NCT02267343

Brief Summary

The purpose of study is to evaluate the efficacy and safety of ONO-4538 in patients with unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer) refractory to or intolerant of standard therapy.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
493

participants targeted

Target at P50-P75 for phase_3 gastric-cancer

Timeline
Completed

Started Oct 2014

Typical duration for phase_3 gastric-cancer

Geographic Reach
3 countries

49 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2014

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

October 9, 2014

Completed
8 days until next milestone

First Posted

Study publicly available on registry

October 17, 2014

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2016

Completed
4.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2021

Completed
Last Updated

May 3, 2024

Status Verified

May 1, 2024

Enrollment Period

1.8 years

First QC Date

October 9, 2014

Last Update Submit

May 2, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall survival

    Up to study completion (estimated time frame: 30 months), every 2 weeks in principle

Secondary Outcomes (5)

  • Progression-free survival

    Up to study completion (estimated time frame: 30 months), every 2 weeks in principle

  • Objective response rate

    Up to study completion (estimated time frame: 30 months), every 6 weeks in principle

  • Duration of response

    Up to study completion (estimated time frame: 30 months), every 6 weeks in principle

  • Safety will be analyzed through the incidence of adverse events, serious adverse events

    Continuously throughout study treatment and up to 28 days from last dose

  • Safety will be analyzed through the incidence of laboratory abnormalities

    Continuously throughout study treatment and up to 28 days from last dose

Study Arms (2)

ONO-4538 Arm

EXPERIMENTAL

ONO-4538 3 mg/kg solution intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends

Drug: ONO-4538

Placebo Arm

PLACEBO COMPARATOR

Placebo intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends

Drug: Placebo

Interventions

ONO-4538 Arm
Placebo Arm

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men \& women ≥20 years of age
  • Unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer)
  • Histologically confirmed adenocarcinoma
  • Refractory to or intolerant of standard therapy
  • ECOG Performance Status score 0 or 1
  • A life expectancy of at least 3 months

You may not qualify if:

  • Current or past history of severe hypersensitivity to any other antibody products
  • Patients with multiple primary cancers
  • Patients with any metastasis in the brain or meninx that is symptomatic or requires treatment
  • Patients with active, known or suspected autoimmune disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (49)

