First-line Treatment With RC48 Plus Sintilimab and S-1 in Advanced Gastric Cancer (RCTS2)

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorQilu Hospital of Shandong University

About this trial

This is a Phase II, randomized, multicenter, open-label clinical trial designed to compare Disitamab Vedotin plus Sintilimab and S-1 with Trastuzumab plus chemotherapy ± Sintilimab for first-line treatment of HER2-Positive advanced gastric or gastroesophageal junction adenocarcinoma.

Eligibility criteria

Qualifiers

Aged18-75 years, gender is not limited;

Pathologically confirmed locally advanced gastric or gastroesophageal junction adenocarcinoma that is inoperable or has distant metastasis;

HER2-Positive (IHC3+or IHC2+/FISH+) ;

Has at least 1 measurable lesion as determined by RECIST 1.1;

Disqualifiers

Allergy to any trial drug and its excipients, or serious allergy history, or contraindication of the trial drug;

Cardiovascular and cerebrovascular events that are not well controlled;

Has received systematic treatment with Chinese patent medicine or immunomodulatory drugs (including thymosin, interferon, interleukin, except for local use for ascites control) before the first administration within 2 weeks.

Have a history of interstitial lung disease, non-infectious pneumonia, pulmonary fibrosis, acute lung disease, or systemic disease with poor control (including but not limited to diabetes, hypertension, etc.);

Trial design

Treatments tested in this trial

  • Disitamab Vedotin
  • Sintilimab
  • S-1
  • Trastuzumab
  • Oxaliplatin
  • Capecitabine
  • 5-FU
  • Cisplatin

Treatment groups

110 Participants
are divided into 2 treatment groups