Study on Durvalumab and FLOT Chemotherapy for Treatable Stomach and Gastroesophageal Cancer

Sponsor: AstraZeneca

Sponsor score: 40

ClinicalTrials ID:NCT04592913

This clinical trial is exploring whether a combination of the drug Durvalumab and FLOT chemotherapy, given before and after surgery, is safe and effective for patients with stomach or gastroesophageal cancer that can be removed by surgery.

Patient Parameters

Program Overview

The purpose of this study is to test if using Durvalumab, a type of immunotherapy, along with FLOT chemotherapy (a mix of four drugs: flurouroacil, leucovorin, oxaliplatin, and docetaxel) before and after surgery can help treat stomach and gastroesophageal cancer that can be surgically removed. The study also aims to learn more about the cancer and related health issues.

Description

This study is investigating a treatment approach for patients with stomach or gastroesophageal cancer that can be removed by surgery. The treatment involves using Durvalumab, an immunotherapy drug, or a placebo, combined with FLOT chemotherapy both before surgery (to shrink the tumor) and after surgery (to eliminate any remaining cancer cells). The goal is to see if this combination is safe and effective in treating the cancer and to gain a better understanding of the disease and its associated health problems.

Eligibility Criteria

Inclusion Criteria

  • Have a confirmed diagnosis of stomach or gastroesophageal junction cancer that can be surgically removed (Stage II or higher).
  • Must be able to undergo major surgery to remove the cancer.
  • Have not received any previous treatment for this cancer.
  • Be in good overall health, with a performance status score of 0 or 1, meaning fully active or restricted in physically strenuous activity but ambulatory.
  • Have adequate organ and bone marrow function as determined by medical tests.
  • Provide a tumor sample before starting the study.
  • Have a life expectancy of at least 24 weeks.

Exclusion Criteria

  • Have cancer that has spread to the lining of the abdomen or to distant parts of the body.
  • Have certain types of cancer, such as adenosquamous cell carcinoma, squamous cell carcinoma, or gastrointestinal stromal tumor.
  • Have used immunosuppressive medications within 14 days before starting Durvalumab.
  • Have any medical conditions that prevent the use of the study drugs.
  • Have a history of organ transplantation from another person.

Locations

FACILITYZIPCITYSTATE
Research Site91010DuarteCalifornia
Research Site90027Los AngelesCalifornia
Research Site90095Los AngelesCalifornia
Research Site91342SylmarCalifornia
Research Site33705St. PetersburgFlorida
Research Site32308TallahasseeFlorida
Research Site33401West Palm BeachFlorida
Research Site46804Fort WayneIndiana
Research Site40217LouisvilleKentucky
Research Site02215BostonMassachusetts

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