1
* Evaluable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1

Exclusion Criteria

* Previous chemotherapy for locally advanced or metastatic gastric cancer.
* Human Epidermal Growth Factor Receptor 2 (HER2)-positive gastric cancer
* HIV, hepatitis B virus (HBV), or hepatitis C virus (HCV) infection
* Pregnant or breast feeding women
* Individuals with known or suspected central nervous system metastases or individuals requiring chronic daily treatment with oral corticosteroids
* Grade ≥ 2 peripheral neuropathy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Scripps Green Hospital

La Jolla, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

UCLA Jonsson Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Innovative Clinical Research Institute

Whittier, California, United States

Site Status

Cancer Center of Central Connecticut

Plainville, Connecticut, United States

Site Status

Omega Research Consultants LLC

DeBary, Florida, United States

Site Status

Edward Hospital & Health Services

Naperville, Illinois, United States

Site Status

Parkview Hospital

Fort Wayne, Indiana, United States

Site Status

Indiana University Goshen Center for Cancer Care

Goshen, Indiana, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

New England Cancer Specialists

Scarborough, Maine, United States

Site Status

Karamanos Cancer Institute

Detroit, Michigan, United States

Site Status

HCA Healthcare

Kansas City, Missouri, United States

Site Status

Carol G. Simon Cancer Center

Morristown, New Jersey, United States

Site Status

Regional Cancer Care Associates LLC - Sparta

Sparta, New Jersey, United States

Site Status

Weill Cornell Medical College - New York Presbyterian Hospital

New York, New York, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

Duke Cancer Institute

Durham, North Carolina, United States

Site Status

Oncology Hematology Care, Inc.

Cincinnati, Ohio, United States

Site Status

The Ohio State Medical Center

Columbus, Ohio, United States

Site Status

Northwest Cancer Specialists

Portland, Oregon, United States

Site Status

Charleston Hematology Oncology Associates

Charleston, South Carolina, United States

Site Status

Prairie Lakes Health Care System INC

Watertown, South Dakota, United States

Site Status

Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Center for Cancer Blood Disorders

Fort Worth, Texas, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Texas Oncology-Seton Williamson

