- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02267343
Study of ONO-4538 in Unresectable Advanced or Recurrent Gastric Cancer
November 16, 2021 updated by: Ono Pharmaceutical Co. Ltd
ONO-4538 Phase III Study A Multicenter, Double-Blind, Randomized Study in Patients With Unresectable Advanced or Recurrent Gastric Cancer
The purpose of study is to evaluate the efficacy and safety of ONO-4538 in patients with unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer) refractory to or intolerant of standard therapy.
Study Overview
Study Type
Interventional
Enrollment (Actual)
493
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Chiba, Japan, 260-8717
- Chiba Clinical Site
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Fukuoka, Japan, 811-1395
- Fukuoka Clinical site
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Fukuoka, Japan, 812-8582
- Fukuoka Clinical site
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Gifu, Japan, 501-1194
- Gifu Clinical site
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Hiroshima, Japan, 730-8518
- Hiroshima Clinical Site
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Osaka, Japan, 537-8511
- Osaka Clinical site
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Shizuoka, Japan, 420-8527
- Shizuoka Clinical site
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Aichi
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Nagoya, Aichi, Japan, 464-8681
- Aichi Clinical Site
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Aomori
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Misawa, Aomori, Japan, 033-0022
- Aomori Clinical Site
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Ehime
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Matsuyama, Ehime, Japan, 791-0280
- Ehime Clinical Site
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Hokkaido
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Sapporo, Hokkaido, Japan, 060-8648
- Hokkaido Clinical site
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Hyogo
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Akashi, Hyogo, Japan, 673-8558
- Hyogo Clinical Site
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Kobe, Hyogo, Japan, 650-0047
- Hyogo Clinical Site
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Ishikawa
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Kanazawa, Ishikawa, Japan, 920-8641
- Ishikawa Clinical Site
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Kanagawa
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Kawasaki, Kanagawa, Japan, 216-8511
- Kanagawa Clinical Site
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Sagamihara, Kanagawa, Japan, 252-0375
- Kanagawa Clinical Site
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Yokohama, Kanagawa, Japan, 241-8515
- Kanagawa Clinical Site
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Nagano
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Saku, Nagano, Japan, 385-0051
- Nagano Clinical Site
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Osaka
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Osakasayama, Osaka, Japan, 589-8511
- Osaka Clinical site
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Suita, Osaka, Japan, 565-0871
- Osaka Clinical site
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Takatsuki, Osaka, Japan, 569-8686
- Osaka Clinical site
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Saitama
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Kitaadachi, Saitama, Japan, 362-0806
- Saitama Clinical site
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Shizuoka
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Sunto-gun, Shizuoka, Japan, 411-8777
- Shizuoka Clinical site
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Tochigi
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Shimotsuke, Tochigi, Japan, 329-0498
- Tochigi Clinical site
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 113-8677
- Tokyo Clinical site
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Chuo-ku, Tokyo, Japan, 104-0045
- Tokyo Clinical site
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Koto-ku, Tokyo, Japan, 135-8550
- Tokyo Clinical site
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Shinjuku-ku, Tokyo, Japan, 160-8582
- Tokyo Clinical site
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Busan-si, Korea, Republic of, 602-715
- Busan-si Clinical Site
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Daegu, Korea, Republic of, 702-210
- Daegu Clinical Site
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Gyeonggi-Do, Korea, Republic of, 410-769
- Gyeonggi-do Clinical Site
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Gyeonggi-Do, Korea, Republic of, 463-707
- Gyeonggi-do Clinical Site
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Seoul, Korea, Republic of, 110-744
- Seoul Clinical Site
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Seoul, Korea, Republic of, 120-752
- Seoul Clinical Site
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Seoul, Korea, Republic of, 135-710
- Seoul Clinical Site
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Seoul, Korea, Republic of, 135-720
- Seoul Clinical Site
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Seoul, Korea, Republic of, 136-705
- Seoul Clinical Site
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Seoul, Korea, Republic of, 137-701
- Seoul Clinical Site
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Seoul, Korea, Republic of, 138-736
- Seoul Clinical Site
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Seoul, Korea, Republic of, 152-703
