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 · Type: INTERVENTIONAL · Enrollment: 26
Last updated 2025-08-26
Summary
This study is to evaluate the effectiveness of treatment for esophagogastric junction carcinoma, total neoadjuvant therapy (TNT) including pembrolizumab and FLOT is conducted, aiming to choose between surgery or organ preservation treatment strategies.
Conditions
- Gastroesophageal Junction (GEJ) Adenocarcinoma
Interventions
- DRUG
-
Pembrolizumab 200mg will be administered via intravenous infusion over 30 minutes, twice at 21-day intervals.
- DRUG
-
Docetaxel 50 mg/m2 will be administered over 60 minutes.
- DRUG
-
Oxaliplatin 85 mg/m2 will be administered over 2 hours.
- DRUG
-
Levofolinate
Leucovorin 200 mg/m2 will be administered over 2 hours.
- DRUG
-
Fluorouracil (5-FU)
5-FU 2600 mg/m2 will be administered over 24 hours.
- RADIATION
-
Radiation Therapy
25Gy (5Gy×5fr)
Sponsors & Collaborators
- collaborator INDUSTRY
-
National Cancer Center Hospital East
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-24
- Primary Completion
- 2030-06-30
- Completion
- 2031-06-30
Countries
- Japan
Study Locations
More Related Trials
-
Neoadjuvant Intra-tumoral RP2 and FLOT in Gastroesophageal Adenocarcinoma
NCT07059611 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Perioperative mFOLFOX Plus Pembrolizumab in Gastroesophageal Junction (GEJ) and Stomach Adenocarcinoma
NCT03488667 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Novel Combinations in Participants With Locally Advanced Unresectable or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma
NCT05702229 ·Status: RECRUITING ·Phase: PHASE2
-
BGB A317 in Combination With Chemotherapy as First-Line Treatment in Adults With Inoperable, Locally Advanced or Metastatic Esophageal, Gastric, or Gastroesophageal Junction Carcinoma
NCT03469557 ·Status: COMPLETED ·Phase: PHASE2
-
Toripalimab Combined With FLOT Neoadjuvant Chemotherapy in Patients With Resectable Gastric Cancer
NCT04354662 ·Status: UNKNOWN ·Phase: PHASE2
-
Neoadjuvant Chemoradiation Plus PD-1 Antibody(SHR-1210) in Locally Advanced Proximal Stomach Adenocarcinoma
NCT03631615 ·Status: UNKNOWN ·Phase: PHASE2
-
FLOT vs. FLOT/Herceptin/Pertuzumab for Perioperative Therapy of HER-2 Expressing Gastric or GEJ Cancer
NCT02581462 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Study of Zolbetuximab Together With Pembrolizumab and Chemotherapy in Adults With Gastric Cancer
NCT06901531 ·Status: RECRUITING ·Phase: PHASE3
-
Zimberelimab + Domvanalimab in Gastroesophageal Adenocarcinoma
NCT07283848 ·Status: WITHDRAWN ·Phase: PHASE2
-
Study of Pembrolizumab (MK-3475) as First-Line Monotherapy and Combination Therapy for Treatment of Advanced Gastric or Gastroesophageal Junction Adenocarcinoma (MK-3475-062/KEYNOTE-062)
NCT02494583 ·Status: COMPLETED ·Phase: PHASE3
-
Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy in Participants Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma (MK-3475-859/KEYNOTE-859)-China Extension
NCT04859582 ·Status: WITHDRAWN ·Phase: PHASE3
-
Pembrolizumab, Combination Chemotherapy, and Radiation Therapy Before Surgery in Treating Adult Patients With Locally Advanced Gastroesophageal Junction or Gastric Cardia Cancer That Can Be Removed by Surgery
NCT02730546 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
PD-1 Monoclonal Antibody Combined With FLOT Regimen for Neoadjuvant Therapy of Gastric Adenocarcinoma
NCT04341857 ·Status: UNKNOWN ·Phase: PHASE2
-
Study of Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy in Participants With Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma (MK-3475-585/KEYNOTE-585)-China Extension
NCT04882241 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety Study of Pembrolizumab (MK-3475) Versus Paclitaxel in Asian Participants With Advanced Gastric or Gastroesophageal Junction Adenocarcinoma Who Progressed After First-line Therapy With Platinum and Fluoropyrimidine (MK-3475-063/KEYNOTE-063)
NCT03019588 ·Status: TERMINATED ·Phase: PHASE3
-
A Prospective, Single Center Clinical Study of Toripalimab Combined With FLOT Regimen for Perioperative Treatment of PD-L1 Positive Locally Advanced Resectable Gastric Cancer or Gastroesophageal Junction Adenocarcinoma (GEJ)
NCT05466019 ·Status: UNKNOWN ·Phase: PHASE2
-
SHR-1210 Combined With Trastuzumab , Oxaliplatin and Capecitabine for Neoadjuvant Therapy of Gastric Adenocarcinoma/Gastroesophageal Junction Adenocarcinoma
NCT03950271 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Study of Onartuzumab (MetMAb) in Combination With mFOLFOX6 in Patients With Metastatic Human Epidermal Growth Factor Receptor 2 (HER2) Negative Gastroesophageal Cancer
NCT01590719 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of RC48-ADC Combination Therapies as First-line Treatment in Advanced Metastatic Gastric Cancer
NCT05980481 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2/PHASE3
-
Immunotherapy Combined With Anti-angiogenic Therapy and Chemotherapy for Potentially Resectable MSI-H, dMMR Locally Advanced Gastric or Gastroesophageal Junction Adenocarcinoma
NCT07151209 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Study of Pembrolizumab (MK-3475) in Participants With Recurrent or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma (MK-3475-059/KEYNOTE-059)
NCT02335411 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Novel Agents or Combinations as Perioperative Treatment in Participants With Locally Advanced Resectable Gastroesophageal Adenocarcinoma
NCT07069712 ·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
-
Safety and Efficacy of Pembrolizumab in Combination With FLOT About Gastroesophageal Junction Cancer:
NCT06411171 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Efficacy and Safety of Lenvatinib (E7080/MK-7902) Plus Pembrolizumab (MK-3475) Plus Chemotherapy in Participants With Advanced/Metastatic Gastroesophageal Adenocarcinoma (MK-7902-015/E7080-G000-321/LEAP-015)
NCT04662710 ·Status: COMPLETED ·Phase: PHASE3