AzTrials
AzTrials

Advanced Digestive System TumorPhase 2CCGLC-018NCT07053150

A Prospective, Open-label, Exploratory Basket Trial to Evaluate the Efficacy and Safety of Sintilimab Combined With Pyrotinib ± Chemotherapy in Patients With Advanced Digestive System Tumors

A Phase 2 study testing Sintilimab, Pyrotinib and Optional Chemotherapy in people with Advanced Digestive System Tumor, run by Tongji Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This is a prospective, open-label, exploratory, phase II basket clinical trial designed to evaluate the efficacy and safety of sintilimab in combination with pyrotinib with or without chemotherapy in patients with advanced HER2-positive digestive system malignancies. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Digestive System Tumor
What is being tested?
Sintilimab, Pyrotinib and Optional Chemotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteChina
Study dates
15 Aug 2025to 1 Apr 2031
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 years
  • Patients with unresectable locally advanced T3-4 stage or M1 stage metastatic digestive system tumors confirmed by histology or cytology, including gastric cancer, colorectal cancer, hepatocellular carcinoma, biliary tract cancer and pancreatic cancer
  • Patients who have not received systematic treatment in the past or whose disease has progressed or is intolerant after standard first-line treatment, and whose disease has progressed for more than 6 months after neoadjuvant therapy/whose last adjuvant therapy failed/who have completed (new) adjuvant therapy for less than 6 months from disease recurrence can be enrolled
  • Histologically or cytologically confirmed HER2-positive (IHC 3+ or IHC 2+/FISH-amplified/NGS-confirmed) locally advanced or metastatic digestive system tumors (including gastric, colorectal, hepatocellular, biliary tract cancers)
  • ECOG performance status 0-2
  • At least one measurable lesion per RECIST 1.1 criteria
Show all 14Show fewer
  • Adequate organ function:
  • Hematologic: ANC ≥1.5×10⁹/L, platelets ≥75×10⁹/L, hemoglobin ≥9 g/dL
  • Hepatic: Total bilirubin ≤1.5×ULN; ALT/AST ≤2.5×ULN (≤5×ULN for liver metastases/HCC); albumin ≥28 g/L
  • Renal: Serum creatinine ≤1.5×ULN or CrCl ≥50 mL/min; urine protein <2+ (if ≥2+, 24-hour urine protein <1 g)
  • Coagulation: INR ≤2.3 or PT prolongation ≤6 seconds
  • Life expectancy ≥12 weeks
  • Fertile patients must use effective contraception during treatment and for 6 months after last dose
  • Willing and able to provide written informed consent

Who cannot join

  • Previous treatment with any HER2-targeted therapy (e.g., trastuzumab)
  • History of hematologic malignancies
  • Pregnancy, lactation, or plans to become pregnant during study
  • Last anticancer therapy ≤28 days prior to enrollment or unresolved toxicities from prior therapy
  • Contraindications to immunotherapy including:
  • History of organ transplantation
Show all 19Show fewer
  • Severe autoimmune diseases
  • Grade ≥4 immune-related adverse events from prior immunotherapy
  • Uncontrolled active infections
  • Use of systemic immunosuppressants (>10 mg/day prednisone equivalent) within 14 days
  • Known hypersensitivity to PD-1 inhibitors, pyrotinib, or monoclonal antibodies
  • Participation in other clinical trials within 3 months
  • Symptomatic ascites, pleural or pericardial effusion requiring drainage
  • Life-threatening bleeding events within 3 months or arterial/venous thrombosis within 6 months (except stable catheter-related thrombosis)
  • History of pulmonary fibrosis, interstitial lung disease, or drug-related pneumonitis
  • Active tuberculosis requiring treatment or treated within past year
  • Major surgery within 4 weeks or unhealed surgical wounds
  • Severe dysfunction of major organs (heart, lungs, liver, kidneys, CNS)
  • Any other condition that may increase risk or interfere with study results as judged by investigator

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • Tongji Hospital

    Wuhan, Hubei, 430030

    Ze-yang Ding, M.D., +86 13407156200, zyding@tjh.tjmu.edu.cn

    Han Gao, +86 17730117747, gh1023606887@163.com

Other trials in China

About this study

Official title: A Prospective, Open-label, Exploratory Basket Trial to Evaluate the Efficacy and Safety of Sintilimab Combined With Pyrotinib ± Chemotherapy in Patients With Advanced Digestive System Tumors (CCGLC-018)

