Study of Atezolizumab + FLOT vs. FLOT Alone in Patients With GC/GEJ and High Immune Responsiveness
NCT03421288 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 677
Last updated 2025-07-25
Summary
This is a multicenter, randomized, controlled, open-label study comparing perioperative atezolizumab with FLOT chemotherapy versus FLOT alone in patients with locally advanced, operable adenocarcinoma of the stomach or GEJ with high immune responsiveness.
Conditions
- Gastric Cancer
- Gastroesophageal Junction Adenocarcinoma
Interventions
- DRUG
-
Day 1 q2w: 840 mg IV over 1 hour (4 cycles perioperative with FLOT) + Day 1 q3w: 1200 mg IV over 1 hour (8 additional cycles monotherapy)
- DRUG
-
Day 1 q2w: 2600 mg/m² IV over 24 hours
- DRUG
-
Calciumfolinat
Day 1 q2w: 200 mg/m² IV over 1 hour
- DRUG
-
Day 1 q2w: 85 mg/m² IV over 2 hours
- DRUG
-
Day 1 q2w: 50 mg/m² IV over 1 hour
Sponsors & Collaborators
-
Roche Pharma AG
collaborator INDUSTRY -
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
lead OTHER
Principal Investigators
-
Salah-Eddin Al-Batran, Prof. · Institute of Clinical Cancer Research IKF at Krankenhaus Nordwest
-
Thorsten Goetze, Prof. · University Cancer Center Frankfurt, Krankenhaus Nordwest
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-09-14
- Primary Completion
- 2027-05-31
- Completion
- 2027-12-31
Countries
- Germany
- Switzerland
Study Locations
More Related Trials
-
HIPEC + FLOT vs. FLOT Alone in Patients With Gastric Cancer and GEJ (PREVENT)
NCT04447352 ·Status: RECRUITING ·Phase: PHASE3
-
A Study of Atezolizumab and Trastuzumab in Combination With Capecitabine and Oxaliplatin in Patients With HER2 Positive Locally Advanced Resectable Gastric Cancer of Adenocarcinoma of Gastroesophageal Junction
NCT04661150 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
5-FU, Leucovorin, Oxaliplatin and Docetaxel (FLOT) Versus Epirubicin, Cisplatin and 5-FU (ECF) in Patients With Locally Advanced, Resectable Gastric Cancer
NCT01216644 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Study of Novel Agents or Combinations as Perioperative Treatment in Participants With Locally Advanced Resectable Gastroesophageal Adenocarcinoma
NCT07069712 ·Status: RECRUITING ·Phase: PHASE2
-
FLOT vs. FLOT/Herceptin/Pertuzumab for Perioperative Therapy of HER-2 Expressing Gastric or GEJ Cancer
NCT02581462 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Testing Immunotherapy (Atezolizumab) With or Without Chemotherapy in Locoregional MSI-H/dMMR Gastric and Gastroesophageal Junction (GEJ) Cancer
NCT05836584 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Study to Assess the Pharmacokinetics, Efficacy, and Safety of Atezolizumab Administered Intravenously (IV) as a Single Agent or in Combination With Chemotherapy in Chinese Participants With Locally Advanced or Metastatic Solid Tumors
NCT02825940 ·Status: COMPLETED ·Phase: PHASE1
-
Chemotherapy Alone vs. Chemotherapy + Surgical Resection in Patients With Limited-metastatic Adenocarcinoma of the Stomach or Esophagogastric Junction
NCT02578368 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of Total Neoadjuvant Chemotherapy With FLOT VS Standard Perioperative FLOT in Patients With Gastric or GEJ Cancer
NCT05567835 ·Status: TERMINATED ·Phase: PHASE2
-
Safety and Efficacy of an Anticancer Medication Combined With Immune Cells in Subjects With Gastrointestinal Cancer
NCT03474861 ·Status: UNKNOWN ·Phase: PHASE1
-
Explorative Phase II Study of Perioperative Treatment in Patients With Adenocarcinoma of the Gastroesophageal Junction or Stomach
NCT01472029 ·Status: COMPLETED ·Phase: PHASE2
-
A LM-302 Combination With Other Anti-Tumor Therapies Phase ll Study
NCT05934331 ·Status: RECRUITING ·Phase: PHASE2
-
An Open Label Phase 2 Study of Total Neoadjuvant Therapy (TNT) Consisting of FLOT With Pembrolizumab and Short Radiation for Patients With Locally Advanced Gastroesophageal Junction Adenocarcinoma
NCT07018570 ·Status: RECRUITING ·Phase: PHASE2
-
Fruquintinib Combined With Trastuzumab and XELOX as First-line Treatment in Patients With HER2-positive Advanced Gastric Cancer
NCT07334431 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Perioperative Chemotherapy Plus Trastuzumab Plus Toripalimab in HER2 Positive Locally Advanced Gastric or Esophagogastric Junction Adenocarcinoma
NCT05715931 ·Status: RECRUITING ·Phase: PHASE2
-
Response Adapted Neoadjuvant Therapy in Gastroesophageal Cancers (RANT-GC Trial)
NCT05733689 ·Status: RECRUITING ·Phase: PHASE1
-
PD-1 Monoclonal Antibody Combined With FLOT Regimen for Neoadjuvant Therapy of Gastric Adenocarcinoma
NCT04341857 ·Status: UNKNOWN ·Phase: PHASE2
-
Personalized Targeted IMMUNOtherapy-based Regimens in Recurrent GASTric Adenocarcinoma (IMMUNOGAST)
NCT04739202 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study to Explore the Efficacy and Safety of Atezolizumab Plus Tiragolumab and Chemotherapy in 1st Line HER2 Negative Unresectable, Recurrent or Metastatic Gastric Cancer or Adenocarcinoma of Gastroesophageal Junction (GEJ)
NCT04933227 ·Status: TERMINATED ·Phase: PHASE2
-
Efficacy and Safety of AK112 Combined Chemotherapy as Neoadjuvant Treatment for Signet Ring Cell-containing G/GEJ Adenocarcinoma
NCT07091227 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Safety and Activity of IMAB362 in Combination With Zoledronic Acid and Interleukin-2 in CLDN18.2-positive Gastric Cancer
NCT01671774 ·Status: COMPLETED ·Phase: PHASE1
-
Modified FOLFOX Plus/Minus Nivolumab and Ipilimumab vs. FLOT Plus Nivolumab in Patients With Previously Untreated Advanced or Metastatic Gastric Cancer
NCT03647969 ·Status: COMPLETED ·Phase: PHASE2
-
Synergistic Effects of PD-1 Antibody and Chemotherapy/Targeted Therapy Followed by Surgery-centric Local Treatment in Patients With Limited-metastatic Gastric Cancer
NCT06468280 ·Status: RECRUITING ·Phase: PHASE2
-
To Evaluate the Efficacy of CT041 in Sequential Treatment After First-line Treatment of Advanced Gastric/Esophagogastric Junction Adenocarcinoma
NCT07179484 ·Status: RECRUITING
-
Clinical Trial to Compare Apatinib Plus Irinotecan Versus Single Irinotecan as Second-line Treatment in AGC or EGJA
NCT03030937 ·Status: UNKNOWN ·Phase: PHASE2