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Gastric CancerPhase 2/3NCT05980481

A Study of RC48-ADC Combination Therapies as First-line Treatment in Advanced Metastatic Gastric Cancer

A Phase 2/3 study testing RC48-ADC(2.5mg/kg), Trastuzumab and Toripalimab in people with Gastric Cancer, run by RemeGen Co., Ltd. at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a Phase II/III, randomized, multicenter, open-label clinical trial designed to evaluate safety and efficacy of RC48-ADC combine with Toripalimab and chemotherapy or RC48-ADC combine with Toripalimab and Trastuzumab as first-line treatment in human epidermal growth factor receptor 2 (HER2)-expression or… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Gastric Cancer
What is being tested?
RC48-ADC(2.5mg/kg), Trastuzumab and Toripalimab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
201 participants
Where
1 siteChina
Study dates
4 Aug 2023to 10 Oct 2026
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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

  • Voluntary agreement to provide written informed consent.
  • Age:18-75 years(including 18 and 75).
  • Predicted survival ≥ 12 weeks.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  • Adequate organ function.
  • All subjects must have inoperable, advanced or metastatic gastric or or gastroesophageal adenocarcinoma.
  • Subject must be previously untreated with systemic treatment; Subject that received neoadjuvant chemotherapy with recurrence >6 months from completion of therapy are permitted;
  • HER2-expressing status determined by laboratory to be IHC 1+, 2+ or 3+ or IHC0.

Who cannot join

  • Active central nervous system (CNS) metastases.
  • Known active hepatitis B, active hepatitis C, or human immunodeficiency virus (HIV) infection.
  • History of other malignancy within the previous 5 years, except for appropriately treated carcinoma in situ of the cervix, thyroid cancer ,etal.
  • Known hypersensitivity to antibody-drug conjugate(ADC) or PD-(L)1 or any of its components.
  • Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Beijing Cancer Hospital

    Beijing

Other trials in China

About this study

Official title: A Study of RC48-ADC Combine With Toripalimab and Chemotherapy or RC48-ADC Combine With Toripalimab and Trastuzumab as First-line Treatment in Local Advanced or Metastatic Gastric Cancer With the HER2 Expression or Non-expression

This is a Phase II/III, randomized, multicenter, open-label clinical trial designed to evaluate safety and efficacy of RC48-ADC combine with Toripalimab and chemotherapy or RC48-ADC combine with Toripalimab and Trastuzumab as first-line treatment in human epidermal growth factor receptor 2 (HER2)-expression or non-expression participants with locally advanced or metastatic gastric cancer.

Conditions
Gastric Cancer
Being tested
RC48-ADC(2.5mg/kg), Trastuzumab, Toripalimab, Oxaliplatin(130mg/m2 ), Capecitabine(1000mg/m2)
Medical subject headings
Stomach Neoplasms

What participants receive

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

  • RC48-ADC(2.5mg/kg)Drug

    Also called Disitamab Vedotin

    2.5 mg/kg intravenous infusion every 2 weeks

  • TrastuzumabDrug

    Also called Trastuzumab Injection

    First load dose is 8.0mg , then 6.0 mg/kg intravenous infusion every 3 weeks

  • ToripalimabDrug

    Also called JS001

    3.0 mg/kg intravenous infusion every 2 weeks

  • Oxaliplatin(130mg/m2 )Drug

    Also called Oxaliplatin injection

    130mg/m2 intravenous infusion Q3W

  • Capecitabine(1000mg/m2)Drug

    Also called Capecitabine Tablets

    1000mg/m2 per os Q3W

  • RC48-ADC(2.0mg/kg)Drug

    Also called Disitamab Vedotin

    2.0 mg/kg intravenous infusion every 2 weeks

  • Capecitabine(750mg/m2)Drug

    Also called Capecitabine Tablets

    750mg/m2 per os Q3W

  • Oxaliplatin(100mg/m2 )Drug

    Also called Oxaliplatin injection(100mg/m2 )

