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A Phase Ⅲ Clinical Study of HLX22 in Combination With Trastuzumab and Chemotherapy for the Treatment of Gastroesophageal Junction and Gastric Cancer

RecruitingPhase 3

A Randomized, Double-blinded, Multicenter, Phase Ⅲ Clinical Study of HLX22 (Recombinant Humanized Anti-HER2 Monoclonal Antibody Injection) in Combination With Trastuzumab and Chemotherapy (XELOX) Versus Trastuzumab and Chemotherapy (XELOX) With or Without Pembrolizumab for the First Line Treatment of Locally Advanced or Metastatic Gastroesophageal Junction and Gastric Cancer

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

1. Male/female who are at least 18 years of age on the day of signing the informed consent.
2. With histologically or cytologically confirmed diagnosis of previously untreated, locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma.
3. Had measurable disease as assessed by IRRC according to the RECIST v1.1, the target lesion must not be a bone metastatic lesion only.
4. HER2-positive tumor defined as either IHC 3+ or IHC 2+ in combination with ISH+ or FISH, as assessed by a central laboratory on a primary or metastatic tumor.
5. ECOG PS within 7 days before randomization: 0-1.
6. Expected survival ≥ 6 months.
7. Had adequate organ function

Exclusion Criteria:

1. Patients with other malignant tumors within 2 years before the randomization.
2. Evidence of disease progression within 6 months (before randomization) after completion of prior neoadjuvant or adjuvant chemotherapy (or both) or radiotherapy for gastric adenocarcinoma or gastroesophageal junction adenocarcinoma.
3. Previous treatment with any HER2-target therapy.
4. Active gastrointestinal bleeding
5. Presence of central nervous system (CNS) metastases.
6. Left ventricular ejection fraction (LVEF) \< 55%.
7. Subjects who had known history of severe allergy to any monoclonal antibody or any component of study treatment.

About the study

This is a double-blind, randomized, multiregion, comparative phase Ⅲ clinical study designed to evaluate the efficacy and safety of HLX22 in combination with trastuzumab and chemotherapy as first-line treatment in patients with HER2-positive locally advanced/metastatic adenocarcinoma of the gastric and/or gastroesophageal junction (G/GEJ).Eligible subjects will be randomized to the two groups based on a 1:1 ratio. Enrolled subjects shall be treated with the study drug until the loss of clinical benefit, death, intolerable toxicity, withdrawal of informed consent, or other reasons specified by the protocol (whichever occurs first).

What is being tested

Sponsor: Shanghai Henlius Biotech · Participants: 550 · Started: Nov 22, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06532006

Locations in the U.S.

CaliforniaLos Angeles Cancer Network, Anaheim
OPN - Oncology Physician Network (Los Alamitos), Los Alamitos
ColoradoBanner MD Anderson Cancer Center, Greeley
FloridaAdvanced Research LLC, Deerfield Beach
Florida Cancer Specialist - South, Fort Myers
BRCR Medical Center, Plantation
Napa Research, Pompano Beach
Florida Cancer Specialist - North, St. Petersburg
Florida Cancer Specialist - East, West Palm Beach
IllinoisNorthwestern University, Chicago
University of Chicago, Chicago
IowaMission Cancer + Blood (Exigent Network), Des Moines
Holden Comprehensive Cancer Center - University of Iowa, Iowa City
MissouriWashington University School of Medicine St. Louis, St Louis
NebraskaNebraska Cancer Specialists, Omaha
NevadaComprehensive Cancer Centers Nevada, Las Vegas
OhioCleveland Clinic, Cleveland
PennsylvaniaUPMC Hillman Cancer Center, Pittsburgh
Guthrie Medical Group, PC and Robert Packer Hospital (Guthrie Cancer Center - Sayre), Sayre
TennesseeHCA Midwest Health, Nashville
Vanderbilt University Medical Center, Nashville
TexasTexas Oncology - West (SCRI), Abilene
Texas Oncology Central South (SCRI), Austin
Texas Oncology Northeast (SCRI), Denton
The University of Texas MD Anderson cancer Center, Houston
Texas Oncology - Gulf Coast (SCRI), Webster
WashingtonAmerican Oncology Network Vista Oncology Division, Olympia
Northwest Medical Specialties, Tacoma
West VirginiaWest Virginia University Cancer Institute, Morgantown

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.