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Not yet recruiting NCT07716449

QLS31905 in Combination With CAPOX Versus Sintilimab in Combination With CAPOX as First-line Treatment in Patients With GC/GEJ

Phase III Interventional Gastric or Gastroesophageal Junction Adenocarcinoma

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: QLS31905, Sintilimab, Oxaliplatin, Capecitabine.
Who it may be relevant to
Registry conditions: Gastric or Gastroesophageal Junction Adenocarcinoma. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

A Randomized, Open-label, Multicenter Phase III Clinical Study of QLS31905 in Combination With CAPOX Versus Sintilimab in Combination With CAPOX as First-line Treatment in Patients With Unresectable Locally Advanced or Metastatic CLDN18.2-positive, PD-L1 CPS < 5 Gastric or Gastroesophageal Junction Adenocarcinoma

Overview

This study is a randomized, open, multicenter phase III clinical study designed to compare the efficacy and safety of QLS31905 injection combined with CAPOX versus sintilimab combined with CAPOX in the first-line treatment of CLDN18.2 positive, PD-L1 CPS \< 5 unresectable locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma.

Interventions

  • Drug QLS31905
    QLS31905 will be administered every 3 weeks Intravenous infusion on day 1 of each cycle.
  • Drug Sintilimab
    Sintilimab will be administered every 3 weeks Intravenous infusion on day 1 of each cycle.
  • Drug Oxaliplatin
    Oxaliplatin will be administered every 3 weeks Intravenous infusion on day 1 of each cycle.
  • Drug Capecitabine
    Capecitabine will be administered orally twice daily (bid).

Primary outcome measures

  • Progression free survival (PFS) [Time frame: Up to 44 months]

Eligibility criteria

Inclusion criteria

  • Subjects voluntarily participate in the study and sign the informed consent form;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1;
  • Expected survival time ≥ 12 weeks;
  • Histologically or cytologically confirmed diagnosis of gastric or gastroesophageal junction adenocarcinoma;
  • No prior systemic anti-tumor treatment for unresectable locally advanced or metastatic disease;
  • At least one measurable lesion per RECIST v1.1;
  • Patients with adequate cardiac, liver, renal function, etc.

Exclusion criteria

  • Known history of allergy to any component of the study drug;
  • Other second primary malignant neoplasm within 5 years;
  • Significant cardiovascular and cerebrovascular disorders within 6 months before randomization;
  • Haemorrhage requiring haemostatic treatment within 3 months prior to randomisation;
  • Previous or current interstitial pneumonia, pulmonary fibrosis, pneumoconiosis, etc;
  • Previous treatment targeting CLDN18.2;
  • Patients with added risks associated with the study or may interfere with the interpretation of study results as determined by the investigator, or deemed unsuitable by the investigator.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07716449 · QLS31905-302

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