A Study of RC48-ADC in Local Advanced or Metastatic Gastric Cancer With the HER2-Overexpression

NCT ID: NCT04714190

Last Updated: 2023-12-21

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

351 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-24

Study Completion Date

2025-06-30

Brief Summary

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This is a Phase III, randomized, multicenter, open-label clinical trial designed to compare RC48-ADC to physician choice standard treatment in participants with human epidermal growth factor receptor 2 (HER2)-overexpression locally advanced or metastatic gastric cancer.

Detailed Description

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This study is a phase III multi-center, randomized, open-label, parallel control study to evaluate the efficacy and safety of recombinant humanized anti-HER2 monoclonal antibody-Monomethyl auristatin E (MMAE) conjugate for the treatment of HER2-overexpression locally advanced or metastatic gastric cancer. The HER2-overexpression is defined as: the HER2 IHC 3+ or 2+, regardless of FISH status.

Conditions

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Gastric Cancer HER2 Overexpressing Gastric Carcinoma

Keywords

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RC48-ADC HER2 overexpression Gastric cancer

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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RC48-ADC

Participants will receive RC48-ADC every 2 weeks (Q2W) until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).

Group Type EXPERIMENTAL

RC48-ADC

Intervention Type DRUG

2.5 mg/kg IV every 2 weeks

Physician's Choice

Participants will receive physician choosed chemotherapy from the following options: Paclitaxel Injection or Irinotecan Hydrochloride Injection or Apatinib Mesylate Tablets oral.

Group Type ACTIVE_COMPARATOR

Paclitaxel injection

Intervention Type DRUG

Administered according to label, as one option for Physician's Choice (determined before randomization)

Irinotecan Hydrochloride Injection

Intervention Type DRUG

Administered according to label, as one option for Physician's Choice (determined before randomization)

Apatinib Mesylate Tablets

Intervention Type DRUG

Administered according to label, as one option for Physician's Choice (determined before randomization)

Interventions

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RC48-ADC

2.5 mg/kg IV every 2 weeks

Intervention Type DRUG

Paclitaxel injection

Administered according to label, as one option for Physician's Choice (determined before randomization)

Intervention Type DRUG

Irinotecan Hydrochloride Injection

Administered according to label, as one option for Physician's Choice (determined before randomization)

Intervention Type DRUG

Apatinib Mesylate Tablets

Administered according to label, as one option for Physician's Choice (determined before randomization)

Intervention Type DRUG

Other Intervention Names

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Recombinant Humanized anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection Taxol CAMPTO Aitan

Eligibility Criteria

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Inclusion Criteria

* Voluntary agreement to provide written informed consent.
* Male or female, Age ≥ 18 years.
* Predicted survival ≥ 12 weeks.
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
* All female subjects will be considered to be of child-bearing potential unless they are postmenopausal, or have been sterilized surgically.Female subjects of child-bearing potential must agree to use two forms of highly effective contraception. Male subjects and their female partner who are of child-bearing potential must agree to use two forms of highly effective contraception.
* Willing to adhere to the study visit schedule and the prohibitions and restrictions specified in this protocol.
* Adequate organ function.
* All subjects must have inoperable, advanced or metastatic gastric or or gastroesophageal adenocarcinoma
* Have had progression or intolerance following receipt of at least two systemic chemotherapy for advanced or metastatic disease.
* The HER2 IHC test result is IHC 2+ or IHC 3+, the subject's previous test results (confirmed by the investigator) or the research center's test results are acceptable; the subject can provide the Specimen of primary or metastatic tumor for HER2 review/judgment.
* HER2 classic positive (definition: IHC3+ or IHC2+FISH+) and patients who have previously failed standard treatment
* According to the RECIST 1.1 standard, there is at least one measurable lesion.

Exclusion Criteria

* Known hypersensitivity to Recombinant Humanized Anti-HER2 Monoclonal Antibody-MMAE Conjugate For Injection.
* History of receiving any anti-cancer drug/biologic treatment within 4 weeks prior to trial treatment.
* History of major surgery within 4 weeks of planned start of trial treatment.
* Has received a live virus vaccine within 4 weeks of planned start of trial treatment.
* Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
* History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or cancers with a similar curative outcome as those mentioned above.
* Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RemeGen Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Affiliated Hospital of Hebei University

