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 · Type: INTERVENTIONAL · Enrollment: 262
Last updated 2024-08-09
Summary
Patients with Her2 negative, previously untreated metastatic esophagogastric adenocarcinoma will be treated with modified FOLFOX, with modified FOLFOX plus Nivolumab and Ipilimumab or FLOT plus Nivolumab. The groups will be compared for time until progression of the disease (primary endpoint) as well as for response to the treatment, overall survival, safety/tolerability of the treatment and quality of life.
Conditions
- Adenocarcinoma of the Stomach
- GastroEsophageal Cancer
Interventions
- DRUG
-
Nivolumab 240mg "Flatdose" i.v. d1 over 30 minutes every 2 weeks
- DRUG
-
1mg/kg i.v. d1 over 30 minutes every 6 weeks
- DRUG
-
mFOLFOX
Oxaliplatin at a dose of 85 mg/m² iv over two hours (day 1), Leucovorin at a dose of 400 mg/m2 iv over two hours (day 1), Fluorouracil at a dose of 400 mg/m² iv bolus (day 1), and Fluorouracil at a dose of 2400 mg/m² iv continuous infusion over 44 hours (day 1+2) every 2 weeks
- DRUG
-
FLOT
Docetaxel at a dose of 50 mg/m² iv over one hour (day 1), Oxaliplatin at a dose of 85 mg/m² iv over two hours (day 1), Leucovorin\* at a dose of 200 mg/m² iv over one hour (day 1), Fluorouracil at a dose of 2600 mg/m² iv over 24 hours (day 1) every 2 weeks \* Note: Leucovorin can be replaced by sodium folinate that is given according to local guideline.
Sponsors & Collaborators
-
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
lead OTHER
Principal Investigators
-
Salah-Eddin Al-Batran, Prof. Dr. · 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
- 2018-11-07
- Primary Completion
- 2024-07-19
- Completion
- 2024-07-19
Countries
- Germany
Study Locations
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