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CompletedNCT03006705Updated May 3, 2024

Study of Adjuvant ONO-4538 With Resected Gastric Cancer

A Phase 3 interventional study of Nivolumab and Tegafur-gimeracil-oteracil potassium in Gastric Cancer, sponsored by Ono Pharmaceutical Co. Ltd. Completed at 108 sites in 4 countries. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-05-03.

Sponsored by Ono Pharmaceutical Co. Ltd · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
800
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Study summary

The purpose of study is to evaluate the efficacy and safety of postoperative adjuvant chemotherapy with Nivolumab in combination with tegafur-gimeracil-oteracil potassium (S-1 therapy) or capecitabine + oxaliplatin (CapeOX therapy), in comparison with placebo in combination with S-1 therapy or CapeOX therapy, in pStage III gastric cancer (including esophagogastric junction cancer) after D2 or more extensive lymph node dissection.

02

Conditions studied

  • Gastric Cancer

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Keywords

  • ONO-4538,BMS-936558,Nivolumab,gastric,adjuvant,S-1,CapeOX
03

In context

Stomach Neoplasms

2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.

This study's enrollment of 800 is above the median of 67 across 2,096 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Ono Pharmaceutical Co. Ltd is the lead sponsor of 66 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with histologically confirmed adenocarcinoma of the stomach
  • Patients without a remnant cancer (R0) who have undergone gastrectomy
  • Gastric carcinoma according to the stage classification of AJCC/UICC TNM Classification, 7th Edition on the basis of overall postoperative findings
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0 or 1

Exclusion criteria

Exclusion Criteria:

  • Patients who have received non-surgical treatment (e.g., radiotherapy, chemotherapy, hormone therapy) for gastric cancer
  • Multiple primary cancers
  • A current or past history of severe hypersensitivity to any other antibody products
  • Any concurrent autoimmune disease or past history of chronic or recurrent autoimmune disease
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
800 participants (actual)

Study arms

  • Experimental
    Nivolumab group

    Nivolumab: 360 mg solution intravenously for 30 min in every 3 weeks (maximum 1 year). Chemotherapy: S-1 Therapy or CapeOX Therapy is determined by the investigator. S-1 therapy(maximum 1 year): Tegafur-gimeracil-oteracil potassium combination drug 40 - 60 mg bid orally in 28 days, followed by 14 days off CapeOX Therapy(maximum 6 months): Oxaliplatin 130 mg/m2 (body surface area) solution intravenously for 2 hours once-daily, followed by 20 days off. Capecitabine 1000 mg2 (body surface area) bid orally in 14 days, followed by 7 days off.

    Drug: Nivolumab · Drug: Tegafur-gimeracil-oteracil potassium · Drug: Oxaliplatin · Drug: Capecitabine

  • Placebo comparator
    Placebo group

    Placebo: Placebo solution intravenously for 30 min in every 3 weeks (maximum 1 year). Chemotherapy: S-1 Therapy or CapeOX Therapy is determined by the investigator. S-1 therapy(maximum 1 year): Tegafur-gimeracil-oteracil potassium combination drug 40 - 60 mg bid orally in 28 days, followed by 14 days off CapeOX Therapy(maximum 6 months): Oxaliplatin 130 mg/m2 (body surface area) solution intravenously for 2 hours once-daily, followed by 20 days off. Capecitabine 1000 mg2 (body surface area) bid orally in 14 days, followed by 7 days off.

    Drug: Tegafur-gimeracil-oteracil potassium · Drug: Oxaliplatin · Drug: Capecitabine · Drug: Placebo

Interventions

  • DrugNivolumab

    Nivolumab: 360 mg solution intravenously for 30 min in every 3 weeks (maximum 1 year).

    Also known as: BMS-936558, ONO-4538, MDX-1106

  • DrugTegafur-gimeracil-oteracil potassium

    Tegafur-gimeracil-oteracil potassium combination drug 40 - 60 mg bid orally in 28 days, followed by 14 days off

  • DrugOxaliplatin

    Oxaliplatin 130 mg/m2 (body surface area) solution intravenously for 2 hours once-daily, followed by 20 days off.

  • DrugCapecitabine

    Capecitabine 1000 mg2 (body surface area) bid orally in 14 days, followed by 7 days off.

  • DrugPlacebo

    Placebo: 360 mg solution intravenously for 30 min in every 3 weeks (maximum 1 year).

