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Advanced Gastric and Gastro-oesophageal Junction AdenocarcinomaPhase 3NCT04385550

A Study of Anlotinib Hydrochloride Capsule Combined With AK105 Injection in Subject With Advanced Gastric and Gastro-oesophageal Junction Adenocarcinoma

A Phase 3 study testing Anlotinib hydrochloride capsule, AK105 injection and Paclitaxel injection in people with Advanced Gastric and Gastro-oesophageal Junction Adenocarcinoma, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 45 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

This is a randomized, controlled, open-label, multicenter study to evaluate efficacy of AK105 injection combined with Anlotinib Hydrochloride Capsules versus standard second-line chemotherapy. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Anlotinib hydrochloride capsule, AK105 injection and Paclitaxel injection
Could I receive a placebo?
No, everyone receives an active treatment
How many people
528 participants
Where
45 sitesChina
Study dates
20 May 2020to 31 Dec 2023
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Understood and signed an informed consent form; 2.Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1; Life expectancy ≥ 3 months; 3. Histopathology or cytology confirmed as metastatic or local advanced gastric and gastro-oesophageal junction adenocarcinoma; 4. First-line standard chemotherapy regimen in patients with advanced gastric or gastroesophageal junction adenocarcinoma after treatment failure; 5. Has at least one measurable lesion; 6. Weight ≥40 kg or BMI ≥18.5; 7. Adequate organ function; 8. Male or female subjects should agree to use an adequate method of contraception starting with the first dose of study therapy through 6 months after the last dose of study (such as intrauterine devices , contraceptives or condoms) ;No pregnant or breastfeeding women, and a negative pregnancy test are received within 7 days before the randomization.

Who cannot join

  • 1. Histopathology confirmed as squamous cell carcinoma, carcinoid, undifferentiated carcinoma, or other gastric cancer; 2. HER2 positive; 3. Has received paclitaxel or docetaxel in the first-line treatment; 4. Has received paclitaxel or docetaxel in the neoadjuvant or adjuvant treatment regimen and have relapsed or metastasized within 6 months after the last dose; 5. Has other malignant tumors within 5 years; 6. Has used anti-angiogenic drugs such as anlotinib, apatinib, lenvatinib, sorafenib, sunitinib, bevacizumab, or related immunotherapy drugs for PD-1, PD-L1, etc; 7. Severe hypersensitivity after administration of other monoclonal antibodies; 8. Has spinal cord compression, cancerous meningitis and symptomatic brain metastasis; 9. Has adverse events caused by previous therapy except alopecia that did not recover to ≤grade 1; 10. Has received radiotherapy, chemotherapy and surgery within 4 weeks before the first dose; 11. Has gastrointestinal bleeding tendency within 4 weeks before the first dose; 12. The tumor has invaded important blood vessels and will cause fatal bleeding; 13. Has multiple factors affecting oral medication; 14. Has uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage; 15. Has any active autoimmune disease or history of autoimmune disease; 16. Immunosuppressant or systemic or absorbable local hormone therapy is required to achieve the aim of immunosuppression (dose \> 10mg/ day prednisone or other therapeutic hormones) and is still used within 2 weeks after the first administration; 17. Has any serious and / or uncontrolled disease; 18. Has active viral infection; 19. Has participated in other anticancer drug clinical trials within 4 weeks; 20. According to the judgement of the investigators, there are other factors that may lead to the termination of the study.

Trial locations and contacts

45 sites in 1 country.

