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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2600127138 |
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最近更新日期: Date of Last Refreshed on: |
2026-06-25 11:56:14 |
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注册时间: Date of Registration: |
2026-06-25 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
比较全身化疗联合信迪利单抗加或不加白蛋白紫杉醇腹腔灌注治疗初诊HER2阴性胃/食管胃结合部腺癌伴腹膜转移患者的III期随机对照研究 |
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Public title: |
A Phase III Randomized Controlled Study Comparing Systemic Chemotherapy Combined with Sintilimab with or Without Albumin-Bound Paclitaxel for Intraperitoneal Perfusion in the Treatment of Previously Untreated HER2-Negative Gastric/Gastroesophageal Junction Adenocarcinoma with Peritoneal Metastasis |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
比较全身化疗联合信迪利单抗加或不加白蛋白紫杉醇腹腔灌注治疗初诊HER2阴性胃/食管胃结合部腺癌伴腹膜转移患者的III期随机对照研究 |
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Scientific title: |
A Phase III Randomized Controlled Study Comparing Systemic Chemotherapy Combined with Sintilimab with or Without Albumin-Bound Paclitaxel for Intraperitoneal Perfusion in the Treatment of Previously Untreated HER2-Negative Gastric/Gastroesophageal Junction Adenocarcinoma with Peritoneal Metastasis |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
聂润聪 |
研究负责人: |
李元方 |
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Applicant: |
Nie Runcong |
Study leader: |
Li Yuanfang |
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申请注册联系人电话: Applicant telephone: |
+86 15626447119 |
研究负责人电话:
Study leader's |
+86 135 0306 5940 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
nierc@sysucc.org.cn |
研究负责人电子邮件: Study leader's E-mail: |
hradalam@ust.hk |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
广东省广州市东风东路651号 |
研究负责人通讯地址: |
广东省广州市东风东路651号 |
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Applicant address: |
No. 651, Dongfeng East Road, Guangzhou, Guangdong Province. |
Study leader's address: |
No. 651, Dongfeng East Road, Guangzhou, Guangdong Province |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
中山大学肿瘤防治中心 |
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Applicant's institution: |
Sun Yat-sen University Cancer Center |
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研究负责人所在单位: |
中山大学肿瘤防治中心 |
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Affiliation of the Leader: |
Sun Yat-sen University Cancer Center |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
B2025-885-01 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中山大学肿瘤防治中心伦理委员会 |
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Name of the ethic committee: |
Institutional Review Board of Sun-Yat sen University Cancer Center |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-01-14 00:00:00 | ||
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伦理委员会联系人: |
潘旭芝 |
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Contact Name of the ethic committee: |
Pan XuZhi |
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伦理委员会联系地址: |
广东省广州市东风东路651号 |
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Contact Address of the ethic committee: |
No. 651, Dongfeng East Road, Guangzhou, Guangdong Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 20 87343009 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
panxzh@sysucc.org.cn |
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研究实施负责(组长)单位: |
中山大学肿瘤防治中心 |
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Primary sponsor: |
Sun Yat-sen University Cancer Center |
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研究实施负责(组长)单位地址: |
广东省广州市东风东路651号 |
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Primary sponsor's address: |
No. 651, Dongfeng East Road, Guangzhou, Guangdong Province |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
比较全身化疗联合信迪利单抗加或不加白蛋白紫杉醇腹腔灌注治疗初诊HER2阴性胃/食管胃结合部腺癌伴腹膜转移患者的III期随机对照研究 |
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Source(s) of funding: |
No source of funding |
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研究疾病: |
治疗初诊HER2阴性胃/食管胃结合部腺癌伴腹膜转移疾病 |
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Target disease: |
To treat newly diagnosed HER2-negative gastric/esophagogastric junction adenocarcinoma with peritoneal metastasis |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
比较全身化疗联合信迪利单抗加或不加白蛋白紫杉醇腹腔灌注治疗初诊HER2阴性胃/食管胃结合部腺癌伴腹膜转移患者的疗效和安全性。 |
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Objectives of Study: |
To compare the efficacy and safety of systemic chemotherapy combined with sintilimab with or without albumin paclitaxel intraperitoneal perfusion in the treatment of newly diagnosed HER2-negative gastric/esophagogastric junction adenocarcinoma with peritoneal metastasis. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1)对本研究已充分了解并自愿签署知情同意书(ICF); |
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Inclusion criteria |
1. Have fully understood this research and voluntarily signed the Informed Consent Form (ICF); 2. Patients who were initially diagnosed with adenocarcinoma of the gastric/esophagogastric junction without treatment and were confirmed to have peritoneal metastasis (positive ascites cytology or positive peritoneal nodule pathology) through laparoscopy, with a clinical stage of IV; 3. According to the RECIST (V1.1) standard, there are evaluable or unevaluable lesions. Excluding regional lymph node metastatic lesions, only one or fewer single unresectable metastatic organs are allowed: (1) 1-2 liver metastases of 1-3 cm; (2) Para-aortic a2/b1 metastasis; (3) Ovarian metastasis. 