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Stomach CancerPhase 3NCT04486651

HX008 Plus Irinotecan Versus Placebo Plus Irinotecan as Second-line Treatment in Advanced Gastric Cancer

A Phase 3 study testing Irinotecan Hydrochloride Injection and HX008 in people with Stomach Cancer, run by Taizhou Hanzhong biomedical co. LTD at 64 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a randomized, double-blinded, multicenter study to evaluate the efficacy and safety of HX008 injection combined with irinotecan versus placebo combined with irinotecan as second-line therapy in patients with adcanced gastric or gastroesophageal junction (GEJ) adenocarcinoma who have had tumor progression after… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Stomach Cancer
What is being tested?
Irinotecan Hydrochloride Injection and HX008
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
560 participants
Where
64 sitesChina
Study dates
16 Sep 2020to 10 Aug 2023
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Understood and signed an informed consent form.
  • Age ≥ 18 and ≤ 75 years old, male or female.
  • Has histologically- or cytologically-confirmed diagnosis of locally advanced unresectable or metastatic adenocarcinoma of stomach or the esophagogastric junction (GEJ).
  • Has experienced documented objective radiographic or clinical disease progression during or after first-line therapy containing platinum and/or fluoropyrimidine therapy.
  • Willing to provide tissue for PD-L1 biomarker analysis.
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Score.
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  • Life expectancy ≥ 3 months.
  • Has adequate organ function.
  • Female participants of childbearing potential should have a negative pregnancy within 72 hours before the randomization. Male and female participants should agree to use an adequate method of contraception during the experiment and 1 year after the last administration of the test drugs.

Who cannot join

  • Has squamous cell or undifferentiated gastric cancer.
  • Diagnosed additional maliganancy within 3 years prior to randomization with the expection of curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin,curatively resected in situ cervival or non-muscle invasive bladder cancers.
  • Has had a prior anti-cancer monoclonal antibody within 4 weeks prior to the first dose of trial treatment or who has not recovered (≤ Grade 1 or at Baseline) from AEs due to agents administered more than 4 weeks earlier.
  • Has had prior chemotherapy,radiation therapy or targeted small molecular therapy within 2 weeks prior to the first dose of trial treatment or who has not recovered (≤ Grade 1 or at Baseline) from AEs due to a previously administrated agent.
  • Has received prior therapy with an anti-PD-1, or anti-PD-L1, or anti-CTLA-4 agents.
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
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  • Has uncontrolled ascites, pleural effusion, or pericardial effusion.
  • Has active autoimmune disease that has required systemic treatment in past 2 years.
  • Has received a major surgery within 4 weeks prior to randomization.
  • Has received system treatment with corticosteroids (dose >10mg/day prednison or other therapeutic hormones) within 2 weeks prior to the first dose of trial treatment.
  • Has incomplete intestinal obstruction, active gastrointestinal hemorrhage and perforation.
  • Has a history of non-infectious pneumonitis that required steriods or has current pneumonitis.
  • Has any serious and/or uncontrolled disease.
  • Has active viral infection.
  • Has received a live vaccine within 30 days prior to the first dose of trial treatment.
  • Has participated in other anticancer drug clinical trials within 4 weeks.
  • According to the judgement of the investigators, there are other factors that may lead to the termination of the study.

Trial locations and contacts

64 sites in 1 country.

Jing Huang, MD contact

010-87788113

huangjingwg@163.com

64 sites in 1 country

China64 sites, 64 recruiting
  • Beijing ChaoYang Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100020

    Guangyu An

    Recruiting
  • Cancer Hospital, Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100021

    Jing Huang, MD, huangjingwg@163.com

    Recruiting
  • Peking Union Medical College Hospital

    Beijing, Beijing Municipality, 100032

    Lin Zhao

    Recruiting
  • Beijing Friendship Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100050

