Clinical Study of Taurine Combined With Sintilimab and Chemotherapy for Treatment of Advanced Gastric Cancer

NCT ID: NCT06123455

Last Updated: 2023-11-08

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2025-07-31

Brief Summary

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This project aims to evaluate the efficacy and safety of oral taurine supplementation combined with PD-1 inhibitor (sintilimab) and chemotherapy in inducing systemic CD8+ T cell responses and achieving improved gastric cancer patient outcomes than with sintilimab and chemotherapy alone.

Detailed Description

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Conditions

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Gastric Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Taurine + Sintilimab + investigator's choice chemotherapy

Taurine + Sintilimab + XELOX or Taurine + Sintilimab + SOX or Taurine + Sintilimab + FOLFOX

Group Type EXPERIMENTAL

Taurine

Intervention Type DIETARY_SUPPLEMENT

Taurine supplementation in capsules of 1.0 gram of taurine powder. Dosage: 2.0 gram/day. Frequency: 2 time/day.

Sintilimab

Intervention Type BIOLOGICAL

Sintilimab

XELOX regimen

Intervention Type DRUG

Oxaliplatin + capecitabine

SOX regimen

Intervention Type DRUG

Oxaliplatin + S-1 (tegafur/gimeracil/oteracil potassium)

FOLFOX regimen

Intervention Type DRUG

Oxaliplatin + leucovorin + fluorouracil

Sintilimab + investigator's choice chemotherapy

Sintilimab + XELOX or Sintilimab + SOX or Sintilimab + FOLFOX

Group Type ACTIVE_COMPARATOR

Sintilimab

Intervention Type BIOLOGICAL

Sintilimab

XELOX regimen

Intervention Type DRUG

Oxaliplatin + capecitabine

SOX regimen

Intervention Type DRUG

Oxaliplatin + S-1 (tegafur/gimeracil/oteracil potassium)

FOLFOX regimen

Intervention Type DRUG

Oxaliplatin + leucovorin + fluorouracil

Interventions

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Taurine

Taurine supplementation in capsules of 1.0 gram of taurine powder. Dosage: 2.0 gram/day. Frequency: 2 time/day.

Intervention Type DIETARY_SUPPLEMENT

Sintilimab

Sintilimab

Intervention Type BIOLOGICAL

XELOX regimen

Oxaliplatin + capecitabine

Intervention Type DRUG

SOX regimen

Oxaliplatin + S-1 (tegafur/gimeracil/oteracil potassium)

Intervention Type DRUG

FOLFOX regimen

Oxaliplatin + leucovorin + fluorouracil

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age 18 or older, no gender limitation;
2. Pathologically confirmed gastric cancer or adenocarcinoma of the gastroesophageal junction, local lesions cannot be radically resected or metastatic gastric cancer;
3. Expected survival of ≥ 3 months;
4. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
5. At least one measurable lesion outside the stomach (RECIST 1.1);
6. Patients informed about the purpose and course of the study and provided a written consent to participate.

Exclusion Criteria

1. Use of taurine agent within 1 month prior to randomization on this study;
2. Patients received prior systemic therapy for gastric cancer;
3. Patients with operable gastric cancer;
4. Patients with positive HER-2 and willing to receive herceptin treatment;
5. Patients with gastrointestinal obstruction or active bleeding in the gastrointestinal tract, as well as perforation and dysphagia;
6. Patients with active autoimmune disease that has required systemic treatment in past 2 years;
7. Patients diagnosed as immunodeficiency or receiving systemic steroid therapy or any other form of immunosuppressive therapy;
8. Patients with severe heart, lung, liver, kidney, endocrine, hematopoietic system or psychiatric diseases were considered not suitable for the study group;
9. Patients with other medical conditions that interfere with the trial and are deemed unsuitable for inclusion in the trial by the investigator;
10. Other conditions that the investigator thinks are not suitable to participate in this clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tang-Du Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xin Wang, MD, PhD

Role: STUDY_DIRECTOR

Tang-Du Hospital

Xiaodi Zhao, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Xi-Jing Hospital

Yuanyuan Lu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Xi-Jing Hospital

Locations

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Tang-Du Hospital

Xi'an, Shaanxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaodi Zhao, MD, PhD

Role: CONTACT

17702979587

Xin Wang, MD, PhD

Role: CONTACT

13571826689

Facility Contacts

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Xin Wang, MD, PhD

Role: primary

13571826689

Jia Yu, MD

Role: backup

1862928617

Other Identifiers

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K202309-06

Identifier Type: -

Identifier Source: org_study_id

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