Dynamic Multiomics Evaluation of Anti-HER2 and Immunotherapy in HER2 Positive Gastric Cancer

NCT ID: NCT05348161

Last Updated: 2022-04-27

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2025-01-01

Brief Summary

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Dynamic multiomics explore the efficacy and mechanism of anti-HER2 \& immunotherapy of HER2 Positive GC

Detailed Description

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The investigators will recruit 100 HER2 positive advanced gastric cancer patients.Blood and tumor tissue will be collected at treatment baseline, every time point response till disease progression. All samples will be processed by next-generation sequence , 10× genomics single-cell sequence ,whole exon sequence, proteome detection and CTC detection to explore the efficacy and mechanism of anti-HER2 \& immunotherapy of HER2 positive GC.

Conditions

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HER2 Positive Advanced Gastric Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Anti-HER2 & Immunotherapy

Advancd gastric cancer patients received anti-HER2 \& immunotherapy ± chemotherapy

Group Type OTHER

Samples including blood and tissue collection

Intervention Type PROCEDURE

Tissue and peripheral blood sample of 100 gastric cancer patients will be collected at the baseline and time point response of therapy.

CTC detection

Intervention Type PROCEDURE

Peripheral blood collected from patients will be administrated to CTC detection.

ctDNA detection

Intervention Type PROCEDURE

DNA extraction from patients' peripheral blood will be measured by 741 panel DNA sequence.

10×genomics single cell RNA sequence

Intervention Type PROCEDURE

Tissue collected from patients will be digested into single cell suspension and administrated to 10×genomics single cell RNA sequence.

Whole exon sequence

Intervention Type PROCEDURE

DNA will be extracted from patients' tissue and administrated to whole exon sequence.

Proteomics detection

Intervention Type PROCEDURE

Peripheral blood collected from patients will be administrated to proximity extension assay .

Anti-HER2

Advancd gastric cancer patients received anti-HER2 ± chemotherapy.

Group Type OTHER

Samples including blood and tissue collection

Intervention Type PROCEDURE

Tissue and peripheral blood sample of 100 gastric cancer patients will be collected at the baseline and time point response of therapy.

CTC detection

Intervention Type PROCEDURE

Peripheral blood collected from patients will be administrated to CTC detection.

ctDNA detection

Intervention Type PROCEDURE

DNA extraction from patients' peripheral blood will be measured by 741 panel DNA sequence.

10×genomics single cell RNA sequence

Intervention Type PROCEDURE

Tissue collected from patients will be digested into single cell suspension and administrated to 10×genomics single cell RNA sequence.

Whole exon sequence

Intervention Type PROCEDURE

DNA will be extracted from patients' tissue and administrated to whole exon sequence.

Proteomics detection

Intervention Type PROCEDURE

Peripheral blood collected from patients will be administrated to proximity extension assay .

Interventions

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Samples including blood and tissue collection

Tissue and peripheral blood sample of 100 gastric cancer patients will be collected at the baseline and time point response of therapy.

Intervention Type PROCEDURE

CTC detection

Peripheral blood collected from patients will be administrated to CTC detection.

Intervention Type PROCEDURE

ctDNA detection

DNA extraction from patients' peripheral blood will be measured by 741 panel DNA sequence.

Intervention Type PROCEDURE

10×genomics single cell RNA sequence

Tissue collected from patients will be digested into single cell suspension and administrated to 10×genomics single cell RNA sequence.

Intervention Type PROCEDURE

Whole exon sequence

DNA will be extracted from patients' tissue and administrated to whole exon sequence.

Intervention Type PROCEDURE

Proteomics detection

Peripheral blood collected from patients will be administrated to proximity extension assay .

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Having signed informed consent
* Age:18-80 years old
* HER2 overexpression confirmed by IHC or ISH (IHC 3+,or IHC2+/ISH+)
* Histologically confirmed gastric adenocarcinoma
* Unresectable recurrent or metastatic gastric cancer
* Previous neo-adjuvant or adjuvant treatment for gastric cancer, if applicable, more than 6 months
* Measurable disease according to the RECIST criteria
* Karnofsky performance status ≥70
* Life expectancy of ≥3 month
* No prior radiotherapy except radiotherapy at non-target lesion of the study more than 4 weeks
* ALT and AST\<2.5 times ULN (≤5 times ULN in patients with liver metastases)
* Serum albumin level ≥3.0g/dL
* Serum AKP \< 2.5 times ULN
* Serum creatinine \<ULN, and CCr \< 60ml/min
* Bilirubin level \< 1.5 ULN
* WBC\>3,000/mm3, absolute neutrophil count ≥2000/mm3, platelet\>100,000/mm3, Hb\>9g/dl

Exclusion Criteria

* Previous systemic therapy for metastatic gastric cancer
* Surgery (excluding diagnostic biopsy) within 4 weeks prior to study entry Contraindications of nuclear magnetic resonance image such as fitment of cardiac pacemaker , nerve stimulator, or aneurysm clip, and metallic foreign body in eye ball and so on.
* Allergic constitution or allergic history to protium biologic product or any investigating agents.
* Severe heart disease or such history as recorded congestive heart failure, uncontrolled cardiac arrhythmia, angina pectoris needing medication, cardiac valve disease, severe abnormal ECG findings, cardiac infarction , or retractable hypertension.
* Pregnancy or lactation period
* Other previous malignancy within 5 year, except non-melanoma skin cancer
* Legal incapacity
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University

OTHER

Sponsor Role lead

Responsible Party

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Shen Lin

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhang Xiaotian, MD

Role: CONTACT

13810995536

Facility Contacts

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Shen Lin, Professor

Role: primary

010-88196561

Other Identifiers

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CGOG-HER2-1001

Identifier Type: -

Identifier Source: org_study_id

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