RecruitingPhase 2NCT06157996

Lenvatinib Plus Tislelizumab and CapeOX as First-Line Treatment for Advanced GC/GEJC With Positive PD-L1 and Low TMEscore

Tislelizumab Plus CapeOX ± Lenvatinib as First-Line Treatment for Advanced GC/GEJC With Positive PD-L1 and Low TMEscore: A Multi-center, Prospective, Phase II Study


Sponsor

Nanfang Hospital, Southern Medical University

Enrollment

92 participants

Start Date

Jun 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a multicenter, prospective, phase II clinical study to evaluate the efficacy and safety of intensive treatment with lenvatinib plus tislelizumab and CapeOX as first-line treatment for advanced gastric cancer or gastroesophageal junction adenocarcinoma with PD-L1 positive and low TMEscore. A total of 92 subjects are randomly divided into study group and control group according to 1:1 ratio. Tislelizumab 200mg, iv, d1+ oxaliplatin 130mg/m2, iv, d1+ capecitabine 1000mg/m2, bid po, D1-14, q3w ± Lenvatinib 8mg, qd po regimen are received, respectively (3 weeks as a cycle, a maximum of 8 cycles of treatment). Then the maintenance treatment phase with tislelizumab ± lenvatinib is entered, and the specific dosage is the same as the treatment period. Effectiveness is assessed every 9 weeks (±7 days) until disease recurrence, metastasis, death, or loss of follow-up. The primary endpoint of this study was PFS, and secondary endpoints were OS, ORR, DoR, and DCR.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a combination of four treatments — lenvatinib (a targeted drug), tislelizumab (an immunotherapy), and two chemotherapy drugs (capecitabine and oxaliplatin) — as a first-line treatment in patients with advanced stomach or gastroesophageal junction cancer whose tumors have specific biological features (positive PD-L1 and low TMEscore). **You may be eligible if...** - You are 18 years or older - You have been diagnosed with advanced stomach cancer or cancer at the junction of the stomach and esophagus, confirmed by pathology - Your tumor tests positive for PD-L1 and has a low immune environment score (TMEscore) - You have not received prior treatment for advanced disease - Your overall health and organ function meet the required criteria **You may NOT be eligible if...** - You have already received treatment for advanced gastric cancer - Your tumor does not have the required biological features - Your organ function or general health does not meet study requirements 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

DRUGlenvatinib and tislelizumab plus CapeOX chemotherapy

Tislelizumab 200mg, iv, d1+ oxaliplatin 130mg/m2, iv, d1+ capecitabine 1000mg/m2, bid po, D1-14, q3w + Lenvatinib 8mg, qd po regimen are received, respectively (3 weeks as a cycle, a maximum of 8 cycles of treatment). Then the maintenance treatment phase with tislelizumab + lenvatinib is entered, and the specific dosage is the same as the treatment period.

DRUGtislelizumab plus CapeOX chemotherapy

Tislelizumab 200mg, iv, d1+ oxaliplatin 130mg/m2, iv, d1+ capecitabine 1000mg/m2, bid po, D1-14, q3w regimen are received, respectively (3 weeks as a cycle, a maximum of 8 cycles of treatment). Then the maintenance treatment phase with tislelizumab is entered, and the specific dosage is the same as the treatment period.


Locations(1)

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

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NCT06157996


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