4. Immunohistochemistry shows HER2(0), HER2(1+) or HER2(2+), and FISH test is negative; 5. Agree to provide previously stored tumor tissue specimens or conduct biopsies to collect tumor lesion tissues for sending to the central laboratory for HER2, PD-L1, EBV, and MSI IHC detection; 6. Gender is not limited. Age: 18 to 75 years old; 7. Generally in good condition, with an ECOG score ranging from 0 to 1; 8. The patient is willing to receive intraperitoneal chemotherapy port placed through laparoscopy or open surgery within 28 days before the first study of medication and is willing to undergo intraperitoneal chemotherapy; 9. Expected survival period >= 6 months; 10. Laboratory test values within 7 days before enrollment must meet the following standards: (1) WBC > 4.0 x 10^9/L and < 15 x 10^9/L, ANC > 1.5 x 10^9/L, Hb >= 80 g/L, PLT >= 100 x 10^9/L; (2) Serum bilirubin <= 1.5 x ULN (upper limit of normal value), AST and ALT <= 2.5 x ULN; (3) Creatinine <= 1.5 x ULN and serum clearance rate > 60 ml/min, based on the predicted glomerular filtration rate by Cockcroft-Gault: (140 - age) x (weight, kg) x (0.85, if female) / [72 x (Serum creatinine, mg/dL)] Or: (140 - age) x (weight, kg) x (0.85, if female) / [0.818 x (Serum creatinine, umol/L)]; (4) INR and aPTT <= 1.5 x ULN, only applicable to subjects who have not received anticoagulation therapy; subjects receiving anticoagulant therapy should be given a stable dose; 11. Good compliance, capable of cooperating with the laboratory, auxiliary examinations and corresponding specimen collection of this plan; 12. Fertile women (including those who have experienced menopause due to chemopenmenopause or other medical reasons) must agree to take contraceptive measures for at least five months (whichever is later) from the time of signing the informed consent form until the last administration of the study treatment or accompanying chemotherapy. Women must also agree not to breastfeed for at least five months (preferably later) from the signing of the informed consent form to the last administration of the study drug or accompanying chemotherapy. Men must agree to take contraceptive measures for at least 7 months (whichever is later) from the administration of the investigational drug to the administration of the investigational drug or in conjunction with chemotherapy. |
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排除标准: |
1)已知对试验药物的组分过敏的; |
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Exclusion criteria: |
1. Known to be allergic to a component of the test drug; 2. Previous or current concurrent cancer with another malignancy (except completely resected basal cell carcinoma, stage I squamous cell carcinoma, carcinoma in situ, intramucosal carcinoma, superficial bladder cancer, or any other cancer without recurrence for at least 5 years); 3. Absence of resolution to CTCAE grade 0-1 within 7 days before the first dose of study medication: (1) Acute or chronic pancreatitis; (2) Uncontrolled acute and chronic infections, such as pneumonia, biliary tract infection, hepatitis B virus infection and hepatitis C virus infection; (3) Diarrhea; (4) Intestinal obstruction, gastrointestinal perforation, gastrointestinal bleeding or high risk of bleeding; (5) Difficulty breathing; 4. Unable to take oral medication; 5. NYHA grade 3 or 4; 6. Symptoms and signs of related cardiovascular diseases, including myocardial infarction, congestive heart failure, arrhythmia, etc.; 7. Known cerebrovascular events; 8. The history of chemotherapy or radiotherapy within 30 days before the first study medication; 9. Use of anti-HER2, anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 (or any other antibody acting on T cell costimulation or checkpoint pathway), Claudin18.2 monoclonal antibody, or tyrosine kinase inhibitor within 30 days before the first study dose; 10. Have comorbidities requiring long-term treatment with immunosuppressive drugs or systemic or topical corticosteroids at immunosuppressive doses (prednisone or other therapeutic hormones at a dose > 10 mg/day); 11. Received any anti-infective vaccine (e.g., influenza vaccine, varicella vaccine, etc.) within 4 weeks before enrollment; 12. Uncontrolled systemic diseases such as diabetes and hypertension; 13. Subjects with any active autoimmune disease or history of autoimmune disease (including but not limited to: interstitial pneumonia, uveitis, enteritis, hepatitis, hypophysitis, nephritis, hyperthyroidism, hypothyroidism; vitiligo or complete remission of asthma in childhood without any intervention in adulthood; patients with asthma requiring medical intervention with bronchodilators were excluded); 14. Subjects with active pulmonary tuberculosis (TB) who were receiving anti-TB treatment or had received anti-TB treatment within 1 year before screening; 15. A history of the following lung diseases as confirmed by imaging (preferably CT) or clinical findings: interstitial pneumonia, noninfectious pneumonia, pulmonary fibrosis, acute lung disease; 16. Pregnant or lactating women or those who may become pregnant; 17. A positive test for any of the following: antibody to human immunodeficiency virus-1 (HIV-1), antibody to human immunodeficiency virus-2 (HIV-2), antibody to human T-lymphotropic virus-1 (HTLV-1), antibody to hepatitis C virus (HCV); 18. Any other clinically significant disease or condition considered by the investigator to affect adherence to the protocol, or to affect the signing of the Informed Consent Form (ICF), or to preclude participation in the trial. |
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研究实施时间: Study execute time: |
从 From 2026-01-26 00:00:00至 To 2030-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-06-25 00:00:00 至 To 2028-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
由研究助理通过IWRS随机系统设置参数产生随机数列进行随机。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Random sequence was generated by the research assistant through the IWRS random system setting parameters for randomization. |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
开放标签,对评估者隐藏分组 |
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Blinding: |
Open-label study with blinded-evaluators |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
病例记录表、电子采集和管理系统 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
A standard data collection and management system incude a CRF and an electronic data capture. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |