Perioperative Treatment in Resectable Gastric Cancer With Spartalizumab (PDR001) in Combination With Fluorouracil, Leucovorin, Oxaliplatin, and Docetaxel (FLOT)
GASPAR
Sponsor study identifier
interventional
67
1 country
13
Study Start
June 28, 2021
Actual (reported)Primary Completion
March 1, 2024
Actual (reported)Study Completion
November 27, 2025
Actual (reported)Multicenter, open-label, non randomized, phase 2 trial in resectable gastric or gastroesophageal junction adenocarcinoma: Perioperative Treatment by Spartalizumab (PDR001) in Combination with fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT)
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
November 27, 2025
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 26, 2021
Actual (reported)February 3, 2021
Actual (reported)June 28, 2021
Actual (reported)March 1, 2024
Actual (reported)November 27, 2025
Actual (reported)April 14, 2026
Actual (reported)Pathologic Response After Pre-operative Treatment
Proportion of patients with pCR (pathologic complete response) in the primary tumour defined as: no tumour residue found in the tissue collected during the surgery evaluated by the pathologist. For the primary objective, the pathologic response after pre-operative treatment will be assessed by the local experienced pathologists. Tumour regression grade will be quantified using the Becker regression criteria, which are based on the estimation of the percentage of vital tumour cells in relation to the macroscopically identifiable tumour bed and include the following categories: * TRG1a (equivalent to pathological complete regression; no residual tumour cells); * TRG1b (subtotal regression; \<10% residual tumour cells); * TRG2 (partial regression; 10-50% residual tumour cells); and * TRG3 (minor or no regression; \>50% residual tumour cells).
At surgery, an average 3 months after treatment initiation
Evaluate the Impact of Perioperative Treatment on Disease-free Survival
24 months after study enrollment
Evaluate the Impact of Perioperative Treatment on Overall Survival
24 months after enrollment
The Correlation Between Pathologic Complete Response and Survival Outcomes (Disease-free and Overall Survival)
At surgery, an average 3 months after treatment initiation
Treatment-Related Adverse Events
Toxicities occurring up to 1 month after the end of treatment
Standard FLOT regimen * Docetaxel 50 mg/m² IV infusion on D1 * Oxaliplatine 85 mg/m² IV infusion on D1 * Leucovorin 200 mg/m² IV infusion on D1 * Fluorouracile 2600 mg/m² 24 h IV infusion on D1 with Spartalizumab PDR001 Patients will received the fixed dose of 400 mg per IV infusion on D1 every four weeks (q4w) for 2 pre-operative cycles (8 weeks) and 2 post-operative cycles (8 weeks)
FLOT + Spartalizumab
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
CHU Besançon
Besançon, France
Centre François Baclesse
Caen, France
Centre Georges Francois Leclerc
Dijon, France
Chru Lille
Lille, France
APHM Marseille
Marseille, France
Institut Régional Cancer
Montpellier, France
APHP St Louis
Paris, France
Institut Mutualiste Montsouris
Dos Santos M, Lequesne J, Piessen G, Leconte A, Guimbaud R, Pernot S, Bouche O, Hiret S, Soularue E, Tougeron D, Dahan L, Le Sourd S, Borg C, Samalin E, Corbinais S, Parzy A, Guilloit JM, Varatharajah S, Brachet PE, Dorbeau M, Galais MP, Desgrippes R, Clarisse B. Perioperative treatment in resectable gastric cancer with spartalizumab in combination with fluorouracil, leucovorin, oxaliplatin and docetaxel (FLOT): Results from the GASPAR phase 2 study. Eur J Cancer. 2026 Mar 11;236:116258. doi: 10.1016/j.ejca.2026.116258. Epub 2026 Jan 30.
Klute KA, Shah MA. Evolving Therapeutics for Resectable Esophageal Adenocarcinoma. J Natl Compr Canc Netw. 2025 May;23(5):e257044. doi: 10.6004/jnccn.2025.7044.
67 participants (actual enrollment reported by the registry).
First Submitted
January 26, 2021
First Posted
February 3, 2021
Study Start
June 28, 2021
Actual (reported)Primary Completion
Contact the study team to confirm eligibility.
Paris, France
CHU Poitiers
Poitiers, France
CHU Robert Debré
Reims, France
Centre Eugène Marquis
Rennes, France
ICO St Herblain
Saint-Herblain, France
CH St Malo
St-Malo, France
Dos Santos M, Lequesne J, Leconte A, Corbinais S, Parzy A, Guilloit JM, Varatharajah S, Brachet PE, Dorbeau M, Vaur D, Weiswald LB, Poulain L, Le Gallic C, Castera-Tellier M, Galais MP, Clarisse B. Perioperative treatment in resectable gastric cancer with spartalizumab in combination with fluorouracil, leucovorin, oxaliplatin and docetaxel (FLOT): a phase II study (GASPAR). BMC Cancer. 2022 May 12;22(1):537. doi: 10.1186/s12885-022-09623-z.
March 1, 2024
Actual (reported)Study Completion
November 27, 2025
Actual (reported)Last Updated
May 8, 2026
Results First Posted
April 14, 2026
Record last verified: 2026-04
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