Round Rock, Texas, United States

Site Status

Scott and White Memorial Hospital

Temple, Texas, United States

Site Status

Utah Cancer Specialists

Salt Lake City, Utah, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

Virginia Mason Seattle Main Clinic

Seattle, Washington, United States

Site Status

The Canberra Hospital

Garran, Australian Capital Territory, Australia

Site Status

Chris O'Brien Lifehouse

Camperdown, New South Wales, Australia

Site Status

The Crown Princess Mary Cancer Centre

Westmead, New South Wales, Australia

Site Status

Princess Alexandra Hospital

Brisbane, Queensland, Australia

Site Status

Ashford Cancer Centre

Kurralta Park, South Australia, Australia

Site Status

Royal Hobart Hospital

Hobart, Tasmania, Australia

Site Status

Epworth Healthcare

Richmond, Victoria, Australia

Site Status

Western Health Sunshine Hospital

St Albans, Victoria, Australia

Site Status

The Tweed Hospital

Tweed Heads, , Australia

Site Status

Sydney Adventist Hospital

Wahroonga, , Australia

Site Status

Centre Hospitalizer De L'Ardenne

Libramont, Chevigny, Belgium

Site Status

University Hospital Gent Department of Gastroenterology

Ghent, , Belgium

Site Status

Instituto Nacional Del Cancer

Santiago, , Chile

Site Status

Instituto Clinico Oncologico del Sur

Temuco, , Chile

Site Status

Hospital Clinico Vina Del Mar

Viña del Mar, , Chile

Site Status

Oncomedica S.A

Montería, Departamento de Córdoba, Colombia

Site Status

Dundacion Oftalmologica de Santander Clinica Ardila Lulle La Foscal

Floridablanca, , Colombia

Site Status

Hospital Pablo Tobon Uribe

Medellín, , Colombia

Site Status

Centro Medico Imbanaco de Cali S.A

Valle, , Colombia

Site Status

Fakultni Nemocnice Brno

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

University Hospital - Czech

Olomouc, , Czechia

Site Status

Thomayer Hospital

Prague, , Czechia

Site Status

Oblastni Nemocnice Pribram

Příbram, , Czechia

Site Status

CHU Jean Minjoz

Besançon, , France

Site Status

CHRU de Brest, Hopital Morvan, Institut de Cancerologie et d'Hematologie

Brest, , France

Site Status

Hôpitaux Civils de Colmar

Colmar, , France

Site Status

Institut Paoli Calmettes

Marseille, , France

Site Status

CHU de Nice-l Archet

Nice, , France

Site Status

CH Annecy-Gennevois

Pringy, , France

Site Status

Klinikum rechts der Isar Technical University of Ismaninger

Munich, Bavaria, Germany

Site Status

Kliniken Nordoberpfalz AG

Weiden, Bavaria, Germany

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DRK Klinken Berlin Abteilungsleiter Chiurgische Okologie

Berlin, , Germany

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Universitätsklinikum Carl Gustav Carus

Dresden, , Germany

Site Status

Kliniken Essen Mitte Studiensekretariat Onkologie Evang. Huyssens-Stiftung

Essen, , Germany

Site Status

Krankenhaus Nordwest gGmbH Institut für Klinisch Onkologische Med Klinik II

Frankfurt, , Germany

Site Status

Cancer Center Heilbronn-Franken, SLK-Kliniken

Heilbronn, , Germany

Site Status

Zentrum fur Innere Medizin Stauferklinikum Schwab

Mutlangen, , Germany

Site Status

Staedtisches Klinikum Muenchen Bogenhausen

München, , Germany

Site Status

Universitatsklinikum Ulm

Ulm, , Germany

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Egyesített Szent István és Szent László Kórház -Rendelőintézet

Budapest, , Hungary

Site Status

Debreceni Egyetem Klinikai Központ

Debrecen, , Hungary

Site Status

Human Klinikai Vizsgalatok Regisztracios Kozpont - HKVRK

Győr, , Hungary

Site Status

Pandy Kalman Hospital

Gyula, , Hungary

Site Status

Borsod County Hospital Clinical Oncological and Radiotheraputic Center

Miskolc, , Hungary

Site Status

Zala Megyei Korhaz Pozva Diabetes Kulsokorhaz

Zalaegerszeg, , Hungary

Site Status

University Hospital Company of Pisana

Pisa, PI, Italy

Site Status

Ente Ospedaliero Ospedali Galliera

Genova, , Italy

Site Status

IRCCS A.O.U. San Martino

Genova, , Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, , Italy

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

S.C. Oncologia Medica Azienda Ospedaliera Valtellina e Valchiavenna Presidio Ospedaliero di Sondrio

Sondrio, , Italy

Site Status

Azienda Ospedaliera Treviglio Caravaggio U.O. Oncologia Medica

Treviglio, , Italy

Site Status

Centro de Investigacion Instituto de oncologia y Radiotherpia de la Clinica

San Isidro, Lima region, Peru

Site Status

Centro Medico monte Carmelo

Arequipa, , Peru

Site Status

Clinica Anglo Americana Calle Alfredo Salazar

San Isidro, , Peru

Site Status

Beskidzkie Oncology Center

Bielsko-Biala, , Poland

Site Status

Wojewodzki Szpital Zespolony w Elblagu Oddzial Onkologiczny

Elblag, , Poland

Site Status

Wielkopolskie Centrum Onkologii

Poznan, , Poland

Site Status

Mrukmed Lekarz Beata Madej Mruk i Partner Spolka Partnerska Oddzial Nr 1 w Rzeszowie