    Bangwei Cao

    Recruiting
  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100191

    Baoshan Cao

    Recruiting
  • Peking University Internationale Hospital

    Beijing, Beijing Municipality, 102206

    Jun Liang

    Recruiting
  • Jilin Cancer Hospital

    Changchun, Jilin, 130000

    Ying Cheng

    Recruiting
  • The First Hospital of Jilin University

    Changchun, Jilin, 130000

    Wei Li

    Not yet recruiting
  • The Second Xiangya Hospital of Cancer South University

    Changsha, Hunan, 410000

    Xianling Liu

    Recruiting
  • Xiangya Hospital, Central South University

    Changsha, Hunan, 410000

    Shan Zeng

    Not yet recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410200

    Xianli Yin

    Recruiting
  • Changzhou Cancer Hospital

    Changzhou, Jiangsu, 213000

    Yang Ling

    Recruiting
  • Sichuan Cancer Hospital

    Chengdu, Sichuan, 610041

    Jin Lu

    Recruiting
  • Chongqing University Cancer Hospital

    Chongqing, Chongqing Municipality, 400030

    Weiqing Chen

    Recruiting
  • Affiliated Cancer Hospital of Guangzhou Medical University

    Guangzhou, Guangdong, 510095

    Chuan Jin

    Not yet recruiting
  • Zhongshan People's Hospital

    Guangzhou, Guangdong, 528403

    Jianjun Xiao

    Not yet recruiting
  • The First Affiliated Hospital, Sun Yat-sen University

    Guangzhou, Guangzhou, 510080

    Sheng Ye

    Not yet recruiting
  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310003

    Yi Zheng

    Recruiting
  • Zhejiang Provincial People's Hospital

    Hangzhou, Zhejiang, 310014

    Liqin Lu

    Recruiting
  • Sir Run Run Shaw Hospital, Medical School of Zhejiang University

    Hangzhou, Zhejiang, 310016

    Hongming Pan

    Recruiting
  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310022

    Haijun Zhong

    Recruiting
  • The affiliated Cancer Hospital of Harbin Medical University

    Harbin, Heilongjiang, 150081

    Yuxian Bai

    Recruiting
  • Anhui Provincial Cancer Hospital

    Hefei, Anhui, 230000

    Yifu He

    Recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui, 230001

    Yueyin Pan

    Recruiting
  • The Second Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230601

    Zhendong Chen

    Recruiting
  • The Affiliated People's Hospital of Inner Mongolia Medical University

    Hohhot, Inner Mongolia, 010000

    Zhenping Wen

    Recruiting
  • Hubei Cancer Hospital

    Hubei, Wuhan, 430000

    Xinjun Liang

    Recruiting
  • Shandong Provincial Hospital

    Jinan, Shandong, 250000

    Weibo Wang

    Recruiting
  • Shandong Cancer Hospital

    Jinan, Shandong, 250117

    Bo Liu

    Recruiting
  • Yunnan Cancer Hospital

    Kunming, Yunnan, 650100

    Qing Bi

    Not yet recruiting
  • The First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

    Xiaojun Xiang

    Recruiting
  • Jiangxi Cancer Hospital

    Nanchang, Jiangxi, 330029

    Yiye Wan

    Recruiting
  • Guangxi Medical University Cancer Hospital

    Naning, Guangxi, 530021

    Zhihui Liu

    Recruiting
  • Jiangsu Provincial Hospital

    Nanjing, Jiangsu, 210000

    Lingjun Zhu

    Recruiting
  • Nanjing Drum Tower Hospital

    Nanjing, Jiangsu, 210009

    Yang Yang

    Recruiting
  • Zhongda Hospital Southeast Universtiy

    Nanjing, Jiangsu, 210009

    Cailian Wang

    Not yet recruiting
  • Nantong Tumor Hospital

    Nantong, Jiangsu, 226006

    Lei Yang

    Recruiting
  • The Affiliated Hospital of Qingdao University

    Qingdao, Shandong, 266000

    Jing Lv

    Recruiting
  • Shanghai General Hospital

    Shanghai, Shanghai Municipality, 200000

    Hongxia Wang

    Recruiting
  • Shanghai Sixth People's Hospital

    Shanghai, Shanghai Municipality, 200233

    Zan Shen

    Not yet recruiting
  • The First Hospital of China Medical University

    Shenyang, Liaoning, 110001

    Yunpeng Liu

    Not yet recruiting
  • Liaoning Cancer Hospital

    Shenyang, Liaoning, 110042

    Jingdong Zhang

    Recruiting
  • Peking University Shenzhen Hospital

    Shenzhen, Guangdong, 518035

    Shubin Wang

    Recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center

    Shenzhen, Guangdong, 518117

    Chunxia Du

    Recruiting
  • The Fourth Hospital of Hebei Medical University

    Shijiazhuang, Hebei, 050011

    Shengmian Li

    Recruiting
  • The First Hospital of Hebei Medical University

    Shijiazhuang, Hebei, 050051

    Na Li

    Recruiting
  • Affiliated Hospital of Hebei University

    Shijiazhuang, Hebei, 071000

    Aimin Zang

    Recruiting
  • The Second Affiliated Hospital of Soochow University

    Suzhou, Jiangsu, 215000

    Zhixiang Zhuang

    Recruiting
  • Shanxi Cancer Hospital

    Taiyuan, Shanxi, 030013

    Lu Wen

    Recruiting
  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality, 300052

    Diansheng Zhong

    Recruiting
  • The First Affiliated Hospital of Xinjiang Medical University

    Ürümqi, Xinjiang, 830000

    Wenran Wang

    Recruiting
  • Xinjiang Medical University Cancer Hospital

    Ürümqi, Xinjiang, 830000

    Yong Tang

    Not yet recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325000

    Zhiming Huang

    Recruiting
  • Gansu Wuwei Tumor Hospital

    Wuwei, Gansu, 350000

    Rongbo Lin

    Recruiting
  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi’an, Shanxi, 710061

