Study of Zolbetuximab Plus Chemotherapy vs. Placebo Plus Chemotherapy for Advanced Stomach or GEJ Cancer

Sponsor: Astellas Pharma Global Development, Inc.

Sponsor score: 60

ClinicalTrials ID:NCT03653507

This study is testing a new treatment, Zolbetuximab, combined with chemotherapy, for people with advanced stomach or gastroesophageal junction (GEJ) cancer. It aims to see if this combination is more effective than chemotherapy alone.

Patient Parameters

Program Overview

This clinical trial is exploring whether Zolbetuximab, a drug that targets a protein called Claudin 18.2 found in many stomach and GEJ cancers, can improve treatment outcomes when combined with chemotherapy. Participants will either receive Zolbetuximab with chemotherapy or a placebo with chemotherapy. The study is being conducted in countries where Zolbetuximab is not yet approved. If it becomes approved during the study, participants in those countries will switch to the approved treatment. The main goal is to see if Zolbetuximab with chemotherapy is more effective than a placebo with chemotherapy in treating advanced stomach or GEJ cancer.

Description

In this study, participants will receive either Zolbetuximab with chemotherapy or a placebo with chemotherapy. The treatment is given in cycles, with Zolbetuximab or placebo and oxaliplatin administered through an infusion every three weeks, and capecitabine taken as tablets twice daily for the first two weeks of each cycle. Participants may continue receiving Zolbetuximab or placebo until their cancer worsens, they cannot tolerate the treatment, or they need another cancer treatment. Chemotherapy with CAPOX will be given for up to six months, after which participants may continue with capecitabine alone. Regular clinic visits will monitor participants' health and any side effects. Scans will be conducted to check for changes in the cancer. Participants may provide a tumor sample after treatment ends. Follow-up visits will occur within seven days after stopping treatment, and additional visits at one and three months after stopping treatment. Participants will have regular scans and health checks by phone every three months.

Eligibility Criteria

Inclusion Criteria

  • Women must not be pregnant and agree to use contraception during treatment and for a specified time after.
  • Men must agree to use contraception and not donate sperm during treatment and for a specified time after.
  • Must have a confirmed diagnosis of advanced stomach or GEJ cancer.
  • Cancer must be locally advanced, unresectable, or metastatic.
  • Tumor must express Claudin 18.2 protein and be HER2-negative.
  • Must have a good performance status and a life expectancy of at least 12 weeks.
  • Must meet specific blood and organ function criteria based on recent lab tests.

Exclusion Criteria

  • Cannot have had prior chemotherapy for advanced stomach or GEJ cancer.
  • Cannot have had recent radiotherapy or other treatments with known antitumor activity.
  • Cannot be on systemic immunosuppressive therapy.
  • Cannot have severe allergies to study drugs or components.
  • Cannot have certain medical conditions, such as significant heart disease or active infections.
  • Cannot have other active cancers requiring treatment.
  • Cannot have conditions that interfere with study participation or data interpretation.

Locations

FACILITYZIPCITYSTATE
Pacific Cancer Care93940MontereyCalifornia
University of Kansas Cancer Center and Medical Pavilion66205FairwayKansas
Ochsner Clinic CCOP70121New OrleansLouisiana
New Mexico Oncology Hematology87109AlbuquerqueNew Mexico
Weill Cornell Medical College (WCMC)10021New YorkNew York
Montefiore Medical Center (MMC)10467The BronxNew York
Prisma Health Cancer Institute29316Boiling SpringsSouth Carolina
Parkland Hospital75390DallasTexas
University of Texas Southwestern Medical Center75390DallasTexas
Houston Methodist Cancer Center and Institute of Academic Medicine - Oncology77030HoustonTexas

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