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NCT04744649: NICE

Neoadjuvant Immunotherapy and Chemotherapy for Locally Advanced Esophagogastric Junction and Gastric Cancer Trial

Status unknown Phase 2 Last updated 15 November 2022
What this trial tests

Phase 2 trial testing XELOX or SOX in Gastric Cancer in 110 participants. Status unknown.

Timeline
12 March 2021
Primary endpoint
30 December 2023
30 December 2024

Quick facts

Lead sponsorNanfang Hospital, Southern Medical University
PhasePhase 2
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment110
Start date12 March 2021
Primary completion30 December 2023
Estimated completion30 December 2024
Sites10 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Nanfang Hospital, Southern Medical University

Who can join

Adults 18 to 75, any sex, with Gastric Cancer or Stomach Neoplasm. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

For locally advanced esophagogastric junction and gastric cancer (cT3-4aNxM0 or cT2N+M0), neoadjuvant chemotherapy can downstage T and N stage,treated distant micrometastases early before local therapy has begun, and finally improve the long-term survival. Combination of perioperative PD-1 antibody and chemotherapy for locally advanced esophagogastric junction and gastric cancer could be a novel therapy to increase response rate and reduce recurrence rate. JS001 in this study is a Chinese anti-PD-1 monoclonal antibody for injection which has been approved for melanoma. This study is a multi-center, open-label, randomized phase II clinical trial to evaluate safety and efficacy of JS001 in combination with perioperative chemotherapy in locally advanced esophagogastric junction and gastric cancer. Differences in gut microbiome and tumor immune microenvironment were detected to screen people who were more sensitive to immunotherapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Harnessing the immune system against cancer: current immunotherapy approaches and therapeutic targets.
    Kumar AR, Devan AR, Nair B, Vinod BS, et al · · 2021 · cited 98× · PMID 34671902 · DOI 10.1007/s11033-021-06752-9
  2. Role of gut microbiome in cancer immunotherapy: from predictive biomarker to therapeutic target.
    Zhang M, Liu J, Xia Q. · · 2023 · cited 77× · PMID 37770953 · DOI 10.1186/s40164-023-00442-x
  3. PD-1 blockade synergizes with oxaliplatin-based, but not cisplatin-based, chemotherapy of gastric cancer.
    Liu P, Chen J, Zhao L, Hollebecque A, et al · · 2022 · cited 50× · PMID 35769948 · DOI 10.1080/2162402x.2022.2093518
  4. Gut Microbiota Modulation in the Context of Immune-Related Aspects of <i>Lactobacillus</i> spp. and <i>Bifidobacterium</i> spp. in Gastrointestinal Cancers.
    Kaźmierczak-Siedlecka K, Roviello G, Catalano M, Polom K. · · 2021 · cited 49× · PMID 34444834 · DOI 10.3390/nu13082674
  5. Potent therapeutic strategy in gastric cancer with microsatellite instability-high and/or deficient mismatch repair.
    Ooki A, Osumi H, Yoshino K, Yamaguchi K. · · 2024 · cited 37× · PMID 38922524 · DOI 10.1007/s10120-024-01523-4
  6. Heterogeneity and Adjuvant Therapeutic Approaches in MSI-H/dMMR Resectable Gastric Cancer: Emerging Trends in Immunotherapy.
    Wu H, Ma W, Jiang C, Li N, et al · · 2023 · cited 23× · PMID 37667098 · DOI 10.1245/s10434-023-14103-0
  7. Unlocking the Potential: Epstein-Barr Virus (EBV) in Gastric Cancer and Future Treatment Prospects, a Literature Review.
    Corallo S, Lasagna A, Filippi B, Alaimo D, et al · · 2024 · cited 10× · PMID 39338919 · DOI 10.3390/pathogens13090728
  8. Immunotherapy during the Immediate Perioperative Period: A Promising Approach against Metastatic Disease.
    Sandbank E, Eckerling A, Margalit A, Sorski L, et al · · 2023 · cited 10× · PMID 37623021 · DOI 10.3390/curroncol30080540

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Other recruiting trials for Gastric Cancer

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