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Clinical Trials List

Protocol NumberEMR100070-007
NCT Number(ClinicalTrials.gov Identfier)NCT02625610

2016-05-01 - 2018-09-30

Phase III

Terminated9

ICD-10C16.0

Malignant neoplasm of cardia

ICD-10C16

Malignant neoplasm of stomach

A Phase III open-label, multicenter trial of maintenance therapy with avelumab (MSB0010718C) versus continuation of first-line chemotherapy in subjects with unresectable, locally advanced or metastatic, adenocarcinoma of the stomach, or of the gastro esophageal junction

  • Trial Applicant

    IQVIA RDS Taiwan Ltd.

  • Sponsor

    Merck KGaA

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Chia-Jui Yen

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Audit

None

Principal Investigator Yee Chao

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

1 Stop recruiting

Audit

CRO

Principal Investigator CHUN-YING WU

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 謝瑞坤 未分科

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Li-Yuan Bai

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Li-Yuan Bai 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Jen-Shi Chen
Linkou Chang Gung Medical Foundation

Taiwan National PI

陳仁熙

The Actual Total Number of Participants Enrolled

6 Stop recruiting

Audit

None

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Audit

None

Principal Investigator 謝瑞坤

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Condition/Disease

Adenocarcinoma of the Stomach, or of the Gastro Esophageal Junction

Objectives

Primary objectives: The primary objectives of this trial are to demonstrate superiority of maintenance therapy with avelumab versus continuation of first-line chemotherapy with regard to Overall Survival (OS) or Progression-free Survival (PFS) as per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) in subjects who have not progressed on first-line chemotherapy Secondary objectives:  To demonstrate superiority of maintenance therapy with avelumab versus continuation of first-line chemotherapy with regard to objective response rate (ORR) as per RECIST v1.1  To compare the subject-reported outcomes / quality of life of subjects when treated with avelumab versus continuation of first-line chemotherapy as assessed by the European Quality of Life (EuroQOL) 5-dimensions and 5-levels questionnaire (EQ-5D-5L), and the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and module QLQ-STO22  To determine the safety and tolerability of avelumab

Test Drug

avelumab

Active Ingredient

avelumab(MSB0010718C)

Dosage Form

Injection

Dosage

20

Endpoints

Primary endpoints:
The primary endpoints of the trial are:
 OS, defined as the time (in months) from randomization to the date of death, regardless
of the actual cause of the subject’s death; or
 PFS, defined as the time (in months) from randomization to the date of the first
documentation of disease progression (per RECIST v1.1 and as adjudicated by the IRC)
or death due to any cause (whichever occurs first).
Secondary endpoints:
The key secondary endpoint is Best Overall Response (BOR) according to RECIST v1.1 as
adjudicated by the IRC. Other secondary endpoints include subject-reported outcomes/quality
of life (assessed by the EQ-5D-5L, EORTC QLQ-C30, and EORTC module QLQ-STO22
questionnaires).

Exploratory endpoints:
 Tumor shrinkage in target lesions at each time point from baseline
 PD-L1 expression levels in tumor cells and cells of the tumor microenvironment at baseline
with their relation to selected clinical response parameters
 Molecular, cellular and soluble markers in peripheral blood and/or tumor tissue that may
be relevant to the mechanism of action of, or response/resistance to avelumab
 Duration of response of avelumab
 Time to response of avelumab
 Population PK of avelumab and individual drug exposures based on sparse PK sampling
 Exposure response (exposure safety and exposure efficacy) for avelumab with respect to
selected safety and efficacy endpoints
 Immunogenicity of avelumab
Safety endpoints:
Safety endpoints include adverse events (AEs), assessed throughout the trial and evaluated
using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events
(CTCAE) v4.03, physical examinations, clinical laboratory assessments, concomitant
medications, vital signs, electrocardiogram parameters, and ECOG PS.

Inclution Criteria

Key inclusion criteria
Male or female subjects aged ≥ 18 years, with an ECOG PS of 0 to 1 at trial entry, with the
availability of a formalin-fixed, paraffin-embedded block containing tumor tissue or a
minimum of 7 (preferably 10) unstained tumor slides suitable for PD-L1 expression
assessment, at least 1 measurable tumor lesion, and with histologically confirmed unresectable,
locally advanced or metastatic, adenocarcinoma of the stomach or the GEJ.

Exclusion Criteria

Key exclusion criteria
Prior therapy with any antibody or drug targeting T-cell coregulatory proteins, concurrent
anticancer treatment, or immunosuppressive agents. Other exclusion criteria include severe
hypersensitivity reactions to monoclonal antibodies (Grade ≥ 3 NCI-CTCAE v4.03), any
history of anaphylaxis or uncontrolled asthma (that is, 3 or more features of partially controlled
asthma), persisting toxicity related to prior therapy of Grade ≥ 2 NCI-CTCAE v4.03 and prior
chemotherapy for unresectable locally advanced or metastatic adenocarcinoma of the stomach
or GEJ.

The Estimated Number of Participants

  • Taiwan

    39 participants

  • Global

    666 participants