Conversion Therapy With RC48, Sintilimab, and SOX for HER2 1+/2+ Unresectable Gastric Cancer
NCT07194005 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-09-26
Summary
This study aims to evaluate the efficacy of disitamab vedotin in combination with sintilimab and SOX as conversion therapy in patients with initially unresectable locally advanced or metastatic gastric cancer exhibiting HER2 IHC 1+/2+ expression. The trial plans to enroll patients with a single initial unresectable factor and HER2 IHC 1+/2+ status. Participants will receive disitamab vedotin combined with sintilimab and SOX for 4 to 6 treatment cycles. Those who achieve successful conversion will undergo surgical resection, while patients with unsuccessful conversion will either continue the original regimen or switch to an alternative treatment at the investigator's discretion.
Conditions
Interventions
- DRUG
-
Disitamab vedotin(RC48)
2.5 mg/kg, administered intravenously every 3 weeks (Q3W) on Day 1 of each cycle.
- DRUG
-
Sintilimab
200 mg, administered intravenously, d1, every 3 weeks.
- DRUG
-
S-1
Oral, 40-60 mg, twice daily (bid), d1-14, every 3 weeks.
- DRUG
-
130 mg/m², administered intravenously on Day 1 (d1), every 3 weeks.
Sponsors & Collaborators
-
Fudan University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-04
- Primary Completion
- 2028-09-30
- Completion
- 2028-09-30
Countries
- China
Study Locations
More Related Trials
-
Posterior-line Treatment With Disitamab Vedotin Plus PD-1 in Advanced HER2-low Expressing Gastric Cancer
NCT06078982 ·Status: RECRUITING ·Phase: PHASE1
-
SOX Combined With Sintilimab and Trastuzumab Versus SOX Regimen in the Perioperative Treatment of HER2-positive Locally Advanced Gastric Adenocarcinoma
NCT05218148 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
RC48 Plus AK105 and Cisplatin in Advanced Gastric Cancer
NCT05313906 ·Status: UNKNOWN ·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
-
First-line Treatment With RC48 Plus Sintilimab and S-1 in Advanced Gastric Cancer (RCTS2)
NCT06730373 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of RC48-ADC in Local Advanced or Metastatic Gastric Cancer With the HER2-Overexpression
NCT04714190 ·Status: RECRUITING ·Phase: PHASE3
-
To Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Disitamab Vedotin Combined With RC98 in the Treatment of Subjects With HER2-expressing Locally Advanced or Metastatic Gastric Cancer (Including AEG)
NCT05514158 ·Status: RECRUITING ·Phase: PHASE1
-
The Study of Conversion Surgery for Apatinib in Combination With SOX for Patients With Unresectable Gastric Cancer
NCT03007446 ·Status: UNKNOWN ·Phase: PHASE2
-
Short Course Radiotherapy With Sequential Disitamab Vedotin Combined With S-1 and Sintilimab as Whole Course Neoadjuvant Therapy for HER2 Expressed Locally Progressive Gastric Cancer
NCT06487429 ·Status: RECRUITING ·Phase: PHASE2
-
DV Combined With Cadonilimab in Subjects With HER2-expressing Gastric Cancer and Gastroesophageal Junction Adenocarcinoma After Progression on First-line Therapy
NCT06221748 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Perioperative Disitamab Vedotin Plus Toripalimab and XELOX in Gastric or Gastroesophageal Junction Adenocarcinoma.
NCT06155383 ·Status: RECRUITING ·Phase: PHASE2
-
First-line Treatment with RC48 Plus Tislelizumab and S-1(RCTS) in Advanced Gastric Cancer
NCT05586061 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Disitamab Vedotin Plus Trastuzumab in Patients With HER2 Positive GC/GEJ Patiens
NCT06572319 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
RC48-ADC Combined With S-1 for First-line Treatment of Advanced Gastroesophageal Adenocarcinoma With Moderate Expression of HER2
NCT05403242 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Efficacy and Safety of Neoadjuvant Sintilimab Plus FLOT Versus Sintilimab Plus SOX Phase II Clinical Trial for Patients With Locally Advanced Gastric Cancer
NCT06459921 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Disitamab Vedotin Combined With Sintilimab as First-line Treatment of Elderly Patients With Gastric Cancer
NCT05720533 ·Status: UNKNOWN ·Phase: PHASE2
-
The Efficacy of Oxaliplatin Plus S-1 for Treatment of Gastric Cancer
NCT01531452 ·Status: COMPLETED ·Phase: PHASE2
-
To Observe the Efficacy and Safety by Comparing Chemotherapy(Docetaxel, Oxaliplatin Plus S1 ) Followed With Radical Resection Versus Chemotherapy Alone in Advanced Gastric Cancer With Single Non-curable Factor.
NCT03001726 ·Status: UNKNOWN
-
Efficacy and Safety of Disitamab Vedotin Combined With Sintilimab
NCT05928897 ·Status: UNKNOWN ·Phase: PHASE2
-
Disitamab Vedotin, Fruquintinib and Tislelizumab in Second-line Treatment for HER2-positive MGC
NCT05982834 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Neoadjuvant Chemotherapy Plus Chemoradiation in Patients With Potentially Resectable Gastric Carcinoma
NCT02024217 ·Status: UNKNOWN ·Phase: PHASE2
-
Camrelizumab Combined With or Without Apatinib and SOX of Neoadjuvant Treatment for Gastric Cancer
NCT06693128 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
SOX as Adjuvant Chemotherapy for Resectable Gastric Cancer
NCT01542294 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Neoadjuvant Nab-Paclitaxel Plus Oxaliplatin, S-1, and Sintilimab in Early-Onset Resectable Gastric Cancer
NCT07018063 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Phase II Study of Irinotecan, Oxaliplatin, Plus TS-1 in Untreated Metastatic Gastric Cancer
NCT00512681 ·Status: COMPLETED ·Phase: PHASE2