A Study of Sintilimab Plus Ramucirumab as First-line Treatment for G/EGJ Adenocarcinoma (ORIENT-106)

NCT ID: NCT04675983

Last Updated: 2023-03-02

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-10

Study Completion Date

2023-02-12

Brief Summary

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The main purpose of this study is to evaluate the efficacy and safety of sintilimab plus ramucirumab compared to stand of care first-line chemotherapy in participants with advanced gastric or esophagogastric adenocarcinoma.

Detailed Description

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This is a randomized, multicenter, phase 3 study to evaluate the efficacy and safety of sintilimab combined with ramucirumab as compared to stand of care chemotherapy for the first-line treatment of PD-L1 positive, unresectable locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma.

The primary endpoint of this study is OS of the ITT population.

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

NONE

Study Groups

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Sintilimab + Ramucirumab

Ramucirumab on days 1 and 8 in combination with Sintilimab on day 1 of each 21-day cycle until disease progression, intolerable toxicity or other criteria for treatment discontinuation

Group Type EXPERIMENTAL

Sintilimab

Intervention Type DRUG

Administered IV

Ramucirumab

Intervention Type DRUG

Administered IV

Cisplatin+ 5-fluorouracil/Oxaliplatin+capecitabine

Cisplatin on day 1 in combination with 5-fluorouracil, continuous pumping for 24 hours a day on days 1 to 5 of each 21-day cycle. (FP regimen) or Oxaliplatin on day 1 in combination with capecitabine on days 1 to 14 of each 21-day cycle. (XELOX regimen)

Group Type ACTIVE_COMPARATOR

Cisplatin

Intervention Type DRUG

Administered IV

5-fluorouracil

Intervention Type DRUG

Administered IV

Oxaliplatin

Intervention Type DRUG

Administered IV

Capecitabine

Intervention Type DRUG

Administered orally

Interventions

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Sintilimab

Administered IV

Intervention Type DRUG

Ramucirumab

Administered IV

Intervention Type DRUG

Cisplatin

Administered IV

Intervention Type DRUG

5-fluorouracil

Administered IV

Intervention Type DRUG

Oxaliplatin

Administered IV

Intervention Type DRUG

Capecitabine

Administered orally

Intervention Type DRUG

Other Intervention Names

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Tyvyt IBI308 LY3009806 IMC-1121B Cyramza

Eligibility Criteria

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Inclusion Criteria

* Have a histologically confirmed diagnosis of gastric or gastroesophageal junction adenocarcinoma
* With HER2 negative and PD-L1 positive tumor tissue
* Have fresh or archival tumor tissue samples within 6 months for PD-L1 expression test.
* Age ≥18 and ≤75 years
* Diagnosed as unresectable locally advanced or metastatic stage

Exclusion Criteria

* Have received any prior palliative systemic treatment for advanced gastric or gastroesophageal junction adenocarcinoma.
* Known to have central nervous system metastases, cancerous meningitis, or bone metastases with a risk of paraplegia
* Known bone metastasis with a risk of paraplegia.
* Have any ascites that requires intervention.
* With bilateral medium pleural effusion or unilateral large pleural effusion leading to respiratory symptoms
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Innovent Biologics (Suzhou) Co. Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sun Yat-sen University Cancer Center

Guangzhou, , China

Site Status

Countries

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China

Other Identifiers

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CIBI308E302

Identifier Type: -

Identifier Source: org_study_id

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