A Study of Multiple Immunotherapy-Based Treatment Combinations in Patients With Locally Advanced Unresectable or Metastatic Gastric or Gastroesophageal Junction Cancer (G/GEJ) or Esophageal Cancer (Morpheus-Gastric and Esophageal Cancer)
第1/2相
早期終了
NCT03281369
| 対象疾患 | Gastric Adenocarcinoma or Gastroesophageal Junction Adenocarcinoma or Esophageal Carcinoma |
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| 相 | 第1/2相 |
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| スポンサー | Hoffmann-La Roche |
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| ステータス | 早期終了 |
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| 参加者数 | 219 名 |
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| 介入(薬剤) | 5-Fluorouracil (5-FU), Leucovorin, Oxaliplatin, Atezolizumab, Cobimetinib |
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| 開始日 | 2017年10月13日 |
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| 完了日 | 2025年10月9日 |
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| 結果公開日 | 2026年8月3日 |
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概要
A Phase Ib/II, open label, multi-center, randomized study designed to assess the safety, tolerability, pharmacokinetics and preliminary anti-tumor activity of immunotherapy-based treatment combinations in patients with locally advanced unresectable or metastatic G/GEJ cancer (hereafter referred to as gastric cancer) and esophageal cancer. Two cohorts of patients with gastric cancer have been enrolled in parallel in this study: the second-line (2L) Gastric Cancer Cohort consists of patients with gastric cancer who have progressed after receiving a platinum-containing or fluoropyrimide-containing chemotherapy regimen in the first-line setting, and the first-line (1L) Gastric Cancer Cohort consists of patients with gastric cancer who have not received prior chemotherapy in this setting. In each cohort, eligible patients will be assigned to one of several treatment arms. Additionally, a cohort of patients with esophageal cancer who have not received prior systemic treatment for their disease will be enrolled in this study. Eligible patients will be randomized to chemotherapy or the combination of chemotherapy with checkpoint inhibitor immunotherapy.
Stage 1: Percentage of Participants With Objective Response (OR), as Determined by Investigator According to RECIST v1.1
From randomization up to approximately 84.2 months · percentage of participants
| Stage 1 Cohort 1: mFOLFOX6 + Atezolizumab + Cobimetinib | 40.0 percentage of participants |
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| Stage 1 Cohort 2: Ramucirumab + Paclitaxel (Control) | 16.7 percentage of participants |
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| Stage 1 Cohort 2: Atezolizumab + PEGPH20 | 0 percentage of participants |
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| Stage 1 Cohort 2: Atezolizumab + BL-8040 | 15.4 percentage of participants |
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| Stage 1 Cohort 2: Atezolizumab + Linagliptin | 21.4 percentage of participants |
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| Stage 1: Cisplatin + 5-FU (Control) | 47.8 percentage of participants |
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| Difference in Overall Response Rates | -16.67 (95% CI -45.77–12.43) |
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