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Status unknownNCT04850716Updated Mar 28, 2023

Relationship Between Standard Treatment Efficacy and The Tumor Microenvironment in Advanced Gastric Cancer

An observational study in Gastric Cancer, sponsored by Nanfang Hospital, Southern Medical University. Status unknown at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-28.

Sponsored by Nanfang Hospital, Southern Medical University · Observational

The sponsor has not verified this record recently (last verified Mar 2023), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
89
Ages
18 Years and older
Sex
All
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Study summary

Gastric cancer is among the most common malignant tumors nationwide with high morbidity and mortality. Attributing to its insidious onset and rapid progress, 70% of patients with gastric cancer were initially diagnosed at an advanced stage. In advanced gastric cancer, systemic treatment based on chemotherapy drugs, targeted drugs, and immune checkpoint inhibitors remains the main regimens. Among current standard treatment regimens, though HER2-positive and MSI-H/dMMR statuses indicate the treatment efficacy of trastuzumab and immune checkpoint inhibitors, there is still lack of robust biomarkers for predicting treatment efficacy. Tumor microenvironment as pivotal components of solid tumor, significantly influences therapeutic response and clinical outcome. The study is a multi-center, observational study to evaluate the relationship between standard treatment efficacy and the tumor microenvironment in advanced gastric cancer. In addition, the study comprehensively evaluated the landscape of the tumor microenvironment characteristics of gastric cancer, and aimed at establishing robust biomarkers for predicting prognosis and treatment efficacy to finetune treatment strategies.

Read the detailed description

Gastric cancer is among the most common malignant tumors nationwide with high morbidity and mortality. Attributing to its insidious onset and rapid progress, 70% of patients with gastric cancer were initially diagnosed at an advanced stage. In advanced gastric cancer, systemic treatment based on chemotherapy drugs, targeted drugs, and immune checkpoint inhibitors remains the main regimens. Among current standard treatment regimens, though HER2-positive and MSI-H/dMMR statuses indicate the treatment efficacy of trastuzumab and immune checkpoint inhibitors, there is still lack of robust biomarkers for predicting treatment efficacy. Tumor microenvironment as pivotal components of solid tumor, significantly influences therapeutic response and clinical outcome. The study is a multi-center, observational study to evaluate the relationship between standard treatment efficacy and the tumor microenvironment in advanced gastric cancer. In addition, the study comprehensively evaluated the landscape of the tumor microenvironment characteristics of gastric cancer, and aimed at establishing robust biomarkers for predicting prognosis and treatment efficacy to finetune treatment strategies. Eligible subjects were selected according to the inclusion criteria and exclusion criteria. After successful screening, the patients were treated following the clinical guidelines and the actual conditions. The residual tissue samples of the primary tumor or metastatic foci were collected to conduct the tumor microenvironment detection analysis.

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Conditions studied

  • Gastric Cancer

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Keywords

  • Gastric Cancer
  • Tumor Microenvironment
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In context

Stomach Neoplasms

2,850 studies on the registry are indexed under Stomach Neoplasms; 863 are open to participants now.

This study's planned enrollment of 89 is below the median of 274 across 670 observational studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Nanfang Hospital, Southern Medical University is the lead sponsor of 480 studies on the registry; 212 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with histologically or cytologically confirmed advanced gastric cancer.

Inclusion criteria

  1. Histologically or cytologically confirmed advanced gastric cancer.
  2. Willing to receive anti-tumor drug treatment.
  3. Willing to provide residual tumor tissues after routine clinical diagnosis for tumor microenvironment detection analysis.
  4. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 1.
  5. At least one measurable lesion or non-measurable but evaluable as defined by RECIST 1.1.

Exclusion criteria

Exclusion Criteria:

  1. Human epidermal growth factor receptor 2 (HER2) is positive, that is, tissue immunohistochemical staining (IHC) (3+) or IHC (2+), and tissue fluorescence in situ hybridization (FISH) is positive.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
89 participants (estimated)
Patient registry
No

Interventions

  • Othernon-intervention

    non-intervention

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What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    Defined as the time from initiation date of first cycle to the first documentation of disease progression by independent review or to death due to any cause, whichever comes first.

    Time frame: 4 years

Secondary outcomes

  1. Objective Response Rate (ORR)

    Defined as the percentage of patients who had a best response of complete response (CR), or partial response (PR).

    Time frame: 4 years

  2. Overall Survival (OS)

    Defined as the time from initiation date of first cycle until the date of first documented date of death from any cause.

    Time frame: 4 years

  3. Duration Of Response (DOR)

    Defined as the time from first documented response to first documented tumor progression or death from any cause.

    Time frame: 4 years

  4. Disease Control Rate (DCR)

    Defined as the percentage of patients who had a best response of complete response (CR), partial response (PR), or stable disease (SD).

    Time frame: 4 years

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Study locations

1 of 1 sites recruiting
  • Nanfang Hospital, Southern Medical University
    Guangzhou, Guangdong 510515, China
    • Wangjun Liao, MD, PhD · Contact · nfyyliaowj@163.com
    • Wangjun Liao, MD, PhD · Principal investigator
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04850716
Lead sponsor
Nanfang Hospital, Southern Medical University
Responsible party
Sponsor
First posted
Apr 20, 2021
Start date
Apr 27, 2021
Primary completion
Nov 1, 2023 (estimated)
Completion
Nov 1, 2023 (estimated)
Last update
Mar 28, 2023

Study contacts

Wangjun Liao, MD, PhD
Contact
nfyyliaowj@163.com
86-20-62787731

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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