RecruitingPhase 1Phase 2NCT05438459

GAIA-102 Intraperitoneal Administration in Patients With Advanced Gastrointestinal Cancer of Microsatellite Stable With Malignant Ascites

Clinical Trial of Repeated Intraperitoneal Administration of GAIA-102 in Patients With Advanced Gastrointestinal Cancer (Gastric Cancer / Pancreatic Cancer) of Microsatellite Stable (MSS) With Malignant Ascites (Phase I / II Investigator-initiated Clinical Trial) (GAIA-102-PD Clinical Trial)


Sponsor

Kyushu University

Enrollment

176 participants

Start Date

Jun 8, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Phase I Part : Confirm the safety of GAIA-102 as a monotherapy or GAIA-102 and pembrolizumab in combination for advanced gastrointestinal cancer of microsatellite stable with malignant ascites, and determine the recommended number of doses for Phase II part. Phase II Part(Gastric Cancer):Comparative Study Research the efficacy and safety of as a monotherapy or GAIA-102 and pembrolizumab for advanced gastrointestinal cancer of microsatellite stable with malignant ascites at the recommended dose of GAIA-102 decided in the Phase I part. Phase II Part (Pancreatic Cancer): Comparative Study Including a Run-in Cohort Research the efficacy and safety of a combination regimen of GAIA-102 and pembrolizumab added to existing chemotherapy (standard of care) for microsatellite stable advanced pancreatic cancer with malignant ascites at the recommended dosing frequency of GAIA-102 decided in the Phase I part.


Eligibility

Min Age: 20 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new drug called GAIA-102 injected directly into the abdominal cavity of patients with advanced stomach or pancreatic cancer that has spread and caused fluid buildup in the abdomen (ascites). The drug aims to activate the immune system to fight the cancer from within. **You may be eligible if:** - You have advanced or recurrent gastric (stomach) cancer or pancreatic cancer that cannot be surgically removed - Your cancer has spread to the lining of the abdomen (peritoneal dissemination) or you have ascites (fluid buildup) - You have already received standard chemotherapy regimens without success **You may NOT be eligible if:** - You have not yet tried standard chemotherapy - Your cancer type is not gastric or pancreatic cancer - Your overall health is too poor for the treatment Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALGAIA-102

GAIA-102: 1 vial (2 x 10\^8 cells) as dose at a fixed dose, on 1 to 3 times by weekly for 3 consecutive weeks.

BIOLOGICALGAIA-102

GAIA-102: 1 vial (2 x 10\^8 cells) as dose at a fixed dose, on 3 times by weekly for 3 consecutive weeks.

DRUGPembrolizumab

Pembrolizumab 200 mg administered on Day 1.

DRUGPembrolizumab

Pembrolizumab 200 mg administered on Day 8.

DRUGTrifluridine/tipiracil hydrochloride (FTD/TPI)

Trifluridine/tipiracil hydrochloride (FTD/TPI) will be administered orally twice daily for 5 consecutive days, followed by a 2-day rest period. This cycle will be repeated twice, followed by a 14-day rest period. One course consists of this schedule, and the treatment will be repeated in cycles.

DRUGIrinotecan hydrochloride hydrate

Intravenous infusion of 70 mg/m² (based on body surface area) over 90 minutes at 2-week intervals.

DRUGCalcium levofolinate hydrate

Intravenous infusion of 200 mg/m² (based on body surface area) over 2 hours.

DRUGFluorouracil

Immediately after completion of the calcium levofolinate hydrate intravenous infusion, fluorouracil 400 mg/m² (based on body surface area) will be administered by intravenous injection, followed by a continuous intravenous infusion of fluorouracil 2,400 mg/m² (based on body surface area) over 46 hours.


Locations(1)

Kyushu University Hospital

Fukuoka, Fukuoka, Japan

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NCT05438459


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