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Trial Title: SHR-A1904 Compared With Investigator's Choice of Therapy in Claudin18.2 Positive Patitens With Second-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma

NCT ID: NCT06649292

Condition: Second-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma

Conditions: Official terms:
Adenocarcinoma
Esophageal Neoplasms
Paclitaxel
Docetaxel
Irinotecan

Study type: Interventional

Study phase: Phase 3

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: SHR-A1904
Description: SHR-A1904
Arm group label: Treatment group A: SHR-A1904

Intervention type: Drug
Intervention name: Paclitaxel, Docetaxel, Irinotecan
Description: Paclitaxel, Docetaxel, Irinotecan
Arm group label: Treatment group B: Paclitaxel, Docetaxel, Irinotecan.

Summary: The study evaluated the overall survival (OS) of SHR-A1904 versus investigator-selected treatment in second-line CLDN18.2-positive advanced GC/GEJC patients

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age 18 to 75 years old (including boundary values) 2. Volunteer to participate in this clinical study and sign informed consent; 3. ECOG score 0-1; 4. Expected survival ≥3 months; 5. Gastric or Gastroesophageal Junction Adenocarcinoma; 6. positive CLDN18.2 expression in tumor tissue; 7. There is at least one measurable or evaluable lesion that meets the RECIST 1.1 criteria; 8. Adequate bone marrow and organ function. Exclusion Criteria: 1. Received anti-tumor therapies such as chemotherapy, radiotherapy, biological therapy, targeted therapy, or immunotherapy within 4 weeks before the first dose of the study 2. HER2 posotive (IHC 3+ or IHC 2+/ISH +); 3. Toxicities caused by previous anticancer therapy were not recovered to CTCAE 5.0 Grade≤1; 4. Individuals with Leptomeningeal metastasis or Active brain metastases; 5. Individuals with a history of GI perforation or fistula, unstable GI bleeding; 6. Individuals with a history of severe cardiovascular and cerebrovascular diseases; 7. The researcher determined that there are other situations that are not suitable for participation.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Sun Yat-sen University Cancer Center

Address:
City: Guangzhou
Zip: 510060
Country: China

Investigator:
Last name: Ruihua Xu
Email: Principal Investigator

Start date: November 10, 2024

Completion date: March 20, 2028

Lead sponsor:
Agency: Shanghai Hengrui Pharmaceutical Co., Ltd.
Agency class: Industry

Source: Shanghai Hengrui Pharmaceutical Co., Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06649292

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