    100mg/m2 intravenous infusion Q3W

Study groups in NCT05980481
Study groupRoleWhat they receive
RC48-ADC+Toripalimab+CAPOX (HER2-high expression)ExperimentalParticipants with HER2-high expression(IHC2+FISH+ or IHC3+) will receive of RC48-ADC every 2 weeks (Q2W), Toripalimab every 2 weeks (Q2W) and CAPOX every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: RC48-ADC(2.5mg/kg); Drug: Toripalimab; Drug: Oxaliplatin(130mg/m2 ); Drug: Capecitabine(1000mg/m2)
RC48-ADC+Toripalimab+Trastuzumab (HER2-high expression)ExperimentalParticipants with HER2-high expression(IHC2+FISH+ or IHC3+) will receive of RC48-ADC every 2 weeks (Q2W), Toripalimab every 2 weeks (Q2W) and Trastuzumab every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: RC48-ADC(2.5mg/kg); Drug: Trastuzumab; Drug: Toripalimab
RC48-ADC+Toripalimab+CAPOX (HER2-intermediate/low expression)ExperimentalParticipants with HER2-intermediate/low expression (IHC 2+/FISH- or IHC 1+) will receive of RC48-ADC every 2 weeks (Q2W), Toripalimab every 2 weeks (Q2W) and CAPOX every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: RC48-ADC(2.5mg/kg); Drug: Toripalimab; Drug: Oxaliplatin(130mg/m2 ); Drug: Capecitabine(1000mg/m2); Drug: RC48-ADC(2.0mg/kg); Drug: Capecitabine(750mg/m2); Drug: Oxaliplatin(100mg/m2 )
Toripalimab+Trastuzumab+CAPOX (HER2-high expression)Active comparatorParticipants with HER2-high expression (IHC2+FISH+ or IHC3+) will receive of Toripalimab every 2 weeks (Q2W) , Trastuzumab every 3 weeks (Q3W) and CAPOX every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: Trastuzumab; Drug: Toripalimab; Drug: Oxaliplatin(130mg/m2 ); Drug: Capecitabine(1000mg/m2)
Toripalimab+CAPOX (HER2- intermediate/low expression)Active comparatorParticipants with HER2- intermediate/low expression (IHC 2+/FISH- or IHC 1+) will receive of Toripalimab every 2 weeks (Q2W) and CAPOX every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: Toripalimab; Drug: Oxaliplatin(130mg/m2 ); Drug: Capecitabine(1000mg/m2)
RC48-ADC + Toripalimab + Trastuzumab + Capecitabine (HER2-high expression)ExperimentalParticipants with HER2-high expression(IHC2+FISH+ or IHC3+) will receive of RC48-ADC every 2 weeks (Q2W), Toripalimab every 2 weeks (Q2W) , Trastuzumab every 3 weeks (Q3W) and Capecitabine every 3 weeks (Q3W), as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: RC48-ADC(2.5mg/kg); Drug: Trastuzumab; Drug: Toripalimab; Drug: Capecitabine(1000mg/m2)
RC48-ADC+Toripalimab+CAPOX (HER2-negative)ExperimentalParticipants with HER2-negative (IHC0) will receive of RC48-ADC every 2 weeks (Q2W), Toripalimab every 2 weeks (Q2W) and CAPOX every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: RC48-ADC(2.5mg/kg); Drug: Toripalimab; Drug: RC48-ADC(2.0mg/kg); Drug: Capecitabine(750mg/m2); Drug: Oxaliplatin(100mg/m2 )
Toripalimab+CAPOX (HER2- negative)Active comparatorParticipants with HER2- negative (IHC 0) will receive of Toripalimab every 2 weeks (Q2W) and CAPOX every 3 weeks (Q3W) , as one treatment period until investigator assessed loss of clinical benefit, unacceptable toxicity, investigator or participant decision to withdraw from therapy, or death (whichever occurs first).
Receives: Drug: Toripalimab; Drug: Oxaliplatin(130mg/m2 ); Drug: Capecitabine(1000mg/m2)

What is being measured

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

  1. Objective response rate (ORR)

    The objective response rate will be mainly analyzed by according to the RECIST 1.1 standard tumor evaluation by the investigator will be performed).

    Measured: Up to approximately 2 years

Secondary outcomes (5)
  1. Safety(adverse event)

    to evaluate safety including adverse event rate and adverse event grade.

    Measured: Up to approximately 2 years

  2. Progression-free survival (PFS), evaluated by the investigator

    Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by the researchers according to the RECIST 1.1 standard.

    Measured: Up to approximately 2 years

  3. Overall survival (OS)

    Overall survival (OS) refers to the time from the date of randomization to the date of death of the subject.

    Measured: Up to approximately 2 years

  4. Duration of response (DOR)

    DOR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death

    Measured: Up to approximately 2 years

  5. Disease Control Rate(DCR)

    DCR is the proportion of subjects with optimal overall response to achieve objective remission or stable disease over the course of the study

    Measured: Up to approximately 2 years

Timeline

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

  1. First posted8 Aug 2023
  2. Study start4 Aug 2023
  3. Primary completion10 Jul 2025
  4. Study completion10 Oct 2026 (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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
201 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05980481
Sponsor's protocol ID
RC48-C027
Status last verified
Sep 2025
First submitted
1 Jul 2023
Last updated
29 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing RC48-ADC(2.5mg/kg), Trastuzumab and Toripalimab in people with Gastric Cancer, run by RemeGen Co., Ltd. at 1 site 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 8 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 29 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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 combined 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.

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?

This study is still under way. Results are not available in the source record yet.

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 approximately 2 years). 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 29 Sep 2025.

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