This is a prospective, open-label, exploratory, phase II basket clinical trial designed to evaluate the efficacy and safety of sintilimab in combination with pyrotinib with or without chemotherapy in patients with advanced HER2-positive digestive system malignancies. Eligible patients include those with locally advanced unresectable or metastatic gastric, colorectal, hepatocellular, biliary tract, or pancreatic cancers. Patients will receive sintilimab and pyrotinib, with chemotherapy regimens selected at the investigator's discretion based on tumor type and clinical condition. The primary endpoint is objective response rate (ORR), with secondary endpoints including progression-free survival (PFS), disease control rate (DCR), overall survival (OS), and safety.

Read the detailed description

Immunotherapy, particularly immune checkpoint inhibitors (ICIs), has significantly advanced the treatment landscape for various solid tumors, but many patients still fail to respond or develop resistance. Combining ICIs with targeted agents may overcome these limitations. Pyrotinib is a pan-ErbB irreversible tyrosine kinase inhibitor (TKI) with potent activity against HER2, which is overexpressed in multiple digestive tract cancers including gastric, colorectal, biliary tract, and pancreatic cancers.

This basket trial investigates the efficacy and safety of sintilimab (a PD-1 inhibitor) combined with pyrotinib, with or without chemotherapy, in HER2-positive digestive system tumors. Patients must meet HER2 positivity criteria via IHC, FISH/CISH, or NGS. The study uses a Bayesian adaptive design to independently evaluate efficacy across cancer subtypes.

Patients will receive sintilimab (200 mg IV every 3 weeks) and pyrotinib (400 mg orally daily). Chemotherapy is optional and tailored by tumor type, including regimens such as FOLFOX, GC, XELOX, or AG, among others.

Primary endpoint: ORR per RECIST 1.1. Secondary endpoints: PFS, DCR, OS, and treatment-related adverse events (TRAEs).

The total planned enrollment is approximately 80 patients, with flexible sample size adjustments based on interim Bayesian analysis within each tumor cohort. Exploratory objectives include biomarker analysis (e.g., PD-L1, TMB, HER2 amplification/mutation) and tumor microenvironment changes.

Being tested
Sintilimab, Pyrotinib, Optional Chemotherapy
Keywords
Pyrotinib, Sintilimab, HER2-Positive Advanced digestive system tumors, HER2-positive tumors, Immunotherapy, Targeted therapy

What participants receive

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

  • SintilimabDrug

    Also called Anti-PD-1 Monoclonal Antibody

    Dosage Form: Intravenous (IV) infusion Dosage: 200 mg Frequency: Every 3 weeks (Q3W) Duration: Until disease progression, unacceptable toxicity, or up to 2 years

  • PyrotinibDrug

    Also called Pan-HER Tyrosine Kinase Inhibitor

    Dosage Form: Oral tablet Dosage: 400 mg once daily (QD) Frequency: Continuous daily dosing Duration: Until disease progression or intolerable toxicity

  • Optional ChemotherapyDrug

    1. FOLFOX: Oxaliplatin 85 mg/m² IV Day 1, leucovorin 400 mg/m² IV Day 1, 5-FU 400 mg/m² IV bolus + 2400 mg/m² continuous infusion over 46h (Days 2-3)
    2. GEMOX: Gemcitabine 1000 mg/m² and oxaliplatin 100 mg/m² IV Day 1
    3. GC: Gemcitabine 1000 mg/m² and cisplatin 25 mg/m² IV on Days 1 and 8
    4. XELOX (CapeOX) Oxaliplatin 130 mg/m² IV Day 1, capecitabine 1000 mg/m² PO BID Days 1-14
    5. SOX: Oxaliplatin 130 mg/m² IV Day 1, S-1 PO BID Days 1-14 (dose based on BSA: <1.25 m² = 40 mg, 1.25-<1.5 m² = 50 mg, ≥1.5 m² = 60 mg)
    6. TS: Paclitaxel 80 mg/m² IV Days 1 and 8, S-1 as above
    7. mFOLFOX6: Same as FOLFOX; used primarily in colorectal cancer
    8. FOLFIRINOX: Leucovorin 400 mg/m², 5-FU (bolus + continuous), irinotecan 180 mg/m², oxaliplatin 85 mg/m² IV Day 1
    9. AG:

