About this trial
For patients with metastatic gastric cancer, the efficacy of current standard treatments outlined in the guidelines is far from meeting the clinical demand. This study aims to explore the efficacy and safety of trifluridine/tipiracil (TAS-102), bevacizumab plus camrelizumab as a novel third-line or later-line therapy for metastatic gastric cancer patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with histopathological confirmed gastric/GEJ adenocarcinoma.
The clinical stage was IV, according to AJCC 8th edition.
Patients had received at least two systematic therapies.
Patients had received or not received immunotherapy.
Disqualifiers
Histopathological types other than adenocarcinoma include squamous cell carcinoma, adenosquamous carcinoma, neuroendocrine carcinoma, etc.
Known hypersensitivity or previous treatment with trifluridine/tipiracil or any of its components or excipients.
Known hypersensitivity to any component or excipients of bevacizumab.
Requirement for systemic corticosteroids (>10mg/day of prednisone or equivalent other corticosteroids, for a continuous treatment of ≥7 days) or immunosuppressive therapy within 14 days before enrollment; excluding inhaled or topical steroid use, or hormone therapy for adrenal insufficiency at physiological replacement doses; short-term (≤7 days) corticosteroids are allowed for prevention (e.g., contrast agent allergy) or treatment of non-autoimmune conditions (e.g., delayed-type hypersensitivity caused by contact allergens).
Trial design
Single group
Treatments tested in this trial
trifluridine/tipiracil (TAS-102), bevacizumab plus camrelizumab
DrugPatients enrolled in this study will receive trifluridine/tipiracil in combination with bevacizumab and camrelizumab, with a treatment cycle of 14 days, until disease progression, death, intolerable toxicity, or other criteria for discontinuation of study treatment as specified in the protocol (whichever occurs first).
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free Survival (PFS)
Secondary outcomes
Objective Response Rate (ORR)
12-week PFS rate
6-month PFS rate
Disease Control Rate (DCR)
Sponsors and contacts
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LIN YANG
Lead sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Sponsor institution