45 sites in 1 country

China45 sites
  • AnYang Tumor Hospital

    Anyang, Henan, 455000

    Tao Wu, wuren909@163.com

    Tao Wu

  • Beijing Shijitan Hospital Affiliated to Capital Medical University

    Beijing, Beijing Municipality, 100038

    Jirun Peng, Doctor, 1446316766@qq.com

    Jirun Peng, Doctor

  • The Sixth Medical Center of PLA General Hospital

    Beijing, Beijing Municipality, 100048

    Xinhong Zhang, Doctor, zhangxh1970@sina.com

    Xinhong Zhang, Doctor

  • Peking University Shougang Hospital

    Beijing, Beijing Municipality, 100144

    Delin Wang, dlwang163@sohu.com

    Delin Wang

  • Beijing Luhe Hospital Capital Medical University

    Beijing, Beijing Municipality, 101100

    Dong Yan, Doctor, yd15yt88@163.com

    Dong Yan, Doctor

  • Beijing Tsinghua Changgung Hospital

    Beijing, Beijing Municipality, 102218

    Zhuo Yu, Doctor, yuzhuo@vip.sina.com

    Zhuo Yu, Doctor

  • Xiangya Hospital Central South University

    Changsha, Hunan, 410008

    Shan Zeng, Doctor, Shanzeng2012@163.com

    Shan Zeng, Doctor

  • The Second Xiangya Hospital of Central South University

    Changsha, Hunan, 410011

    Hongliang Yao, Doctor, yaohl0326@163.com

    Hongliang Yao, Doctor

  • Hunan Cancer Hospital

    Changsha, Hunan, 410013

    Shanzhi Gu, 105575191@qq.com

    Shanzhi Gu

  • Fujian Provincial Cancer Hospital

    Fuzhou, Fujian, 350011

    Zengqing Guo

    Zengqing Guo

  • Sun Yat-Sen University Cancer Center

    Guangzhou, Guangdong, 510000

    Ruihua Xu, Doctor, ruihxu@163.com

    Ruihua Xu, Doctor

  • The Sixth Affiliated Hospital of Sun Yat-sen University

    Guangzhou, Guangdong, 510610

    Yanhong Deng, Doctor

    Yanhong Deng, Doctor

  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150040

    Yanqiao Zhang, Doctor, yanqiaozhang@126.com

    Yanqiao Zhang, Doctor

  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230022

    Kangsheng Gu, Doctor

    Kangsheng Gu, Doctor

  • Shandong Cancer Hospital

    Jinan, Shandong, 250117

    Changzheng Li, liczdoc@163.com

    Changzheng Li

  • The First People's Hospital of kashi region

    Kashgar, XinJiang Uighur Autonomous Region, 844000

    Wei Wang, 271865348@qq.com

    Wei Wang

  • The First Hospital of Lanzhou University

    Lanzhou, Gansu, 730000

    Xiaoming Hou, Doctor, 1795950416@qq.com

    Xiaoming Hou, Doctor

  • The First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

    Junhe Li, Doctor, mailto:lijunhe88@163.com

    Junhe Li, Doctor

  • Jiangsu Cancer Hospital

    Nanjing, Jiangsu, 210009

    Jianwei Lu, Doctor, lujw@medmail.com.cn

    Jianwei Lu, Doctor

  • Jiangsu Province Hospital

    Nanjing, Jiangsu, 210029

    Lingjun Zhu, Doctor

    Lingjun Zhu, Doctor

  • Guangxi Medical University Affiliated Tumor Hospital

    Nanning, Guangxi, 530021

    Jiansi Chen, wcwk0771@126.com

    Jiansi Chen

  • Nantong Cancer Hospital

    Nantong, Jiangsu, 226361

    Jianhong Wang, ywk_wjh@163.com

    Jianhong Wang

  • Quanzhou First Hospital

    Quanzhou, Fujian, 362000

    Peiling Xin, xinpeiling62@126.com

    Peiling Xin

  • The Second Affiliated Hospital of Fujian Medical University

    Quanzhou, Fujian, 362000

    Tianwen Xu, Doctor, xutianwen53@163.com

    Tianwen Xu, Doctor

  • Shanghai General Hospital

    Shanghai, Shanghai Municipality, 200080

    Qi Li, Doctor, leeqi2001@hotmail.com

    Qi Li, Doctor

  • Liaoning Cancar Hospital

    Shenyang, Liaoning, 110042

    Baoli Qin, Doctor, poryqin@126.com

    Baoli Qin, Doctor

  • The Fourth Hospital of Hebei Medical University

    Shijiazhuang, Hebei, 050010

    Da Jiang, jiangda139@163.com

    Da Jiang

  • Shanxi Provincial Cancer Hospital

    Taiyuan, Shanxi, 030013

    Yusheng Wang, Doctor, wangyusheng1972@163.com

    Yusheng Wang, Doctor

  • Tianjin Medical University General Hospital

    Tianjing, Tianjing, 300050

    Diansheng Zhong, Doctor, zhongdsh@hotmail.com

    Diansheng Zhong, Doctor

  • Tianjin Medical University Cancer Institute and Hospital

    Tianjing, Tianjing, 300060

    Yi Ba, Doctor, yiba99@yahoo.com

    Yi Ba, Doctor

  • Union Hospital,Tongji Medical College,Huazhong University of Science and Technology