    Nab-paclitaxel 125 mg/m² and gemcitabine 1000 mg/m² IV on Days 1 and 8

Study groups in NCT07053150
Study groupRoleWhat they receive
HER2-Positive Gastric CancerExperimentalPatients with HER2-positive advanced or metastatic gastric cancer will receive sintilimab (200 mg IV, Q3W) and pyrotinib (400 mg PO, QD), with or without chemotherapy. The investigator may choose from XELOX, SOX, or TS regimens based on clinical evaluation.
Receives: Drug: Sintilimab; Drug: Pyrotinib; Drug: Optional Chemotherapy
HER2-Positive Colorectal CancerExperimentalPatients with HER2-positive advanced or metastatic colorectal cancer will receive sintilimab (200 mg IV, Q3W) and pyrotinib (400 mg PO, QD), with or without chemotherapy. The recommended regimens include mFOLFOX6 or XELOX, at the investigator's discretion.
Receives: Drug: Sintilimab; Drug: Pyrotinib; Drug: Optional Chemotherapy
HER2-Positive Hepatocellular CarcinomaExperimentalPatients with HER2-positive advanced or unresectable hepatocellular carcinoma will receive sintilimab (200 mg IV, Q3W) and pyrotinib (400 mg PO, QD), with or without chemotherapy. Chemotherapy may include FOLFOX or interventional locoregional therapies, as appropriate.
Receives: Drug: Sintilimab; Drug: Pyrotinib; Drug: Optional Chemotherapy
HER2-Positive Biliary Tract CancerExperimentalPatients with HER2-positive advanced or metastatic biliary tract cancer (including intrahepatic and extrahepatic cholangiocarcinoma, gallbladder cancer) will receive sintilimab (200 mg IV, Q3W) and pyrotinib (400 mg PO, QD), with or without chemotherapy. Suggested regimens include GC (gemcitabine + cisplatin) or GEMOX.
Receives: Drug: Sintilimab; Drug: Pyrotinib; Drug: Optional Chemotherapy
HER2-Positive Pancreatic CancerExperimentalPatients with HER2-positive advanced or metastatic pancreatic cancer will receive sintilimab (200 mg IV, Q3W) and pyrotinib (400 mg PO, QD), with or without chemotherapy. Optional chemotherapy regimens include FOLFIRINOX or AG (nab-paclitaxel + gemcitabine).
Receives: Drug: Sintilimab; Drug: Pyrotinib; Drug: Optional Chemotherapy

What is being measured

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

  1. Objective Response Rate (ORR)

    Proportion of patients achieving complete response (CR) or partial response (PR) as assessed by investigators according to RECIST v1.1. Responses must be confirmed by repeat imaging ≥4 weeks (±7 days) after the initial documentation.

    Measured: Up to 24 months.

Secondary outcomes (4)
  1. Progression-Free Survival (PFS)

    Time from initiation of treatment to the first documentation of disease progression per RECIST v1.1 or death from any cause, whichever occurs first.

    Measured: Up to 36 months.

  2. Disease Control Rate (DCR)

    Proportion of patients who achieve CR, PR, or stable disease (SD) as the best overall response per RECIST v1.1.

    Measured: Up to 24 months.

  3. Overall Survival (OS)

    Time from treatment initiation to death from any cause. Patients who are alive at the last follow-up will be censored at the date of last contact.

    Measured: Up to 36 months.

  4. Treatment-Related Adverse Events (TRAEs)

    Incidence, severity, and type of treatment-related adverse events as assessed by NCI-CTCAE v5.0, including laboratory abnormalities and dose interruptions or discontinuations due to toxicity.

    Measured: From first dose through 90 days after last dose.

Timeline

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

  1. First posted8 Jul 2025
  2. Study start15 Aug 2025 (estimated)
  3. Primary completion31 Dec 2030 (estimated)
  4. Study completion1 Apr 2031 (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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07053150
Sponsor's protocol ID
2025-S045
Acronym
CCGLC-018
Status last verified
Jul 2025
First submitted
26 Jun 2025
Last updated
8 Jul 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sintilimab, Pyrotinib and Optional Chemotherapy in people with Advanced Digestive System Tumor, run by Tongji Hospital at 1 site 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 14 inclusion and 19 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: opening soon, as of the sponsor's last update on 8 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Ze-yang Ding, M.D. (+86 13407156200, zyding@tjh.tjmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective Response Rate (ORR) (time frame: Up to 24 months.). 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 8 Jul 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in