A Phase III Clinical Study of Cadonilimab Plus SOX as Perioperative Treatment for Patients With Resectable G/GEJ Adenocarcinoma

NCT ID: NCT07023315

Last Updated: 2025-06-16

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

760 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-31

Study Completion Date

2031-07-31

Brief Summary

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This study investigates treatment of cadonilimab or placebo combined with SOX chemotherapy (oxaliplatin + tegafur-gimeracil-oteracil potassium) given before surgery (neoadjuvant) and cadonilimab or placebo combined with SOX chemotherapy after surgery (adjuvant), will work and be safe for the treatment of resectable (removable by surgery) gastric or gastroesophageal cancer.

Detailed Description

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This trial is a Phase 3 study. All patients are resectable gastric or gastroesophageal junction adenocarcinoma, Eastern Cooperative Oncology Group (ECOG) performance status 0-1.The purpose of this study is to evaluate the efficacy and safety of cadonilimab combined with chemotherapy for perioperative treatment of resectable gastric or gastroesophageal junction adenocarcinoma.

Conditions

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Gastric and Gastroesophageal Junction (GEJ) Adenocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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cadonilimab+SOX

Cadonilimab plus Oxaliplatin and Tegafur-Gimeracil-Oteracil Potassium (SOX)

Group Type EXPERIMENTAL

Cadonilimab

Intervention Type DRUG

Anti-PD-1/ CTLA-4 tetrameric bispecific antibody

SOX chemotherapy

Intervention Type DRUG

A combination treatment made up of oxaliplatin and tegafur-gimeracil-oteracil potassium

Placebo+SOX

Placebo plus Oxaliplatin and Tegafur-Gimeracil-Oteracil Potassium (SOX)

Group Type PLACEBO_COMPARATOR

SOX chemotherapy

Intervention Type DRUG

A combination treatment made up of oxaliplatin and tegafur-gimeracil-oteracil potassium

Interventions

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Cadonilimab

Anti-PD-1/ CTLA-4 tetrameric bispecific antibody

Intervention Type DRUG

SOX chemotherapy

A combination treatment made up of oxaliplatin and tegafur-gimeracil-oteracil potassium

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients with histologically confirmed gastric or gastroesophageal junction adenocarcinoma with resectable disease (clinical stage T3-4aN+M0 or T4bNanyM0 per AJCC 8th edition).
2. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at enrollment.
3. Has life expectancy of at least 6 months.
4. Availability of tumor sample prior to study entry.
5. Patients must undergo radical surgery.
6. Has adequate organ function.

Exclusion Criteria

1. Patients with unresectable locally advanced disease or distant metastasis.
2. Histopathology or cytology confirmed other pathological types, such as adenosquamous cell carcinoma, squamous cell carcinoma, or GI stromal tumor.
3. Current or prior use of immunosuppressive medication within 14 days before randomization.
4. Has received prior anti-cancer therapy for the current malignancy.
5. Has an active infection requiring systemic therapy.
6. Contra-indication to any of the study drugs.
7. Has a known additional malignancy that is progressing or has required active treatment within the past 5 years.
8. Has an active autoimmune disease that has required systemic treatment in past 2 years.
9. Known active Hepatitis B or Hepatitis C virus infection.
10. Has had an allogenic tissue/solid organ transplant.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Peking University Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Fujian Provincial Cancer Hospital

Fuzhou, Fujian, China

Site Status

Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status

Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Tianjin Provincial Tumor Hospital

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

Central Contacts

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Zhifang Yao, MD

Role: CONTACT

86-0760-89873999

Jiafu Ji, MD

Role: CONTACT

Other Identifiers

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AK104-310

Identifier Type: -

Identifier Source: org_study_id

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