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Recurrent or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Who Have Failed at Least Two Prior Lines of TherapyPhase 2NCT04603040

A Study to Evaluate the Efficacy and Safety of Toripalimab Injection in the Treatment of Recurrent or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Who Have Failed at Least Two Prior Lines of Therapy and Are Positive Specific Markers

A Phase 2 study testing Toripalimab in people with Recurrent or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Who Have Failed at Least Two Prior Lines of Therapy, run by Shanghai Junshi Bioscience Co., Ltd. at 39 sites in China.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a single-arm, multicenter, phase 2 study to assess the efficacy and safety of Toripalimab Injection (JS001) in patients with advanced recurrent or metastatic gastric or gastroesophageal junction adenocarcinoma who have failed at least 2 prior lines of therapy and are positive for specific markers. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Toripalimab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
17 participants
Where
39 sitesChina
Study dates
28 Sep 2020to 27 Mar 2023
Phase
Phase 2
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

None listed.

Who cannot join

  • With pathologically diagnosed squamous cell carcinoma or sarcoma or undifferentiated carcinoma of the stomach or gastroesophageal junction;
  • Patients with necrotic lesions, judged by the investigator to have a risk of massive hemorrhage;
  • Symptomatic spinal cord compression, or untreated patients expected to have symptoms of spinal cord compression; or for previously diagnosed and treated spinal cord compression, there is no evidence that the disease is clinically stable for ≥4 weeks before the first study drug administration; 1)Patients with asymptomatic spinal cord compression indicated by imaging, which is assessed as stable by specialists, unless treatment for spinal cord compression is not required temporarily;
  • Poorly controlled pleural effusion, pericardial effusion or ascites requiring regular drainage;
  • Accompanied by severe peritoneal metastasis, mainly manifested as: clinically significant intestinal obstruction; moderate to large amount of ascites; barium enema revealed small intestinal stenosis;
  • Poorly controlled tumor-related pain; 1)For patients requiring analgesics, treatment must be on a stable dose prior to study participation; 2)Symptomatic lesions suitable for palliative radiotherapy (e.g., bone metastasis or metastasis resulting in nerve injury) should be treated before enrollment; 3)Prior to enrollment, local treatment of asymptomatic metastatic lesions that may cause functional deficit or intractable pain due to further growth (e.g., current epidural metastases not associated with spinal cord compression) should be considered if appropriate;
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  • Active or untreated CNS metastases as determined by computed tomography (CT) or magnetic resonance imaging (MRI) assessment during screening and previous imaging assessment; 1)Patients who have previously received treatment for CNS metastases, shown to be stable for ≥4 weeks by imaging examination during the screening period, and stopped systemic hormone therapy (prednisone or other hormones with equal efficacy at a dose > 10 mg/day) for ≥4 weeks before the first study drug administration can participate in the study;
  • Patients with a history of carcinomatous meningitis;
  • Patients with a weight loss of more than 10% within 2 months before signing the informed consent form;
  • Exclusion criteria for concurrent other diseases or concomitant conditions:
  • Patients with other malignant tumors except for gastric cancer (except for cured cervical carcinoma in situ, basal or squamous cell skin cancer, localized prostate cancer with radical treatment, ductal carcinoma in situ with radical treatment) within 5 years before the first study drug administration;
  • Within 28 days prior to the first study drug administration, there are other major surgeries except for the diagnosis of gastric cancer, or major surgeries are expected to be performed during the study, unless assessed by researchers and specialists that they have fully recovered from the complications of major surgery;
