First-Line and Neoadjuvant Immunotherapy for Gastric Cancer
Prospective Cohort Study on the Efficacy, Adverse Effects, and Biomarkers of First-Line/Neoadjuvant Therapy With Immune Checkpoint Inhibitors Combined With Chemotherapy in Advanced Gastric Cancer
1 other identifier
observational
500
1 country
1
Brief Summary
This prospective observational study aims to evaluate the efficacy and safety of immune checkpoint inhibitors as first-line and neoadjuvant therapy for advanced gastric cancer, while also investigating relevant biomarkers to better understand their role in immunotherapy outcomes
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2022
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 15, 2022
CompletedFirst Submitted
Initial submission to the registry
September 27, 2024
CompletedFirst Posted
Study publicly available on registry
December 11, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 15, 2028
December 11, 2024
December 1, 2024
5 years
September 27, 2024
December 10, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Overall survival (OS)
The time from the starting date of study drug to death
12 months after the last subject participating in
Secondary Outcomes (7)
Disease Control Rate (DCR) as assessed by RECIST1.1
6 months after the last subject participating in
Duration of response (DOR) as assessed by RECIST1.1
12 months after the last subject participating in
Number of participants with treatment-related adverse events as assessed by CTCAE5.0
12 months after the last subject participating in
Progression-free survival (PFS) as assessed by RECIST1.1
12 months after the last subject participating in
Objective remission rate (ORR) as assessed by RECIST1.1
3 months after the last subject participating in
- +2 more secondary outcomes
Study Arms (2)
ICI plus chemotherapy
Chemotherapy
Interventions
This intervention involves the administration of immune checkpoint inhibitors (ICIs) in combination with standard chemotherapy.
This intervention involves the administration of standard chemotherapy alone.
Eligibility Criteria
Patients with pathologically defined, locally inoperable or advanced gastric cancer who have not received any previous anti-tumor therapy and are expected to receive immunotherapy.
You may qualify if:
- Age 18 years old or above
- Patients with advanced gastric cancer or locally advanced gastric cancer
- Have not received any previous anti-tumor therapy
- Patients expected to receive immunotherapy for first-line or neoadjuvant therapy
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Adequate organ function
You may not qualify if:
- Patients with contraindications to immunotherapy
- Have received anti-tumor treatments such as immunotherapy and chemotherapy
- Have a history of active immune deficiency or autoimmune diseases, including HIV positive test, or have other acquired or congenital immune deficiency diseases, or have a history of organ transplantation or autoimmune diseases
- Severe chronic or active infection requires systemic antibacterial, antifungal, or antiviral treatment, including tuberculosis infection. Have a history of active tuberculosis infection ≥ 1 year before recruitment should also be excluded, unless proved has been completed appropriate treatment
- History of allogeneic stem cell transplantation or organ transplantation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Qilu Hospital of Shandong University
Jinan, Shandong, 250012, China
Biospecimen
Collect the peripheral blood and feces of patients before and after treatment, and obtain pathological sections if possible.
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lian Liu, MD
Qilu Hospital of Shandong University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Year
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor, Chief Physician
Study Record Dates
First Submitted
September 27, 2024
First Posted
December 11, 2024
Study Start
January 15, 2022
Primary Completion (Estimated)
January 15, 2027
Study Completion (Estimated)
January 15, 2028
Last Updated
December 11, 2024
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share