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NCT Number: NCT06992362

Perioperative Treatment of Hepatoid Adenocarcinoma of Stomach

The goal of this clinical trial is to learn if treatment modality including Disitamab Vedotin (RC48), Oxaliplatin,Tegafur,Gimeracil and Oteracil Porassium Capsules (SOX)and Sindillimab works to treat locally advanced hepatoid adenocarcinoma of stomach. It will also learn about the safety of this modality. The main aim it aims to achieve are:

* To evaluate the perioperative efficacy of RC48 combined with sindillizumab and SOX in the treatment of locally advanced HER2-expressing hepatoid adenocarcinoma of stomach * To evaluate the safety and long-term benefits of RC48 combined with sindillizumab and SOX regimens in perioperative treatment of locally advanced HER2-expressing hepatoid adenocarcinoma of stomach

Participants will:

* Preoperative treatment with RC48, SOX and sindillizumab for 4 cycles * Radical surgery after 4-6 weeks of the preoperative treatment * Adjuvant treatment with RC48, Tegafur,Gimeracil and Oteracil Porassium Capsules and sindillizumab for 4 cycles

Recruiting

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Peking University Cancer Hospital & Institute

Beijing, China

Location status: Recruiting

Location contact

Jialin Li, MD

CONTACT

[email protected]

+861088196970

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • The histological type of gastric hepatoid adenocarcinoma was confirmed by pathological biopsy;
  • HER2 expression (Immunohistochemistry: 1+,2+,3+);
  • Patients with clinical stage II-III;
  • Those who are expected to complete R0 excision;
  • ECOG score 0~1;
  • Generally in good condition, perioperative treatment and surgical resection can be tolerated;
  • Patients were enrolled voluntarily.

Exclusion criteria

  • Combined with other malignant tumors (excluding thyroid papillary carcinoma, facial basal cell carcinoma and other low-grade malignant tumors); -Patients with obstruction, bleeding, etc. who need surgical intervention after evaluation by clinicians;
  • dMMR/MSIH status;
  • Received other anti-tumor therapy before enrollment.

Treatment and study plan

Perioperative treatment

Drug

RC48+SOX+Sindilizumab

Primary outcomes

  1. pathological complete response rate

    Time frame: within 10 days after surgery

    The proportion of subjects with node-negative lymph nodes and without residual viable tumor cells in the total number of subjects

Secondary outcomes

  1. major pathological response rate

    Time frame: within 10 days after surgery

    The proportion of subjects with surviving tumor cells ≤10% in total subjects;

  2. Objective response rate

    Time frame: From enrollment to surgery, assessed up to 3 months

    Proportion of patients who achieved pre-defined tumor volume reduction , including patients with complete response (CR) and partial response (PR).

  3. Event-free survival

    Time frame: From date of enrollment until the date of first documented progression, recurrence or date of death from any cause, whichever came first, assessed up to 3 years

    From the start of treatment to the first occurrence of any of the following events: disease progression without surgical treatment, local or distant recurrence, death from any cause

  4. Disease free survival

    Time frame: From date of surgery until the date of first documented recurrence or date of death from any cause, whichever came first, assessed up to 3 years

    It usually starts from the time when the patient receives treatment (such as surgery), and ends at the time when the disease recurs (such as tumor recurrence, metastasis) or when the patient dies for any reason

  5. overall survival

    Time frame: From date of diagnosis until the date of death from any cause, assessed up to 3 years

    It refers to the period from when the patient is diagnosed until death due to any cause.

Study contacts

Contact information is provided by the study sponsor or research team.

Anqiang Wang

CONTACT

[email protected]

861088196970

Jialin Li

CONTACT

[email protected]

861088196970

Sponsors and collaborators

Lead sponsor

Peking University Cancer Hospital & Institute

Other

Registry information

Official study title

Prospective, Single-arm, Single-center Phase II Clinical Study of Perioperative Precision Treatment for Locally Advanced Hepatoid Adenocarcinoma of Stomach

Acronym: HASCHANGE01

Important dates

Study start
2025
Primary completion
2026
Study completion
2029
First posted
May 28, 2025
Registry last updated
Sep 16, 2025

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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