A Phase II Study of Carelizumab Combined With Irinotecan and Apatinib of Second-line Treatment for Advanced Gastric Cancer

  • End date
    May 19, 2025
  • participants needed
  • sponsor
    Nanfang Hospital of Southern Medical University
Updated on 29 June 2021
measurable disease
metastatic adenocarcinoma
cancer chemotherapy


The purpose of this study was to evaluate the overall survival time (OS), objective remission rateORR, progression-free survival timePFS, disease control rateDCRof Carelizumab combined with irinotecan and apatinib for the second-line treatment of locally advanced unresectable, recurrent or metastatic adenocarcinoma of stomach and gastroesophageal junction. At the same time, the safety and tolerance of the scheme were preliminarily evaluated.

Condition gastric cancers, Stomach Cancer, Gastric Cancer, Stomach Discomfort, Gastric Carcinoma, Gastropathy
Treatment Carelizumab Combined With Irinotecan and Apatinib
Clinical Study IdentifierNCT04934618
SponsorNanfang Hospital of Southern Medical University
Last Modified on29 June 2021


Yes No Not Sure

Inclusion Criteria

The local advanced stage confirmed by histopathology is unresectable, recurrent or metastatic Adenocarcinoma of stomach and gastroesophageal junction
After receiving first-line treatment, the disease progressed or intolerable adverse reactions occurred
At least one measurable lesion or evaluable lesion (according to RECIST 1.1 standard)
Patients agreed to provide blood samples and previously stored tumor tissue samples for tumor microenvironment detection
Age 18 years old and 75 years old
The ECOG score is 0 or 1
The estimated survival time is 3 months
Within 7 days before entering the group, the laboratory test value met the chemotherapy standard
Within 28 days before enrollment, women of childbearing age must confirm that the serum pregnancy test is negative and agree to adopt effective contraceptive measures during the study drug use and within 6 months after the last administration
Patients voluntarily joined the study, signed informed consent, and were able to comply with the visit and related procedures stipulated in the plan

Exclusion Criteria

Participate in other intervention clinical studies at the same time (unless participating in observation studies or being in the follow-up stage of intervention studies), and have received second-line treatment
have received antibody therapy of PD-1, PD-L1, PD-L2, CTLA4, CD137 or any other antibody or drug therapy with t cell co-stimulation or immune checkpoint pathway as specific target
It is known to be allergic to any monoclonal antibody or adjuvant
Received Chinese patent medicines with anti-tumor indications or drugs with immunoregulatory effects (thymosin, interferon, interleukin, etc.) within 2 weeks before the first administration
Having undergone major surgery within 4 weeks before the first administration or expecting to undergo surgery during the study treatment
Receive live attenuated vaccine within 4 weeks before the first administration or during the planned study treatment
Received transplantation of solid organs or blood system
Active, known or suspected autoimmune diseases or related medical history in the past 2 years (vitiligo, psoriasis, alopecia or Graves' disease that does not require systematic treatment in the past 2 years, hypothyroidism that only requires thyroid hormone replacement therapy, and type I diabetes patients who only need insulin replacement therapy can enter Group)
Immunosuppressive drugs have been used within 4 weeks before the first administration, excluding local glucocorticoid by nasal spray, inhalation or other routes or systemic glucocorticoid with physiological dose (i.e., prednisone or other glucocorticoid with equivalent dose not exceeding 10mg/ day), or hormone used due to allergy
Known history of primary immunodeficiency disease
Known history of active tuberculosis. 12 known to have a history of human immunodeficiency virus (HIV) infection (i.e., HIV antibody positive)
after regular antihypertensive treatment, the blood pressure still cannot fall to the normal range (systolic blood pressure > >140mmHg, diastolic blood pressure > >90mmHg)
II grade ii coronary heart disease and arrhythmia (including QTc interval prolongation > >450ms for men and > >470ms for women)
Symptomatic congestive heart failure (new york Heart Association Grade II-IV) or symptomatic or poorly controlled arrhythmia
before the first administration, there was toxicity caused by previous anti-tumor treatment that did not recover to grade 0 or grade 1 of the national cancer institute general adverse event terminology version 4.03 (NCI ctcae version 4.03) (excluding alopecia, fatigue and asymptomatic laboratory abnormalities)
abnormal coagulation function (INR > 1.5 uln, aptt > 1.5 uln), with bleeding tendency
It is known that symptomatic central nervous system metastasis exists. 19. Diagnosed as other malignant tumors within 5 years before the first administration, excluding basal cell carcinoma of skin, squamous cell carcinoma of skin and carcinoma in situ after radical resection
Active infections requiring treatment or systemic anti-infective drugs used within 7 days before the first administration
acute or chronic active hepatitis b: HBV viral load 500 copies /ml 22. Any arterial thrombosis, embolism or ischemia, such as myocardial infarction, unstable angina pectoris, cerebrovascular accident or transient ischemic attack, occurred within 6 months before the study
It is known that there are mental diseases or drug abuse situations that may affect the compliance with the test requirements
Acute or chronic active hepatitis C: HCV antibody is positive. 25. Pregnant or lactating women. 26. There are medical histories, diseases, treatments or abnormal laboratory results that may interfere with the test results and prevent the subjects from participating in the study, or the researchers think that participating in the study is not in the best interests of the subjects
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