A Study to Investigate the Efficacy and Safety of ONO-4578 in Combination With Nivolumab and Chemotherapy in Chemotherapy-naïve Participants With HER2-negative Unresectable Advanced or Recurrent Gastric Cancer (Including Esophagogastric Junction Cancer)

NCT ID: NCT06256328

Last Updated: 2024-07-29

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-06

Study Completion Date

2027-07-31

Brief Summary

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This study is to compare and evaluate the efficacy and safety of the treatment with ONO-4578 in combination with nivolumab and chemotherapy with those of the treatment with placebo in combination with nivolumab and chemotherapy in chemotherapy-naïve participants with HER2- negative unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer).

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

TRIPLE

Participants Caregivers Investigators

Study Groups

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ONO-4578+Nivolumab+chemotherapy

Group Type EXPERIMENTAL

ONO-4578

Intervention Type DRUG

Specified dose, once daily

Oxaliplatin

Intervention Type DRUG

Specified dose on specified days

Capecitabine

Intervention Type DRUG

Specified dose on specified days

S-1

Intervention Type DRUG

Specified dose on specified days

Nivolumab

Intervention Type DRUG

Specified dose on specified days

placebo+Nivolumab+chemotherapy

Group Type PLACEBO_COMPARATOR

Oxaliplatin

Intervention Type DRUG

Specified dose on specified days

Capecitabine

Intervention Type DRUG

Specified dose on specified days

S-1

Intervention Type DRUG

Specified dose on specified days

Nivolumab

Intervention Type DRUG

Specified dose on specified days

Placebo

Intervention Type DRUG

Specified dose, once daily

Interventions

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ONO-4578

Specified dose, once daily

Intervention Type DRUG

Oxaliplatin

Specified dose on specified days

Intervention Type DRUG

Capecitabine

Specified dose on specified days

Intervention Type DRUG

S-1

Specified dose on specified days

Intervention Type DRUG

Nivolumab

Specified dose on specified days

Intervention Type DRUG

Placebo

Specified dose, once daily

Intervention Type DRUG

Other Intervention Names

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Tegafur-gimeracil-oteracil potassium Opdivo

Eligibility Criteria

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Inclusion Criteria

* Patients with gastric or esophagogastric junction cancer histologically diagnosed as adenocarcinoma
* Patients have not been treated with systemic chemotherapy as first-line therapy
* Patients who can provide tumor tissue samples

Exclusion Criteria

* Patients unable to take oral medicines
* Patients with HER2-positive
* Patients with contraindications to nivolumab, oxaliplatin, S-1, or capecitabine
* Patients who have a history of severe drug-related adverse reactions caused by non- steroidal anti-inflammatory drugs (NSAIDs) or who have complications caused by NSAIDs requiring treatment
* Patients with concurrent autoimmune disease or a history of chronic or recurrent autoimmune disease, such as rheumatoid arthritis
* Patients with headache and/or nausea associated with brain metastasis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ono Pharmaceutical Co. Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Project Leader

Role: STUDY_DIRECTOR

Ono Pharmaceutical Co. Ltd

Locations

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Aichi Cancer Center Hospital