Baoding, , China

Site Status RECRUITING

China-Japan Friendship Hospital

Beijing, , China

Site Status RECRUITING

Luhe Hospital Affiliated to Capital Medical University

Beijing, , China

Site Status RECRUITING

Peking University People's Hospital

Beijing, , China

Site Status RECRUITING

Jilin Provincial Tumor Hospital

Changchun, , China

Site Status RECRUITING

Xiangya Hospital of Central South University

Changsha, , China

Site Status RECRUITING

Affiliated Hospital of Chengde Medical College

Chengde, , China

Site Status RECRUITING

Three Gorges Hospital Affiliated to Chongqing University

Chongqing, , China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, , China

Site Status RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, , China

Site Status RECRUITING

Southern Hospital of Southern Medical University

Guangzhou, , China

Site Status RECRUITING

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status RECRUITING

The Sixth Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status RECRUITING

First Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, , China

Site Status RECRUITING

Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, , China

Site Status RECRUITING

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status RECRUITING

The Affiliated Tumor Hospital of Harbin Medical University

Harbin, , China

Site Status RECRUITING

Anhui Cancer Hospital

Hefei, , China

Site Status RECRUITING

Anhui Provincial Hospital

Hefei, , China

Site Status RECRUITING

Jinan Central Hospital

Jinan, , China

Site Status RECRUITING

Shandong Cancer Hospital

Jinan, , China

Site Status RECRUITING

Affiliated Hospital of Jining Medical College

Jining, , China

Site Status RECRUITING

The First People's Hospital of Jining City

Jining, , China

Site Status RECRUITING

Lanzhou University Second Hospital

Lanzhou, , China

Site Status RECRUITING

Linyi Tumor Hospital

Linyi, , China

Site Status RECRUITING

Drum Tower Hospital Affiliated to Nanjing University School of Medicine

Nanjing, , China

Site Status RECRUITING

Jiangsu Cancer Hospital

Nanjing, , China

Site Status RECRUITING

The First Affiliated Hospital of Nanjing Medical University (Jiangsu Provincial People's Hospital)

Nanjing, , China

Site Status RECRUITING

Qingdao University Hospital

Qingdao, , China

Site Status RECRUITING

Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status RECRUITING

Shanghai Changhai Hospital

Shanghai, , China

Site Status RECRUITING

Zhongshan Hospital Affiliated to Fudan University

Shanghai, , China

Site Status RECRUITING

Cancer Hospital Affiliated to Shantou University Medical College

Shantou, , China

Site Status RECRUITING

Liaoning Cancer Hospital

Shenyang, , China

Site Status RECRUITING

Shenzhen People's Hospital

Shenzhen, , China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, , China

Site Status RECRUITING

Shanxi Cancer Hospital

Taiyuan, , China

Site Status RECRUITING

Tianjin Cancer Hospital

Tianjin, , China

Site Status RECRUITING

Weifang People's Hospital

Weifang, , China

Site Status RECRUITING

Weihai Municipal Hospital

Weihai, , China

Site Status RECRUITING

Huazhong University of Science Tongji Hospital, Tongji Medical College

Wuhan, , China

Site Status RECRUITING

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status RECRUITING

Affiliated Hospital of Qinghai University

Xining, , China

Site Status RECRUITING

Qinghai Provincial People's Hospital

Xining, , China

Site Status RECRUITING

The First Affiliated Hospital of Xinxiang Medical College

Xinxiang, , China

Site Status RECRUITING

Affiliated Hospital of Xuzhou Medical University

Xuzhou, , China

Site Status RECRUITING

Xuzhou Central Hospital

Xuzhou, , China

Site Status RECRUITING

Subei People's Hospital of Jiangsu Province

Yangzhou, , China

Site Status RECRUITING

Yantai Yuhuangding Hospital

Yantai, , China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianmin Fang, PhD

Role: CONTACT

Phone: 010-58075561

Email: [email protected]

Facility Contacts

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Lin Shen

Role: primary

Aimin Zang

Role: primary

Liqun Jia

Role: primary

Dong Yan

Role: primary

Yingjiang Ye

Role: primary

Ying Cheng

Role: primary

Shan Zeng

Role: primary

Qingshan Li

Role: primary

Jun Zhang

Role: primary

Nanfeng Fan

Role: primary

Dong Ma

Role: primary

Min Shi

Role: primary

Shirong Cai

Role: primary

Yanhong Deng

Role: primary

Nong Xu

Role: primary

Fuming Qiu

Role: primary

Jie'er Ying

Role: primary

Yuxian Bai

Role: primary

Yifu He

Role: primary

Yueyin Pan

Role: primary

Meili Sun

Role: primary

Changzheng Li

Role: primary

Lei Han

Role: primary

Ning Liu

Role: primary

Hao Chen

Role: primary

Zhen Li

Role: primary

Jia Wei

Role: primary

Jianwei Lu

Role: primary

Yongqian Shu

Role: primary

Wensheng Qiu

Role: primary

Jun Zhang

Role: primary

Xianbao Zhan

Role: primary

Tianshu Liu

Role: primary

Yi Jiang

Role: primary

Jingdong Zhang

Role: primary

Ruilian Xu

Role: primary

Kai Chen

Role: primary

Mudan Yang

Role: primary

Yi Ba

Role: primary

Guohua Yu

Role: primary

Airong Wang

Role: primary

Xianglin Yuan

Role: primary

Enxiao Li

Role: primary

Jiayi Li

Role: primary

Junhui Zhao

Role: primary

Yujuan Qi

Role: primary

Liuzhong Yang

Role: primary

Chao gao

Role: primary

Yuan Yuan

Role: primary

Xizhi Zhang

Role: primary

Liangming Zhang

Role: primary

Suxia Luo

Role: primary

Other Identifiers

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RC48-C007

Identifier Type: -

Identifier Source: org_study_id