  • Clinically significant underlying medical conditions (e.g., dyspnea, pneumonia, pancreatitis, poorly controlled diabetes, active or poorly controlled infection, drug or alcohol abuse, or psychiatric disorders) that, in the opinion of the investigator, can affect study drug administration and protocol compliance;
  • Presence of severe neurological or psychiatric disorders, including dementia and epileptic seizures;
  • Have NCI-CTCAE ≥grade 2 peripheral neuropathy;
  • Pregnant or lactating female patients;
  • Patients with major cardiovascular diseases, such as heart disease of New York Heart Association (NYHA) functional class II or above (see Section 11.5 Appendix 5), myocardial infarction within 3 months before the first study drug administration, poorly controlled arrhythmia or unstable angina;
  • 1)Patients with known coronary artery disease, congestive heart failure not meeting the above criteria, or left ventricular ejection fraction < 50% must be treated with an optimized stable medical regimen at the discretion of the treating physician, with consultation with a cardiologist, as appropriate;
  • 17. Previous history of hypersensitivity to other monoclonal antibodies or any component of Toripalimab Injection (JS001); 18. Previous treatment targeting PD-1 receptor or its ligand PD-L1 or cytotoxic T-lymphocyte-associated protein 4 (CTLA4) receptor; 19. Participated in or planned to participate in other intervention studies within 4 weeks before the first study drug administration.
  • 20. Treatment with systemic immunostimulatory drugs (including but not limited to interferon or IL-2) within 2 weeks or 5 half-lives of the drug (whichever is longer) before the first study drug administration; 21. Received systemic corticosteroids (> 10 mg/day prednisone equivalent drug) or other systemic immunosuppressive agents (including but not limited to cyclophosphamide, azathioprine, methotrexate, thalidomide and anti-tumor necrosis factor drugs [anti-TNF]) within 2 weeks before the first study drug administration ;
  • Topical, ocular, intra-articular, intranasal, and inhaled corticosteroids are permitted;
  • Patients receiving acute low-dose systemic immunosuppressive agents (e.g., a single dose of dexamethasone for nausea) can be enrolled after discussion with and approval by the medical monitor;
  • Patients who need baseline and follow-up MRI/CT tumor assessment can use steroids prophylaxis if they have previous allergic reactions to intravenous contrast media.
  • Inhaled corticosteroids for chronic obstructive pulmonary disease, mineralocorticoids (e.g., fludrocortisone) for orthostatic hypotension, and low-dose corticosteroids for maintenance treatment of adrenocortical insufficiency are permitted;
  • 22. History of autoimmune diseases, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Guillain-Barre syndrome, multiple sclerosis, vasculitis, or glomerulonephritis (see Section 11.7, Appendix 7 for a more comprehensive list of autoimmune diseases);
  • Patients with autoimmune-related hypothyroidism on stable doses of thyroid hormone replacement are eligible for this study;
  • Patients with type 1 diabetes controlled on a stable insulin regimen are eligible for this study; 23. Patients with previous allogeneic bone marrow transplantation or previous solid organ transplantation; 24. Any live vaccine (e.g., vaccines against infectious diseases, such as influenza vaccine, varicella vaccine, etc.) within 4 weeks (28 days) before the first study drug administration; 25. Active infection, including tuberculosis (clinical diagnosis including clinical history, physical examination and imaging findings, as well as TB tests according to local medical routine), hepatitis B, hepatitis C or human immunodeficiency virus (HIV antibody positive);
  • 1)Patients who are positive for hepatitis B surface antigen (HBsAg+) and/or hepatitis B core antibody (HBcAb+) are required to undergo hepatitis B virus deoxyribonucleic acid (HBV DNA) test. If HBV DNA copy number is ˂1000 cps/mL, or less than the lower limit of detectable value at the study site, the patients can participate in this study; 2)Patients who are positive for hepatitis C antibody (HCV Ab+) are required to have an HCV RNA test and are eligible for this study only if they are negative for HCV RNA (defined as below the lower limit of detectable value at the study site); 26. History of idiopathic pulmonary fibrosis, drug-induced pneumonia, organized pneumonia (i.e., bronchiolitis obliterans), idiopathic pneumonia, or evidence of active pneumonia on chest CT scan at screening.

Trial locations and contacts

39 sites in 1 country.