06

What researchers measure

Primary outcomes

  1. Relapse-free survival (RFS)

    Time frame: 5 years

Secondary outcomes

  1. Overall survival (OS)

    Time frame: 5 years

  2. 3-year OS rate

    Time frame: 3 years

  3. 5-year OS rate

    Time frame: 5 years

  4. 3-year RFS rate

    Time frame: 3 years

  5. 5-year RFS rate

    Time frame: 5 years

  6. Safety will be analyzed through the incidence of adverse events, serious adverse events

    Time frame: Up to 28 days from last dose

  7. Safety will be analyzed through the incidence of laboratory abnormalities

    Time frame: Up to 28 days from last dose

07

Study locations

108 sites
  • Anhui Province Clinical Site
    Anhui Province, China
  • Beijing Clinical Site1
    Beijing, China
  • Beijing Clinical Site2
    Beijing, China
  • Cuangdong Province Clinical Site
    Cuangdong Province, China
  • Guangdong Province Clinical Site1
    Guangdong Province, China
  • Guangdong Province Clinical Site2
    Guangdong Province, China
  • Henan Province Clinical Site1
    Henan Province, China
  • Henan Province Clinical Site2
    Henan Province, China
  • Jiangsu Province Clinical Site1
    Jiangsu Province, China
  • Jiangsu Province Clinical Site3
    Jiangsu Province, China
  • Jiangsu Province Clinical Site4
    Jiangsu Province, China
  • Jiangsu Province Clinical Site5
    Jiangsu Province, China
  • Jiangsu Province Clinical Site6
    Jiangsu Province, China
  • Jiangxi Province Clinical Site2
    Jiangxi Province, China
  • Jilin Province Clinical Site
    Jilin Province, China
  • Liaoning Province Clinical Site
    Liaoning Province, China
  • Shanxi Province Clinical Site
    Shanxi Province, China
  • Tianjin Clinical Site1
    Tianjin, China
  • Tianjin Clinical Site2
    Tianjin, China
  • Zhejiang Province Clinical Site
    Zhejiang Province, China
  • Zhengjiang Province Clinical Site
    Zhengjiang Province, China
  • Aichi Clinical Site1
    Nagoya, Aichi, Japan
  • Aichi Clinical Site2
    Nagoya, Aichi, Japan
  • Chiba Clinical Site
    Kamogawa, Chiba, Japan
  • Ehime Clinical Site
    Matsuyama, Ehime, Japan
  • Ehime Clinicla Site
    Matsuyama, Ehime, Japan
  • Gifu Clinical Site
    Ōgaki, Gifu, Japan
  • Gunma Clinical Site
    Ota, Gunma, Japan
  • Gunma Clinical Site
    Takasaki, Gunma, Japan
  • Hiroshima Clinical Site
    Fukuyama, Hiroshima, Japan
  • Hokkaido Clinical Site 3
    Hakodate, Hokkaido, Japan
  • Hokkaido Clinical Site 1
    Sapporo, Hokkaido, Japan
  • Hokkaido Clinical Site2
    Sapporo, Hokkaido, Japan
  • Hyogo Clinical Site
    Akashi, Hyogo, Japan
  • Hyogo Clinical Site
    Amagasaki, Hyogo, Japan
  • Hyogo Clinical Site
    Nishinomiya, Hyogo, Japan
  • Ishikawa Clinical Site
    Kanazawa, Ishikawa, Japan
  • Iwate Clinical Site
    Morioka, Iwate, Japan
  • Kanagawa Clinical Site
    Sagamihara, Kanagawa, Japan
  • Kanagawa Clinical Site
    Yokohama, Kanagawa, Japan
  • Miyagi Clinical Site
    Osaki, Miyagi, Japan
  • Nagano Clinical Site
    Saku, Nagano, Japan
  • Okayama Clinical Site
    Kurashiki, Okayama, Japan
  • Osaka Clinical Site
    Hirakata, Osaka, Japan
  • Osaka Clinical Site
    Sakai, Osaka, Japan
  • Osaka Clinical Site
    Suita, Osaka, Japan
  • Osaka Clinical Site
    Takatsuki, Osaka, Japan
  • Osaka Clinical Site
    Toyonaka, Osaka, Japan
  • Osaka Clinical Site
    Ōsaka-sayama, Osaka, Japan
  • Saitama Clinical Site
    Hidaka, Saitama, Japan