- Seoul Clinical Site
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Kaohsiung, Taiwan, 807
- Kaohsiung Clinical Site
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Kaohsiung, Taiwan, 833
- Kaohsiung Clinical Site
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Taichung, Taiwan, 40447
- Taichung Clinical Site
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Tainan, Taiwan, 704
- Tainan Clinical Site
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Taipei, Taiwan, 10002
- Taipei Clinical Site
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Taipei, Taiwan, 112
- Taipei Clinical Site
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Taipei, Taiwan, 114
- Taipei Clinical Site
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Taipei, Taiwan, 116
- Taipei Clinical Site
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Taoyuan, Taiwan, 333
- Taoyuan Clinical Site
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Men & women ≥20 years of age
- Unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer)
- Histologically confirmed adenocarcinoma
- Refractory to or intolerant of standard therapy
- ECOG Performance Status score 0 or 1
- A life expectancy of at least 3 months
Exclusion Criteria:
- Current or past history of severe hypersensitivity to any other antibody products
- Patients with multiple primary cancers
- Patients with any metastasis in the brain or meninx that is symptomatic or requires treatment
- Patients with active, known or suspected autoimmune disease
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: ONO-4538 Arm
ONO-4538 3 mg/kg solution intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
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Placebo Comparator: Placebo Arm
Placebo intravenously every 2 weeks until documented disease progression, discontinuation due to toxicity, withdrawal of consent or the study ends
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Overall survival
Time Frame: Up to study completion (estimated time frame: 30 months), every 2 weeks in principle
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Up to study completion (estimated time frame: 30 months), every 2 weeks in principle
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Progression-free survival
Time Frame: Up to study completion (estimated time frame: 30 months), every 2 weeks in principle
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Up to study completion (estimated time frame: 30 months), every 2 weeks in principle
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Objective response rate
Time Frame: Up to study completion (estimated time frame: 30 months), every 6 weeks in principle
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Up to study completion (estimated time frame: 30 months), every 6 weeks in principle
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Duration of response
Time Frame: Up to study completion (estimated time frame: 30 months), every 6 weeks in principle
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Up to study completion (estimated time frame: 30 months), every 6 weeks in principle
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Safety will be analyzed through the incidence of adverse events, serious adverse events
Time Frame: Continuously throughout study treatment and up to 28 days from last dose
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Continuously throughout study treatment and up to 28 days from last dose
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Safety will be analyzed through the incidence of laboratory abnormalities
Time Frame: Continuously throughout study treatment and up to 28 days from last dose
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Continuously throughout study treatment and up to 28 days from last dose
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Kang YK, Reck M, Nghiem P, Feng Y, Plautz G, Kim HR, Owonikoko TK, Boku N, Chen LT, Lei M, Chang H, Lin WH, Roy A, Bello A, Sheng J. Assessment of hyperprogression versus the natural course of disease development with nivolumab with or without ipilimumab versus placebo in phase III, randomized, controlled trials. J Immunother Cancer. 2022 Apr;10(4):e004273. doi: 10.1136/jitc-2021-004273.
- Kang YK, Boku N, Satoh T, Ryu MH, Chao Y, Kato K, Chung HC, Chen JS, Muro K, Kang WK, Yeh KH, Yoshikawa T, Oh SC, Bai LY, Tamura T, Lee KW, Hamamoto Y, Kim JG, Chin K, Oh DY, Minashi K, Cho JY, Tsuda M, Chen LT. Nivolumab in patients with advanced gastric or gastro-oesophageal junction cancer refractory to, or intolerant of, at least two previous chemotherapy regimens (ONO-4538-12, ATTRACTION-2): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2017 Dec 2;390(10111):2461-2471. doi: 10.1016/S0140-6736(17)31827-5. Epub 2017 Oct 6.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 1, 2014
Primary Completion (Actual)
August 1, 2016
Study Completion (Actual)
January 1, 2021
Study Registration Dates
First Submitted
October 9, 2014
First Submitted That Met QC Criteria
October 14, 2014
First Posted (Estimate)
October 17, 2014
Study Record Updates
Last Update Posted (Actual)
November 17, 2021
Last Update Submitted That Met QC Criteria
November 16, 2021
Last Verified
October 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Stomach Diseases
- Stomach Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Nivolumab
Other Study ID Numbers
- ONO-4538-12
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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