    Wuhan, Hubei, 430022

    Tao Zhang, Doctor, 1277577866@qq.com

    Tao Zhang, Doctor

  • Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology

    Wuhan, Hubei, 430030

    Xianglin Yuan, Doctor, xlyuan1020@163.com

    Xianglin Yuan, Doctor

  • Hubei Cancer Hospital

    Wuhan, Hubei, 430079

    Xinjun Liang, Doctor, doctorlxj@163.com

    Xinjun Liang, Doctor

  • Gansu Wuwei Tumour Hospital

    Wuwei, Gansu, 733000

    Linzhi Lu, lulinzh12006@163.com

    Linzhi Lu

  • Wuxi People's Hospital

    Wuxi, Jiangsu, 214023

    Chaoying Liu, chyliu666@163.com

    Chaoying Liu

  • Hospital of Jiangnan University

    Wuxi, Jiangsu, 214062

    Yong Mao, Doctor, mydoctorwx@aliyun.com

    Yong Mao, Doctor

  • The Second Affiliated Hospital of Xi'an Jiaotong University

    Xi’an, Shanxi, 710004

    Xi Chen, Doctor, 2002chenxi@163.com

    Xi Chen, Doctor

  • First Affiliated Hospital of Xi'an Jiaotong University

    Xi’an, Shanxi, 710061

    Enxiao Li, Doctor, doclienxiao@sina.com

    Enxiao Li, Doctor

  • The First Affiliated Hospital of Xiamen University

    Xiamen, Fujian, 361003

    Jiayi Li, ljy778848@qq.com

    Jiayi Li

  • Zhongshan Hospital Xiamen University

    Xiamen, Fujian, 361004

    Zhijie Ding, Doctor, zhijieding@sina.com

    Zhijie Ding, Doctor

  • Xinxiang Central Hospital

    Xinxiang, Henan, 453000

    Guifang Zhang, xxchzhangguifang@126.com

    Guifang Zhang

  • People's Hospital of Ningxia Hui Autonomous Region

    Yinchuan, Ningxia, 750021

    Qingxin Zhuang, zhuangtse@163.com

    Qingxin Zhuang

  • Affiliated Hospital of Guangdong Medical University

    Zhanjiang, Guangdong, 524000

    Zhong Xie, xiexieg@126.com

    Zhong Xie

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450003

    Yanru Qin, Doctor, yanruqin@163.com

    Yanru Qin, Doctor

  • Henan Cancer Hospital

    Zhengzhou, Henan, 450008

    Huijuan Wu

    Huijuan Wu

Other trials in China

About this study

Official title: A Randomized, Open-label, Controlled, Multicenter Phase III Study of Hydrochloride Capsule Combined With AK105 Injection Versus Standard Second-line Chemotherapy for Advanced Gastric and Gastro-oesophageal Junction Adenocarcinoma

This is a randomized, controlled, open-label, multicenter study to evaluate efficacy of AK105 injection combined with Anlotinib Hydrochloride Capsules versus standard second-line chemotherapy. Patients are treated with AK105 injection combined with Anlotinib Hydrochloride Capsules or standard second-line chemotherapy, with 1:1 random ratio.

Being tested
Anlotinib hydrochloride capsule, AK105 injection, Paclitaxel injection, Docetaxel injection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Anlotinib hydrochloride capsuleDrug

    Anlotinib hydrochloride capsule 12mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21).

  • AK105 injectionDrug

    AK105 200mg intravenously (IV) on Day 1 of each 21-day cycle.

  • Paclitaxel injectionDrug

    Paclitaxel injection 80mg / m² IV on Days 1, 8 and 15 of each 28-day cycle.

  • Docetaxel injectionDrug

    Docetaxel injection 75mg / m² IV every 3 weeks of each 21-day cycle.

Study groups in NCT04385550
Study groupRoleWhat they receive
Anlotinib hydrochloride capsule + AK105 injectionExperimentalAnlotinib hydrochloride capsule 12mg given orally in fasting conditions, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) plus AK105 200mg intravenously (IV) on Day 1 of each 21-day cycle.
Receives: Drug: Anlotinib hydrochloride capsule; Drug: AK105 injection
Standard Second-line ChemotherapyActive comparatorParticipants receive 80 mg/m² IV paclitaxel on Days 1, 8 and 15 of each 28-day cycle, or 75mg/m² docetaxel every 3 weeks of each 21-day cycle until disease progression or unacceptable toxicity.
Receives: Drug: Paclitaxel injection; Drug: Docetaxel injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall survival (OS)

    OS defined as the time from randomization to death from any cause. Subjects who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.

    Measured: up to 45 weeks

Secondary outcomes (4)
  1. Progression-free survival (PFS)

    PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause.

    Measured: up to 45 weeks

  2. Overall response rate (ORR)

    Percentage of subjects achieving complete response (CR) and partial response (PR).

    Measured: up to 45 weeks

  3. Disease control rate (DCR)

    Percentage of subjects achieving complete response (CR) and partial response (PR) and stable disease (SD).

    Measured: up to 45 weeks

  4. Duration of response (DOR)

    DOR defined as time from earliest date of disease response to earliest date of disease progression based on radiographic assessment.

    Measured: up to 45 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 May 2020
  2. Study start20 May 2020 (estimated)
  3. Primary completion31 Oct 2023 (estimated)
  4. Study completion31 Dec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
528 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04385550
Sponsor's protocol ID
ALTN-AK05-III-01
Status last verified
Jan 2020
First submitted
9 May 2020
Last updated
13 May 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Anlotinib hydrochloride capsule, AK105 injection and Paclitaxel injection in people with Advanced Gastric and Gastro-oesophageal Junction Adenocarcinoma, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 45 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 13 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ruihua Xu (020-87343468, ruihxu@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall survival (OS) (time frame: up to 45 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2020.

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