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Status unknownNCT05410847Updated Jun 24, 2022

Nab-paclitaxel Plus Camrelizumab and S-1 Conversion Therapy for Gastric Cancer With Positive Exfoliative Cancer Cells

A Phase 2 interventional study of Camrelizumab Nab-Paclitaxel S-1 in Gastric Cancer, sponsored by Hebei Medical University. Status unknown. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-06-24.

Sponsored by Hebei Medical University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to investigate the efficacy and safety of intraperitoneal and intravenous nab-paclitaxel plus Camrelizumab and S-1 conversion therapy for gastric cancer with positive exfoliative cancer cells.

02

Conditions studied

  • Gastric Cancer

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03

In context

Stomach Neoplasms

2,914 studies on the registry are indexed under Stomach Neoplasms; 880 are open to participants now.

This study's planned enrollment of 30 is below the median of 66 across 2,143 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Hebei Medical University is the lead sponsor of 42 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. None previous chemotherapy, radiotherapy and other antitumor therapy;
  2. Age:18 to 70 years old;
  3. Man or female (except pregnant and lactating women);
  4. Confirmed to gastric adenocarcinoma and HER2-negative;
  5. Proven gastric cancer of T stage was T3 and T4, and no distant metastasis was observed. The exfoliative cancer cells detection in peritoneal washes was positive;
  6. Blood cell count has to meet the following certeria:

    WBC≥3.5×109/L; ANC≥1.5×109/L; PLT≥100×109/L; HB≥90g/L;

  7. Liver/kidney function has to meet the following certeria:

    ALT and AST≤2.5×ULN TBIL\<1.5×ULN; Serum creatinine ≤1.5×ULN;

  8. Left ventricular ejection fraction (LVEF) ≥50%;
  9. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
  10. Participants were willing to join in this study, good adherence and written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with immunosuppressive medications within 14 days of first administration of study treatment, excluding nasal spray and inhaled corticosteroids or physiological doses of systemic steroid hormones (no more than 10 mg / day of prednisolone or other corticosteroids of equivalent pharmaceutical physiological dose);
  2. The patient has any active autoimmune disease or a history of autoimmune disease (such as the following, but not limited to: autoimmune hepatitis, interstitial pneumonia, uveitis, enteritis, hepatitis, pituitary inflammation, vasculitis, nephritis, hyperthyroidism, hypothyroidism; patients with vitiligo; Asthma has been completely relieved in childhood, and patients who do not need any intervention after adulthood can be included; asthma patients who require bronchodilators for medical intervention cannot be included);
  3. Patients with other malignant tumors within 5 years;
  4. Human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS), active hepatitis B (HBV-DNA ≥1000 IU/ml) or hepatitis C (positive hepatitis C antibody, and HCV-RNA is higher than the lower limit of detection of the analytical method) or co-infection with hepatitis B and C, requiring antiviral treatment during the study;
  5. Distant metastasis;
  6. It has serious or uncontrolled medical diseases and infections (Including atrial fibrillation, angina pectoris, cardiac insufficiency, ejection fraction less than 50%, poor-controlled hypertension and so on);
  7. History of psychiatric drugs abuse and can't quit or patients with mental disorders;
  8. Patients with severe or uncontrollable mental illness;
  9. It have serious harm to the patient's safety or affect the patients who have completed the research.
  10. The researchers think inappropriate.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Experimental

    Camrelizumab: 200mg,iv,30min, q3w, 4 cycles. Nab-Paclitaxel: intraperitoneal nab-paclitaxel 80 mg/m2 and intravenous nab-paclitaxel 180 mg/m2 on days 1, q3w, 4 cycles. S-1:According to the body surface area, BSA \<1.25m2,40mg bid; 1.25m2≤BSA≤1.5m2,50mg bid; BSA \>1.5m2, 60mg bid. Take the medicine twice daily for 2 weeks, then suspend for 1 week, q3w, 4 cycles. For patients who were operable, the original regimen was continued for 4 cycles of adjuvant treatment after operation, followed by maintenance of carrelizumab monotherapy to 1 year. Inoperable patients were selected for follow-up treatment according to guidelines recommended by the investigator.

    Drug: Camrelizumab Nab-Paclitaxel S-1

Interventions

  • DrugCamrelizumab Nab-Paclitaxel S-1

    Camrelizumab+S-1+Intraperitoneal nab-paclitaxel and intravenous nab-paclitaxel

06

What researchers measure

Primary outcomes

  1. R0-resection rate

    There was no residual by the microscope

    Time frame: within 3 weeks after surgery

  2. Conversion to negative rate

    Exfoliative cytology positive gastric cancer conversion to negative rate

    Time frame: within 3 weeks after surgery

Secondary outcomes

  1. Overall survival (OS)

    Baseline to measured date of death from any cause

    Time frame: 3years

  2. Progression free survival (PFS)

    Baseline to measured date of progression or death from any cause

    Time frame: 3years

  3. Objective response rate (ORR)

    Baseline to measured stable disease

    Time frame: tumor assessment every 6 weeks since the treatment began,up to 3years

  4. Disease control rate (DCR)

    Baseline to measured progressive disease

    Time frame: tumor assessment every 6 weeks since the treatment began,up to 3years

  5. Tumor regression grade (TRG)

    TRG included four grades: Grade 0-3

    Time frame: within 3 weeks after surgery

  6. Adverse events

    Toxicity according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. The number of Participants with adverse events will be recorded at each treatment visit.

    Time frame: 3 years

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Lv J, Wu J, Wu H, Ding P, Guo H, Yang P, Tian Y, Liu Y, Zhao Q. Study protocol of a phase II clinical trial evaluating the efficacy of neoadjuvant intraperitoneal and systemic albumin-bound paclitaxel combined with camrelizumab and S-1 in the treatment of patients with exfoliative cell-positive gastric cancer. Front Oncol. 2023 Sep 29;13:1201928. doi: 10.3389/fonc.2023.1201928. eCollection 2023. PubMed 37841441 ↗

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 Jun 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05410847
Lead sponsor
Hebei Medical University
Responsible party
Qun Zhao (Principal Investigator, Hebei Medical University) — Principal investigator
First posted
Jun 8, 2022
Start date
Jun 30, 2022 (estimated)
Primary completion
Jun 30, 2023 (estimated)
Completion
Jun 30, 2025 (estimated)
Last update
Jun 24, 2022

Study contacts

Qun Zhao, Professor
Contact
Zhaoqun516@126.com
13930162111

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 Jun 2022. You cannot join it, but the record below documents what was studied.

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