Nagoya, Aichi-ken, Japan

Site Status

National Cancer Center Hospital East

Kashiwa-shi, Chiba, Japan

Site Status

Matsuyama Red Cross Hospital

Matsuyama, Ehime, Japan

Site Status

NHO Shikoku Cancer Center

Matsuyama, Ehime, Japan

Site Status

Kyushu University Hospital

Fukuoka, Fukuoka, Japan

Site Status

NHO Kyushu Cancer Center

Fukuoka, Fukuoka, Japan

Site Status

JCHO Kyushu Hospital

Yahatanishi-ku, Kitakyusyu-shi, Fukuoka, Japan

Site Status

Gunma Prefectural Cancer Center

Ota-shi, Gunma, Japan

Site Status

Hiroshima City Hiroshima Citizens Hospital

Hiroshima, Hiroshima, Japan

Site Status

Hyogo Cancer Center

Akashi-shi, Hyōgo, Japan

Site Status

JOHAS Kansai Rosai Hospital

Amagasaki-shi, Hyōgo, Japan

Site Status

Kobe City Hospital Organization Kobe City Medical Center General Hospital

Kobe, Hyōgo, Japan

Site Status

Ibaraki Prefectural Central Hospital

Kasama-shi, Ibaraki, Japan

Site Status

Ishikawa Prefectural Central Hospital

Kanazawa, Ishikawa-ken, Japan

Site Status

Iwate Medical University Hospital

Yahaba-cho, Shiwa-gun, Iwate, Japan

Site Status

Kagawa University Hospital

Miki-cho, Kita-gun, Kagawa-ken, Japan

Site Status

Kitasato University Hospital

Sagamihara-shi, Kanagawa, Japan

Site Status

Kanagawa Cancer Center

Yokohama, Kanagawa, Japan

Site Status

Osaki Citizen Hospital

Osaki-shi, Miyagi, Japan

Site Status

Tohoku University Hospital

Sendai, Miyagi, Japan

Site Status

Kurashiki Central Hospital

Kurashiki-shi, Okayama-ken, Japan

Site Status

Osaka International Cancer Institute

Chuo-ku, Osaka, Japan

Site Status

Kansai Medical University Hospital

Hirakata-shi, Osaka, Japan

Site Status

Kindai University Hospital

Sayama-shi, Osaka, Japan

Site Status

Osaka General Medical Center

Sumiyoshi-ku, Osaka, Japan

Site Status

Osaka Medical and Pharmaceutical University Hospital

Takatsuki-shi, Osaka, Japan

Site Status

Saitama Cancer Center

Ina-machi, Kitaadati-gun, Saitama, Japan

Site Status

Shizuoka Cancer Center

Nagaizumi-cho, Sunto-gun, Shizuoka, Japan

Site Status

Cancer Institute Hospital of JFCR

Koto-ku, Tokyo, Japan

Site Status

IMSUT Hospital, The Institute of Medical Science, The University of Tokyo

Minato-Ku, Tokyo, Japan

Site Status

Keio University Hospital

Shinjuku-ku, Tokyo, Japan

Site Status

Osaka Metropolitan University Hospital

Osaka, , Japan

Site Status

Kosin University Gospel Hospital

Busan, Gangwon-do, South Korea

Site Status

Hallym University Sacred Heart Hospital

Anyang-si, Gyeonggi-do, South Korea

Site Status

National Cancer Center

Goyang-si, Gyeonggi-do, South Korea

Site Status

CHA Bundang Medical Center, CHA University

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Ajou University Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

The Catholic University of Korea, St. Vincent's Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Pusan National University Yangsan Hospital

Yangsan, Gyeongsangnam-do, South Korea

Site Status

Jeonbuk national university hospital

Jeonju, Jeollabuk-do, South Korea

Site Status

Chonnam National University Hwasun Hospital

Hwasun-gun, Jeollanam-do, South Korea

Site Status

Chungbuk National University Hospital

Cheongju-si, North Chungcheong, South Korea

Site Status

Dong-A University Hospital

Busan, , South Korea

Site Status

Keimyung University Dongsan Hospital

Daegu, , South Korea

Site Status

Kyungpook National University Chilgok Hospital

Daegu, , South Korea

Site Status

Yeungnam University Hospital

Daegu, , South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Inha University Hospital

Incheon, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Kangbuk Samsung Hospital

Seoul, , South Korea

Site Status

Korea University Guro Hospital

Seoul, , South Korea

Site Status

Kyung Hee University Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status

The Catholic University of Korea, Eunpyeong St. Mary's Hospital

Seoul, , South Korea

Site Status

Ulsan University Hospital

Ulsan, , South Korea

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

Chi Mei Hospital, Liouying

Tainan City, , Taiwan

Site Status

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Chang Gung Memorial Hospital, Linkou

Taoyuan District, , Taiwan

Site Status

Countries

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Japan South Korea Taiwan

Other Identifiers

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ONO-4578-08

Identifier Type: -

Identifier Source: org_study_id

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