  • Saitama Clinical Site
    Kitaadachi-gun, Saitama, Japan
  • Shizuoka Clinical Site
    Sunto-gun, Shizuoka, Japan
  • Tochigi Clinical Site
    Shimotsuke, Tochigi, Japan
  • Tokyo Clinical Site
    Bunkyo-ku, Tokyo, Japan
  • Tokyo Clinical Site
    Chuo-ku, Tokyo, Japan
  • Tokyo Clinical Site
    Koto-ku, Tokyo, Japan
  • Tokyo Clinical Site
    Shinjuku-ku, Tokyo, Japan
  • Chiba Clinical Site
    Chiba, Japan
  • Fukuoka Clinical Site 1
    Fukuoka, Japan
  • Fukuoka Clinical Site 2
    Fukuoka, Japan
  • Gifu Clinical Site
    Gifu, Japan
  • Hiroshima Clinical Site1
    Hiroshima, Japan
  • Hiroshima Clinical Site2
    Hiroshima, Japan
  • Hiroshima Clinical Site3
    Hiroshima, Japan
  • Kochi Clinical Site
    Kochi, Japan
  • Kumamoto Clinical Site
    Kumamoto, Japan
  • Kyoto Clinical Site
    Kyoto, Japan
  • Niigata Clinical Site
    Niigata, Japan
  • Osaka Clinical Site1
    Osaka, Japan
  • Osaka Clinical Site2
    Osaka, Japan
  • Osaka Clinical Site3
    Osaka, Japan
  • Osaka Clinical Site4
    Osaka, Japan
  • Shizuoka Clinical Site
    Shizuoka, Japan
  • Toyama Clinical Site
    Toyama, Japan
  • Wakayama Clinical Site
    Wakayama, Japan
  • Yamagata Clinical Site
    Yamagata, Japan
  • Busan Clinical Site1
    Busan, Korea, Republic of
  • Busan Clinical Site2
    Busan, Korea, Republic of
  • Busan Clinical Site3
    Busan, Korea, Republic of
  • Daegu Clinical Site1
    Daegu, Korea, Republic of
  • Daegu Clinical Site2
    Daegu, Korea, Republic of
  • Daegu Clinical Site3
    Daegu, Korea, Republic of
  • Daejeon Clinical Site 1
    Daejeon, Korea, Republic of
  • Daejeon Clinical Site 2
    Daejeon, Korea, Republic of
  • Gwangju Clinical Site
    Gwangju, Korea, Republic of
  • Gyeonggi-do Clinical Site1
    Gyeonggi-do, Korea, Republic of
  • Gyeonggi-do Clinical Site2
    Gyeonggi-do, Korea, Republic of
  • Gyeonggi-do Clinical Site3
    Gyeonggi-do, Korea, Republic of
  • Gyeonggi-do Clinical Site4
    Gyeonggi-do, Korea, Republic of
  • Gyeonggi-do Clinical Site5
    Gyeonggi-do, Korea, Republic of
  • Jeollabuk-do Clinical Site
    Jeollabuk-do, Korea, Republic of
  • Seoul Clinical Site 8
    Seoul, Korea, Republic of
  • Seoul Clinical Site 9
    Seoul, Korea, Republic of
  • Seoul Clinical Site1
    Seoul, Korea, Republic of
  • Seoul Clinical Site2
    Seoul, Korea, Republic of
  • Seoul Clinical Site3
    Seoul, Korea, Republic of
  • Seoul Clinical Site4
    Seoul, Korea, Republic of
  • Seoul Clinical Site5
    Seoul, Korea, Republic of
  • Seoul Clinical Site6
    Seoul, Korea, Republic of
  • Seoul Clinical Site7
    Seoul, Korea, Republic of

Showing the first 100 of 108 sites across 4 countries.

08

References and documents

Publications

  • Chang X, Ge X, Zhang Y, Xue X. The current management and biomarkers of immunotherapy in advanced gastric cancer. Medicine (Baltimore). 2022 May 27;101(21):e29304. doi: 10.1097/MD.0000000000029304. PubMed 35623069 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03006705
Lead sponsor
Ono Pharmaceutical Co. Ltd
Collaborators
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Dec 30, 2016
Start date
Jan 31, 2017
Primary completion
Aug 17, 2022
Completion
Mar 31, 2023
Last update
May 3, 2024

Study contacts

Project Leader
study director · Ono Pharmaceutical Co. Ltd

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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