Rzeszów, , Poland

Site Status

Wojewodzki Szpital Zespolony im L Rydygiera w Toruniu

Torun, , Poland

Site Status

Klinka Gastroenterologii Okologicznej Centrum Okologii Instytut

Warsaw, , Poland

Site Status

Wojskowy Instytut Medyczny

Warsaw, , Poland

Site Status

Medisprof srl Oncologie P TA

Cluj-Napoca, Judet Cluj, Romania

Site Status

Fundeni Clinical Institute

Bucharest, , Romania

Site Status

GRAL Medical SRL

Bucharest, , Romania

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Centrul de Oncologie Sfantul Nectarie SRL, Oncologie

Craiova, , Romania

Site Status

Sc Oncolab Srl

Craiova, , Romania

Site Status

SC Centrul de Oncologie Euroclinic SRL, Oncologie

Iași, , Romania

Site Status

Spitalul Judetean De Urgenta Sf Ion Cel Nou Suceava Sectia Oncologie Medicala Bdul

Suceava, , Romania

Site Status

Hospital Universitario de A Coruna C

A Coruña, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Del Mar Servicio de Oncologia

Barcelona, , Spain

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Hospital Parc Tauli

Barcelona, , Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

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Institut Catala de la Salut

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Ramon y Cajal

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro

Madrid, , Spain

Site Status

Hospital Regional Universitario de Malaga

Málaga, , Spain

Site Status

Hospital Universitario Morales Meseguer

Murcia, , Spain

Site Status

Complejo Hospitalario de Navarra

Pamplona, , Spain

Site Status

Hospital Virgen de Valme

Seville, , Spain

Site Status

Cukurova Universitesi

Adana, , Turkey (Türkiye)

Site Status

Ankara University Medical Faculty Ibni Sina Hospital

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe Universitesi Tip Facultesi Cocuk Saligi ve Hastaklikleri Anabilim Dali

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe University

Ankara, , Turkey (Türkiye)

Site Status

University of Uludag

Bursa, , Turkey (Türkiye)

Site Status

Trakya University

Edirne, , Turkey (Türkiye)

Site Status

Bezmialem University Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Bezmialem Vakif Universitesi Tip Fakultesi Hastanesi

Istanbul, , Turkey (Türkiye)

Site Status

Istanbul Universitesi Onkoloji Enstitusu Medikal Onkoloji Bilim Dali

Istanbul, , Turkey (Türkiye)

Site Status

Marmara University

Kadıköy, , Turkey (Türkiye)

Site Status

Izmir Universitesi Hastanesi Yeni Girne Vulvari

Karşıyaka, , Turkey (Türkiye)

Site Status

Kocaeli Universty

Kocaeli, , Turkey (Türkiye)

Site Status

Inonu Universitesi Turgut Ozal Tip Merkezi Elazi

Malatya, , Turkey (Türkiye)

Site Status

Van Yuzuncu Yil Universitesi Tip Kaultesi Ic Hastaliklari Anabilim Dali Tibbi Okoloji Bilim Dali

Van, , Turkey (Türkiye)

Site Status

New Queen Elizabeth Hospital

Birmingham, , United Kingdom

Site Status

Peterborough City Hospital Peterborough and Stamford Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Royal Marsden Hospital Mulberry House

London, , United Kingdom

Site Status

University College London

London, , United Kingdom

Site Status

Christie Hospital NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

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United States Australia Belgium Chile Colombia Czechia France Germany Hungary Italy Peru Poland Romania Spain Turkey (Türkiye) United Kingdom

References

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Shah MA, Bodoky G, Starodub A, Cunningham D, Yip D, Wainberg ZA, Bendell J, Thai D, He J, Bhargava P, Ajani JA. Phase III Study to Evaluate Efficacy and Safety of Andecaliximab With mFOLFOX6 as First-Line Treatment in Patients With Advanced Gastric or GEJ Adenocarcinoma (GAMMA-1). J Clin Oncol. 2021 Mar 20;39(9):990-1000. doi: 10.1200/JCO.20.02755. Epub 2021 Feb 12.

Reference Type BACKGROUND
PMID: 33577358 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2015-001526-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-296-1080

Identifier Type: -

Identifier Source: org_study_id

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