39 sites in 1 country

China39 sites
  • Affiliated Hospital of Hebei University

    Baoding

  • Peking University International Hospital

    Beijing

  • The First Hospital of Jilin University

    Ch’ang-ch’un

  • Sichuan Cancer Hospital

    Chengdu

  • Fujian Provincial Cancer Hospital

    Fuzhou

  • Union Hospital affiliated to Fujian Medical University

    Fuzhou

  • Sun Yat-sen University Cancer Center

    Guangzhou, Guangdong, 510060

  • Affiliated Tumor Hospital of Guangzhou Medical University

    Guangzhou

  • Guangdong Provincial People's Hospital

    Guangzhou

  • The First Affiliated Hospital of Sun Yat-sen University

    Guangzhou

  • The sixth Affiliated Hospital of Sun Yat-sen University

    Guangzhou

  • The First Affiliated Hospital of Zhejiang University Medical College

    Hangzhou

  • Zhejiang Cancer Hospital

    Hangzhou

  • Zhejiang University School of Medicine, Sir Run Run Shaw Hospital

    Hangzhou

  • Affiliated Tumor Hospital of Harbin Medical University

    Harbin

  • Anhui Provincial Hospital

    Hefei

  • Second Affiliated Hospital of Anhui Medical University

    Hefei

  • The First Affiliated Hospital of Anhui Medical University

    Hefei

  • The First Affiliated Hospital of Bengbu Medical College

    Hefei

  • Henan Cancer Hospital

    Henan

  • The First Affiliated Hospital of Nanhua University

    Hengyang

  • Shandong Cancer Hospital

    Jinan

  • The first Affiliated Hospital of Henan University of Science and Technology

    Luoyang

  • Jiangxi Provincial Cancer Hospital

    Nanchang

  • The First Affiliated Hospital of Nanchang University Junhe Li

    Nanchang

  • Jiangsu Cancer Hospital

    Nanjing

  • The First Affiliated Hospital of Guangxi Medical University

    Nanning

  • Nantong Tumor Hospital

    Nantong

  • Affiliated Hospital of Qingdao University

    Qingdao

  • Shengjing Hospital of China Medical University

    Shenyang

  • The First Affiliated Hospital of Soochow University

    Suzhou

  • The Second Affiliated Hospital of Soochow University

    Suzhou

  • Shanxi Cancer Hospital

    Taiyuan

  • Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology

    Wuhan

  • The First Affiliated Hospital of Xiamen University

    Xiamen

  • The First Affiliated Hospital of Xinjiang Medical University

    Xinjiang

  • Xuzhou Central Hospital

    Xuzhou

  • First Affiliated Hospital of Zhengzhou University

    Zhengzhou

  • Zhengzhou Central Hospital

    Zhengzhou

Other trials in China

About this study

Official title: A Single-arm, Multicenter, Phase II Clinical Study to Evaluate the Efficacy and Safety of Toripalimab Injection (JS001) in the Treatment of Recurrent or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Who Have Failed at Least Two Prior Lines of Therapy and Are Positive Specific Markers

This is a single-arm, multicenter, phase 2 study to assess the efficacy and safety of Toripalimab Injection (JS001) in patients with advanced recurrent or metastatic gastric or gastroesophageal junction adenocarcinoma who have failed at least 2 prior lines of therapy and are positive for specific markers.

Patients who meet the requirements will be treated with Toripalimab injection 240 mg once every 3 weeks (q3w) until disease progression based on imaging according to RECIST 1.1 criteria judged by the investigator, or intolerable toxicity, or withdrawal of informed consent, or withdrawal of treatment judged by the investigator, or voluntarydiscontinuation of treatment by the patient with CR of more than 6 months, or up to 2 years of treatment for JS001, whichever occurs first.

Read more

For the case that the patient shows disease progression on imaging according to RECIST 1.1, as long as the investigator judges that the patient can still benefit from continued medication, the treatment with Toripalimab Injection can be continued until the progression on imaging assessed by the investigator for the second time. The clinical benefit is based on the results of comprehensive assessment by the investigator in combination with imaging findings and clinical condition when the patient has no intolerable toxicity or the symptoms worsen due to disease progression.

