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Trial Title: Clinical Study of Taurine Combined With Sintilimab and Chemotherapy for Treatment of Advanced Gastric Cancer

NCT ID: NCT06123455

Condition: Gastric Cancer

Conditions: Official terms:
Stomach Neoplasms

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Dietary Supplement
Intervention name: Taurine
Description: Taurine supplementation in capsules of 1.0 gram of taurine powder. Dosage: 2.0 gram/day. Frequency: 2 time/day.
Arm group label: Taurine + Sintilimab + investigator's choice chemotherapy

Intervention type: Biological
Intervention name: Sintilimab
Description: Sintilimab
Arm group label: Sintilimab + investigator's choice chemotherapy
Arm group label: Taurine + Sintilimab + investigator's choice chemotherapy

Intervention type: Drug
Intervention name: XELOX regimen
Description: Oxaliplatin + capecitabine
Arm group label: Sintilimab + investigator's choice chemotherapy
Arm group label: Taurine + Sintilimab + investigator's choice chemotherapy

Intervention type: Drug
Intervention name: SOX regimen
Description: Oxaliplatin + S-1 (tegafur/gimeracil/oteracil potassium)
Arm group label: Sintilimab + investigator's choice chemotherapy
Arm group label: Taurine + Sintilimab + investigator's choice chemotherapy

Intervention type: Drug
Intervention name: FOLFOX regimen
Description: Oxaliplatin + leucovorin + fluorouracil
Arm group label: Sintilimab + investigator's choice chemotherapy
Arm group label: Taurine + Sintilimab + investigator's choice chemotherapy

Summary: This project aims to evaluate the efficacy and safety of oral taurine supplementation combined with PD-1 inhibitor (sintilimab) and chemotherapy in inducing systemic CD8+ T cell responses and achieving improved gastric cancer patient outcomes than with sintilimab and chemotherapy alone.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age 18 or older, no gender limitation; 2. Pathologically confirmed gastric cancer or adenocarcinoma of the gastroesophageal junction, local lesions cannot be radically resected or metastatic gastric cancer; 3. Expected survival of ≥ 3 months; 4. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1; 5. At least one measurable lesion outside the stomach (RECIST 1.1); 6. Patients informed about the purpose and course of the study and provided a written consent to participate. Exclusion Criteria: 1. Use of taurine agent within 1 month prior to randomization on this study; 2. Patients received prior systemic therapy for gastric cancer; 3. Patients with operable gastric cancer; 4. Patients with positive HER-2 and willing to receive herceptin treatment; 5. Patients with gastrointestinal obstruction or active bleeding in the gastrointestinal tract, as well as perforation and dysphagia; 6. Patients with active autoimmune disease that has required systemic treatment in past 2 years; 7. Patients diagnosed as immunodeficiency or receiving systemic steroid therapy or any other form of immunosuppressive therapy; 8. Patients with severe heart, lung, liver, kidney, endocrine, hematopoietic system or psychiatric diseases were considered not suitable for the study group; 9. Patients with other medical conditions that interfere with the trial and are deemed unsuitable for inclusion in the trial by the investigator; 10. Other conditions that the investigator thinks are not suitable to participate in this clinical trial.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Tang-Du Hospital

Address:
City: Xi'an
Zip: 710038
Country: China

Status: Recruiting

Contact:
Last name: Xin Wang, MD, PhD

Phone: 13571826689
Email: wangx@fmmu.edu.cn

Contact backup:
Last name: Jia Yu, MD

Phone: 1862928617
Email: yj1862928617@163.com

Start date: August 1, 2023

Completion date: July 31, 2025

Lead sponsor:
Agency: Tang-Du Hospital
Agency class: Other

Source: Tang-Du Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06123455

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