    Enxiao Li

    Not yet recruiting
  • Fujian Cancer Hospital

    Xiamen, Fujian, 350000

    Rongbo Lin

    Recruiting
  • Xuzhou Central Hospital

    Xuzhou, Jiangsu, 221009

    Yuan Yuan

    Recruiting
  • Yangzhou FIrst People's Hospital

    Yangzhou, Jiangsu, 225000

    Jiandong Tong

    Recruiting
  • Yantai Yuhuangding Hospital

    Yantai, Shandong, 264000

    Ping Sun

    Not yet recruiting
  • General Hospital of Ningxia Medical University

    Yinchuan, Ningxia, 750001

    Ping Chen

    Recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan, 450008

    Suxia Luo

    Recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450052

    Qingxia Fan

    Recruiting
  • The First Affiliated Hospital of Henan Science&Technology University

    Zhengzhou, Henan, 471000

    Xinshuai Wang

    Recruiting
  • Henan Provincial People's Hospital

    Zhengzhou, Henan, 540003

    Shundong Cang

    Recruiting

Other trials in China

About this study

Official title: A Randomized, Double-blinded, Multicenter, Phase III Clinical Study of HX008 (Recombinant Humanized Anti-PD-1 Monoclonal Antibody Injection) Plus Irinotecan Versus Placebo Plus Irinotecan as Second-line Treatment in Advanced Gastric Cancer

This is a randomized, double-blinded, multicenter study to evaluate the efficacy and safety of HX008 injection combined with irinotecan versus placebo combined with irinotecan as second-line therapy in patients with adcanced gastric or gastroesophageal junction (GEJ) adenocarcinoma who have had tumor progression after first-line treatment with platinum and/or fluropyrimidine therapy.

Conditions
Stomach Cancer
Being tested
Irinotecan Hydrochloride Injection, HX008, Placebo
Medical subject headings
Stomach Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Irinotecan Hydrochloride InjectionDrug

    160 mg/m² administered as IV infusion on Day 1 of each 14-day cycle.

  • HX008Drug

    200 mg administered as IV infusion on Day 1 of each 21-day cycle.

  • PlaceboDrug

    Administered as IV infusion on Day 1 of each 21-day cycle.

Study groups in NCT04486651
Study groupRoleWhat they receive
HX008 plus IrinotecanExperimentalParticipants recieve HX008 200 mg intravenous (IV) every 3 weeks (Q3W) plus irinotecan 160 mg/m², IV, Q2W.
Receives: Drug: Irinotecan Hydrochloride Injection; Drug: HX008
Placebo plus IrinotecanPlacebo comparatorParticipants recieve placebo intravenous (IV) every 3 weeks (Q3W) plus irinotecan 160 mg/m², IV, Q2W.
Receives: Drug: Irinotecan Hydrochloride Injection; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival (OS) in All Participants

    OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. OS is reported here for all participants in the experimental arm and placebo comparator arm.

    Measured: Up to approximately 36 months

  2. Overall Survival (OS) in Participants With PD-L1 CPS≥1

    OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. OS is reported here for all participants in the experimental arm and placebo comparator arm with PD-L1 CPS≥1.

    Measured: Up to approximately 36 months

Secondary outcomes (4)
  1. Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    PFS was defined as the time from randomization to the first documented disease progression per RECIST 1.1 assessed by investigators or death due to any cause, whichever occurs first.

    Measured: Up to approximately 36 months

  2. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    ORR was defined as the percentage of participants who have a complete response (CR) or a partial response (PR), per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by investigators.

    Measured: Up to approximately 36 months

  3. Disease Control Rate (DCR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    DCR was defined as the percentage of participants who have a CR or a PR or a stable disease (SD), per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by investigators.

    Measured: Up to approximately 36 months

  4. Duration of Response (DOR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    DOR was defined as the time from the first documented evidence of a response of CR or PR, per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as assessed by investigators.

    Measured: Up to approximately 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jul 2020
  2. Study start16 Sep 2020
  3. Primary completion10 Aug 2023 (estimated)
  4. Study completion10 Aug 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
560 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04486651
Sponsor's protocol ID
HX008-III-GC-01
Status last verified
Jan 2021
First submitted
22 Jul 2020
Last updated
28 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Irinotecan Hydrochloride Injection and HX008 in people with Stomach Cancer, run by Taizhou Hanzhong biomedical co. LTD at 64 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 28 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jing Huang, MD (010-87788113, huangjingwg@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Survival (OS) in All Participants (time frame: Up to approximately 36 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2021.

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