Aichi Clinical Site

Nagoya, Aichi-ken, 464-8681, Japan

Location

Aomori Clinical Site

Misawa, Aomori, 033-0022, Japan

Location

Ehime Clinical Site

Matsuyama, Ehime, 791-0280, Japan

Location

Hokkaido Clinical Site

Sapporo, Hokkaido, 060-8648, Japan

Location

Hyogo Clinical Site

Akashi, Hyōgo, 673-8558, Japan

Location

Hyogo Clinical Site

Kobe, Hyōgo, 650-0047, Japan

Location

Ishikawa Clinical Site

Kanazawa, Ishikawa-ken, 920-8641, Japan

Location

Kanagawa Clinical Site

Kawasaki, Kanagawa, 216-8511, Japan

Location

Kanagawa Clinical Site

Sagamihara, Kanagawa, 252-0375, Japan

Location

Kanagawa Clinical Site

Yokohama, Kanagawa, 241-8515, Japan

Location

Nagano Clinical Site

Saku, Nagano, 385-0051, Japan

Location

Osaka Clinical Site

Sayama, Osaka, 589-8511, Japan

Location

Osaka Clinical Site

Suita, Osaka, 565-0871, Japan

Location

Osaka Clinical Site

Takatsuki, Osaka, 569-8686, Japan

Location

Saitama Clinical Site

Kitaadachi, Saitama, 362-0806, Japan

Location

Shizuoka Clinical Site

Sunto-gun, Shizuoka, 411-8777, Japan

Location

Tochigi Clinical Site

Shimotsuke, Tochigi, 329-0498, Japan

Location

Tokyo Clinical Site

Bunkyo-ku, Tokyo, 113-8677, Japan

Location

Tokyo Clinical Site

Chuo-ku, Tokyo, 104-0045, Japan

Location

Tokyo Clinical Site

Koto-ku, Tokyo, 135-8550, Japan

Location

Tokyo Clinical Site

Shinjuku-ku, Tokyo, 160-8582, Japan

Location

Chiba Clinical Site

Chiba, 260-8717, Japan

Location

Fukuoka Clinical Site

Fukuoka, 811-1395, Japan

Location

Fukuoka Clinical Site

Fukuoka, 812-8582, Japan

Location

Gifu Clinical Site

Gifu, 501-1194, Japan

Location

Hiroshima Clinical Site

Hiroshima, 730-8518, Japan

Location

Osaka Clinical Site

Osaka, 537-8511, Japan

Location

Shizuoka Clinical Site

Shizuoka, 420-8527, Japan

Location

Busan-si Clinical Site

Busan, 602-715, South Korea

Location

Daegu Clinical Site

Daegu, 702-210, South Korea

Location

Gyeonggi-Do Clinical Site

Gyeonggi-do, 410-769, South Korea

Location

Gyeonggi-Do Clinical Site

Gyeonggi-do, 463-707, South Korea

Location

Seoul Clinical Site

Seoul, 110-744, South Korea

Location

Seoul Clinical Site

Seoul, 120-752, South Korea

Location

Seoul Clinical Site

Seoul, 135-710, South Korea

Location

Seoul Clinical Site

Seoul, 135-720, South Korea

Location

Seoul Clinical Site

Seoul, 136-705, South Korea

Location

Seoul Clinical Site

Seoul, 137-701, South Korea

Location

Seoul Clinical Site

Seoul, 138-736, South Korea

Location

Seoul Clinical Site

Seoul, 152-703, South Korea

Location

Kaohsiung Clinical Site

Kaohsiung City, 807, Taiwan

Location

Kaohsiung Clinical Site

Kaohsiung City, 833, Taiwan

Location

Taichung Clinical Site

Taichung, 40447, Taiwan

Location

Tainan Clinical Site

Tainan, 704, Taiwan

Location

Taipei Clinical Site

Taipei, 10002, Taiwan

Location

Taipei Clinical Site

Taipei, 112, Taiwan

Location

Taipei Clinical Site

Taipei, 114, Taiwan

Location

Taipei Clinical Site

Taipei, 116, Taiwan

Location

Taoyuan Clinical Site

Taoyuan District, 333, Taiwan

Location

Related Publications (2)

  • Kang YK, Reck M, Nghiem P, Feng Y, Plautz G, Kim HR, Owonikoko TK, Boku N, Chen LT, Lei M, Chang H, Lin WH, Roy A, Bello A, Sheng J. Assessment of hyperprogression versus the natural course of disease development with nivolumab with or without ipilimumab versus placebo in phase III, randomized, controlled trials. J Immunother Cancer. 2022 Apr;10(4):e004273. doi: 10.1136/jitc-2021-004273.

  • Kang YK, Boku N, Satoh T, Ryu MH, Chao Y, Kato K, Chung HC, Chen JS, Muro K, Kang WK, Yeh KH, Yoshikawa T, Oh SC, Bai LY, Tamura T, Lee KW, Hamamoto Y, Kim JG, Chin K, Oh DY, Minashi K, Cho JY, Tsuda M, Chen LT. Nivolumab in patients with advanced gastric or gastro-oesophageal junction cancer refractory to, or intolerant of, at least two previous chemotherapy regimens (ONO-4538-12, ATTRACTION-2): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2017 Dec 2;390(10111):2461-2471. doi: 10.1016/S0140-6736(17)31827-5. Epub 2017 Oct 6.

MeSH Terms

Conditions

Stomach Neoplasms

Interventions

Nivolumab

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • Mitsunobu Tanimoto

    Ono Pharmaceutical Co. Ltd

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 9, 2014

First Posted

October 17, 2014

Study Start

October 1, 2014

Primary Completion

August 1, 2016

Study Completion

January 1, 2021

Last Updated

May 3, 2024

Record last verified: 2024-05

Data Sharing

IPD Sharing
Will not share

Locations