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Active, Not Recruiting

NCT Number: NCT05602935

Efficacy and Safety of SOX Regimen Combined With Camrelizumab as Neoadjuvant Treatment in Locally Advanced Gastric Cancer: a Phase II, Single-arm Study

This is a single-arm, phase II study of camrelizumab combined with SOX regimen in subjects with resectable locally advanced gastric cancer. The patients will receive camrelizumab ,S-1 and oxaliplatin given every 3 weeks for 3 cycles as neoadjuvant therapy. After the surgery, adjuvant therapy which includes camrelizumab and SOX regimen will begin.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The Second Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age older than 18 years of age;
  • Histologically or cytological confirmed gastric or gastroesophageal junction adenocarcinoma;
  • Without prior systematic therapy;
  • The Eastern Cooperative Oncology Group Performance status (ECOG PS) 0-1;
  • With measurable lesions according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1;
  • Clinically diagnosed stage cT3-4bN1-3M0 evaluated by CT/MRI/EUS;
  • Life expectancy longer than 12 months;
  • Adequate function of blood, heart, liver, kidney and thyroid.

Exclusion criteria

  • History of immunodeficiency, including HIV positive, or other acquired or congenital immunodeficiency disease, or history of organ transplantation or allogeneic bone marrow transplantation;
  • Unresectable tumor evaluated by investigator;
  • Present of poorly controlled cardiac symptoms or disease, including but not limited to: (1) heart failure with NYHA class II or above (2) unstable angina, (3)myocardial infarction occurred within 1 year (4) clinical significance supraventricular or ventricular arrhythmias without clinical intervention or poorly controlled after clinical intervention;
  • With tumors in other sites;
  • History of any active autoimmune disease, including but not limited to: interstitial pneumonia, enteritis, hepatitis, hypohysitis, vasculitis, nephritis, hyperthyroidism, hypothyroidism (may be considered after hormone replacement therapy);Patients with psoriasis or childhood asthma/allergy who have been in complete remission and do not need any intervention as adults may be considered for inclusion, but patients requiring medical intervention with bronchodilators may not be included;
  • Has a history of allergy to monoclonal antibody, any component of PD-1 Inhibitor, S-1 and oxaliplatin;
  • With any mental illness;
  • Pregnant or lactating women.

Treatment and study plan

Camrelizumab

Drug

200mg, intravenously, d1

SOX

Drug

SOX (S-1: 40~60mg, orally twice daily on days 1 to 14, oxaliplatin 130mg/m2 intravenously on day 1, 21 days per cycle)

Surgery

Procedure

Surgery

Primary outcomes

  1. Pathologic complete response (pCR) rate

    Time frame: 2-4 months

    The AJCC TRG system was used in this study to determine the effects of treatment. TRG 0 indicating athologic complete response (pCR)

Secondary outcomes

  1. R0 resection rate

    Time frame: 2-4 months

  2. Overall response rate(ORR)

    Time frame: 2-4 months

  3. Disease control rate(DCR)

    Time frame: 2-4 months

  4. Major pathological response (MPR)

    Time frame: 2-4 months

    The AJCC TRG system was used in this study to determine the effects of treatment.

  5. Adverse events (AE) rate

    Time frame: 3 years

  6. Event-free survival(EFS)

    Time frame: 3 years

  7. Overall survival(OS)

    Time frame: 5 years

Sponsors and collaborators

Lead sponsor

The Second Affiliated Hospital of Fujian Medical University

Other

Registry information

Important dates

Study start
2020
Primary completion
2022
Study completion
2026
First posted
Nov 2, 2022
Registry last updated
Sep 28, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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