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Trial Title: ASKB589 in Combination With CAPOX and PD-1 Inhibitor in Patients With Advanced or Metastatic GC/GEJ Adenocarcinoma

NCT ID: NCT06206733

Condition: Gastroesophageal Junction Adenocarcinoma
Gastric Adenocarcinoma

Conditions: Official terms:
Adenocarcinoma
Esophageal Neoplasms
Capecitabine
Oxaliplatin
Tislelizumab

Conditions: Keywords:
CLDN 18.2
Gastric Adenocarcinoma
Gastroesophageal Junction Adenocarcinoma
ASKB589

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: ASKB589
Description: ASKB589 will be administered as a minimum 3-hour IV infusion
Arm group label: Group A

Intervention type: Drug
Intervention name: Oxaliplatin
Description: Oxaliplatin will be administered as a minimum 2-hour IV infusion
Arm group label: Group A
Arm group label: Group B

Intervention type: Drug
Intervention name: Capecitabine
Description: Capecitabine will be administered orally twice daily (bid).
Arm group label: Group A
Arm group label: Group B

Intervention type: Drug
Intervention name: Tislelizumab
Description: Tislelizumab will be administered every 3 weeks Intravenous infusion on day 1 of each cycle.
Arm group label: Group A
Arm group label: Group B

Intervention type: Drug
Intervention name: Placebo
Description: Placebo will be administered as a minimum 3-hour IV infusion
Arm group label: Group B

Summary: This study is a multicenter, randomized, double-blind, standard-of-care controlled phase III clinical study conducted in China. The purpose of this study is to evaluate the efficacy of ASKB589 plus CAPOX and PD-1 inhibitor compared with placebo plus CAPOX and PD-1 inhibitor (as first-line treatment) as measured by Progression Free Survival (PFS).

Detailed description: This study is a multicenter, randomized, double-blind, standard-of-care controlled phase III clinical study conducted in China. The purpose of this study is to evaluate the efficacy of ASKB589 plus CAPOX and PD-1 inhibitor compared with placebo plus CAPOX and PD-1 inhibitor (as first-line treatment) as measured by Progression Free Survival (PFS). This study will also evaluate efficacy, physical function, safety, and tolerability of ASKB589, as well as its effects on quality of life. Pharmacokinetics (PK) of ASKB589 and the immunogenicity profile of ASKB589 will be evaluated as well.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Histologically confirmed adenocarcinoma of gastric and gastroesophageal junction 2. Advanced recurrent or metastatic disease confirmed by imaging within 28 days prior to randomization 3. Suitable for chemotherapy combined with PD-1 inhibitor 4. Not suitable for anti-HER2 therapy 5. Have at least one measurable lesion according to RECIST1.1 assessed by site investigator within 28 days prior to randomization 6. CLDN 18.2 positive Exclusion Criteria: 1. Patients with active central nervous system (CNS) metastases or suspected carcinomatous meningitis 2. Participants have significant gastric bleeding 3. The presence of clinically uncontrollable third interspace fluid 4. Received anti-CLDN18.2 antibody at any time in the past 5. Suspected complete or partial obstruction of gastroesophageal access

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Beijing cancer hospital

Address:
City: Beijing
Country: China

Status: Recruiting

Contact:
Last name: Shen Lin
Email: doctorshenlin@sina.cn

Start date: January 25, 2024

Completion date: December 30, 2028

Lead sponsor:
Agency: AskGene Pharma, Inc.
Agency class: Industry

Collaborator:
Agency: Jiangsu Aosaikang Pharmaceutical Co., Ltd.
Agency class: Industry

Source: AskGene Pharma, Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06206733

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