SHR-A1904 Compared With Investigator's Choice of Therapy in Claudin18.2 Positive Patitens With Second-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma

NCT ID: NCT06649292

Last Updated: 2024-12-12

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

524 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-22

Study Completion Date

2028-03-20

Brief Summary

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The study evaluated the overall survival (OS) of SHR-A1904 versus investigator-selected treatment in second-line CLDN18.2-positive advanced GC/GEJC patients

Detailed Description

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Conditions

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Second-line Advanced or Metastatic Gastric or Gastroesophageal Junction 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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Treatment group A: SHR-A1904

Group Type EXPERIMENTAL

SHR-A1904

Intervention Type DRUG

SHR-A1904

Treatment group B: Paclitaxel, Docetaxel, Irinotecan.

Group Type ACTIVE_COMPARATOR

Paclitaxel, Docetaxel, Irinotecan

Intervention Type DRUG

Paclitaxel, Docetaxel, Irinotecan

Interventions

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SHR-A1904

SHR-A1904

Intervention Type DRUG

Paclitaxel, Docetaxel, Irinotecan

Paclitaxel, Docetaxel, Irinotecan

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age 18 to 75 years old (including boundary values)
2. Volunteer to participate in this clinical study and sign informed consent;
3. ECOG score 0-1;
4. Expected survival ≥3 months;
5. Gastric or Gastroesophageal Junction Adenocarcinoma;
6. positive CLDN18.2 expression in tumor tissue;
7. There is at least one measurable or evaluable lesion that meets the RECIST 1.1 criteria;
8. Adequate bone marrow and organ function.

Exclusion Criteria

1. Received anti-tumor therapies such as chemotherapy, radiotherapy, biological therapy, targeted therapy, or immunotherapy within 4 weeks before the first dose of the study
2. HER2 posotive (IHC 3+ or IHC 2+/ISH +);
3. Toxicities caused by previous anticancer therapy were not recovered to CTCAE 5.0 Grade≤1;
4. Individuals with Leptomeningeal metastasis or Active brain metastases;
5. Individuals with a history of GI perforation or fistula, unstable GI bleeding;
6. Individuals with a history of severe cardiovascular and cerebrovascular diseases;
7. The researcher determined that there are other situations that are not suitable for participation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Hengrui Pharmaceutical 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, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qi Shi

Role: CONTACT

Phone: 86-021-23511999

Email: [email protected]

Liang Hu

Role: CONTACT

Phone: 18036618148

Email: [email protected]

Other Identifiers

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SHR-A1904-302

Identifier Type: -

Identifier Source: org_study_id