Tumor assessments are performed at screening (as the baseline), every 6 weeks from the first dose in the first year, and every 9 weeks from the second year until radiologically documented progressive disease (PD), or second disease progression judged by the investigator (for patients with disease progression shown by first imaging, but who can continue treatment judged by the investigator), or withdrawal of informed consent by the patient, or loss to follow-up, or start of a new anti-tumor therapy, or the termination of the study. If a patient withdraws from the study for reasons other than disease progression (including due to the AE or because the treatment interval is beyond the window) and no disease progression occurs at the time of withdrawal, radiographic assessments should be continued until disease progression, death, or start of a new anti-tumor therapy. Patient medication management is based on the investigator's tumor assessment.

Being tested
Toripalimab
Medical subject headings
Recurrence

What participants receive

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

  • ToripalimabDrug

    Also called Tuoyi

    Experimental group:

    Toripalimab, 240mg, IV infusion, every 3 weeks (q3w), In a cycle of 3 weeks (21 days), until occurrence of termination event specified in the protocol.

Study groups in NCT04603040
Study groupRoleWhat they receive
Experimental groupExperimentalExperimental group:ToripalimabTreatment
Receives: Drug: Toripalimab

What is being measured

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

  1. Objective response rate (ORR)

    ORR assessed by IRC according to RECIST v1.1 assessment criteria. ORR is defined as the proportion of subjects with best response of complete response (CR) or partial response (PR).

    Measured: Up to 12 months

Secondary outcomes (11)
  1. Objective response rate (ORR)

    ORR assessed by the investigator according to RECIST v1.1 assessment criteria. ORR is defined as the proportion of subjects with best response of CR or PR.

    Measured: Up to 12 months

  2. DoR

    DoR is defined as the time from the first documented response until the first documented evidence of disease progression or death from any cause, whichever occurs first;

    Measured: Up to 12 months

  3. DCR

    DCR is defined as the proportion of patients with best response of CR or PR or stable disease (SD);

    Measured: Up to 12 months

  4. PFS

    PFS is defined as the time from enrollment to the first documentation of disease progression or death from any cause, whichever occurs first;

    Measured: Up to 12 months

  5. iORR

    iORR is defined as the proportion of subjects with best response of CR or PR;

    Measured: Up to 12 months

  6. iDoR

    iDoR is the time from the first documented response until the first documented evidence of disease progression or death from any cause, whichever occurs first;

    Measured: Up to 12 months

  7. iDCR

    iDCR is the proportion of patients with best response of CR or PR or SD;

    Measured: Up to 12 months

  8. IPFS

    IPFS is defined as the time from enrollment to the first documentation of disease progression or death from any cause, whichever occurs first;

    Measured: Up to 12 months

  9. Overall survival (OS)

    Overall survival (OS), defined as the time from enrollment to death of the patient from any cause.

    Measured: Up to 12 months

  10. PFS rates at 6 and 12 months

    It is defined as the proportion of patients alive without documented disease progression at 6 and 12 months after enrollment assessed by RECIST v1.1 criteria

    Measured: Up to 12 months

  11. OS rates at 9 months and 12 months

    defined as the proportion of patients alive at 9 months and 12 months after enrollment.

    Measured: Up to 12 months

Timeline

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

  1. First posted26 Oct 2020
  2. Study start28 Sep 2020
  3. Primary completion27 Mar 2023
  4. Study completion27 Mar 2023

Why it stopped: Company R\&D Strategy

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04603040
Sponsor's protocol ID
JS001-033-II-GC
Status last verified
Jul 2026
First submitted
17 Sep 2020
Last updated
28 Jul 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Toripalimab in people with Recurrent or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Who Have Failed at Least Two Prior Lines of Therapy, run by Shanghai Junshi Bioscience Co., Ltd. at 39 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 0 inclusion and 28 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: stopped early, as of the sponsor's last update on 28 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

The study was stopped early (reason given: Company R\&D Strategy). Results are not available in the source record.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective response rate (ORR) (time frame: Up to 12 months). 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 28 Jul 2026.

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