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NCT06628310 | RECRUITING | Locally Advanced Unresectable or Metastatic Gastric Adenocarcinoma


A Study to Evaluate the Adverse Events, Efficacy, and Optimal Dose of Intravenous (IV) ABBV-400 in Combination With IV Fluorouracil, Leucovorin, and Budigalimab in Adult Participants With Locally Advanced Unresectable or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma
Sponsor:

AbbVie

Brief Summary:

Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess adverse events and change in disease activity when ABBV-400 is given in combination with Fluorouracil, Leucovorin, and a programmed cell death receptor 1 (PD1) inhibitor (Budigalimab) (AFLB) to adult participants to treat locally advanced unresectable or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma (mGEA). ABBV-400 and Budigalimab are investigational drugs being developed for the treatment of mGEA. Fluorouracil and Leucovorin are drugs approved for the treatment of mGEA. This study will be divided into two stages, with the first stage treating participants with increasing doses of ABBV-400 within the AFLB regimen until the dose reached is tolerable and expected to be efficacious. Participants will then be randomized into groups called treatment arms where one group will receive fluorouracil, leucovorin, and oxaliplatin (FOLFOX). A further two treatment groups will receive AFLB, but with two optimized doses of ABBV-400 to allow for the best dose to be studied in the future. Approximately 180 adult participants with mGEA will be enrolled in the study in 51 sites worldwide. In the dose escalation stage participants will be treated with increasing intravenous (IV) doses of ABBV-400 within the AFLB regimen until the dose reached is tolerable and expected to be efficacious. In the dose optimization stage participants will be receive FOLFOX or receive AFLB, but with one of two optimized doses of ABBV-400The study will run for a duration of approximately 6 years. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Condition or disease

Locally Advanced Unresectable or Metastatic Gastric Adenocarcinoma

Gastroesophageal Junction Adenocarcinoma

Esophageal Adenocarcinoma

Intervention/treatment

ABBV-400

Budigalimab

Fluorouracil

Leucovorin

Oxaliplatin

Phase

PHASE2

Study Type : INTERVENTIONAL
Estimated Enrollment : 180 participants
Masking : QUADRUPLE
Primary Purpose : TREATMENT
Official Title : A Phase 2 Randomized Study to Evaluate the Safety, Efficacy, and Optimal Dose of ABBV-400 in Combination With Fluorouracil, Leucovorin, and Budigalimab as First-Line Treatment in Subjects With Locally Advanced Unresectable or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma (AndroMETa-GEA-977)
Actual Study Start Date : 2024-12-13
Estimated Primary Completion Date : 2030-10
Estimated Study Completion Date : 2030-10

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Have inoperable, advanced or metastatic histologically- or cytologically confirmed gastric, gastroesophageal junction, or esophageal adenocarcinoma.
  • * Have measurable disease determined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
  • * Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
  • * Human epidermal growth factor receptor 2 (HER2) negative disease, defined as immunohistochemistry (IHC) (0, or 1+) or fluorescence in situ hybridization (FISH) negative.
  • * Known programmed death ligand 1 (PD-L1) status at screening, or availability of tumor tissue for local or central PD-L1 testing prior to enrollment.
Exclusion Criteria
  • * Have prior systemic therapy in the locally advanced, unresectable, or metastatic setting.
  • * History of clinically significant, intercurrent lung-specific illnesses including, but not limited to those listed in the protocol.

A Study to Evaluate the Adverse Events, Efficacy, and Optimal Dose of Intravenous (IV) ABBV-400 in Combination With IV Fluorouracil, Leucovorin, and Budigalimab in Adult Participants With Locally Advanced Unresectable or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma

Location Details

NCT06628310


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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations


RECRUITING

United States, California

City of Hope National Medical Center /ID# 268690

Duarte, California, United States, 91010

RECRUITING

United States, California

City of Hope Orange County Lennar Foundation Cancer Center /ID# 272630

Irvine, California, United States, 92618

RECRUITING

United States, California

UCLA - Santa Monica /ID# 270024

Santa Monica, California, United States, 90404

RECRUITING

United States, Mississippi

Hattiesburg Clinic /ID# 268572

Hattiesburg, Mississippi, United States, 39401

RECRUITING

United States, Texas

Millennium Research & Clinical Development /ID# 268540

Houston, Texas, United States, 77090

RECRUITING

China, Beijing

Beijing Cancer Hospital /ID# 268455

Beijing, Beijing, China, 100142

RECRUITING

China, Hubei

Union Hospital - Tongji Medical College /ID# 268796

Wuhan, Hubei, China, 430022

RECRUITING

China, Zhejiang

The first Affiliated Hospital, Zhejiang University School of Medicine /ID# 268782

Hangzhou, Zhejiang, China, 310003

RECRUITING

Israel, Headers

Soroka Medical Center /ID# 268301

Be's sheva, Headers, Israel, 8410101

RECRUITING

Israel, Tel-Aviv

Tel Aviv Sourasky Medical Center /ID# 267755

Tel Aviv, Tel-Aviv, Israel, 6423906

RECRUITING

Israel,

Shaare Zedek Medical Center /ID#

Jerusalem, Israel, 9103102

RECRUITING

Israel,

Hadassah Medical Center-Hebrew University /ID# 267753

Jerusalem, Israel, 91120

RECRUITING

Japan, Chiba

National Cancer Center Hospital East /ID# 268083

Mr. Kashiwa, Chiba, Japan, 277-8577

RECRUITING

Japan, Shizuoka

Shizuoka Cancer Center /ID# 268123

Summary-gun, Shizuoka, Japan, 411-8777

RECRUITING

Japan, Tokyo

National Cancer Center Hospital /ID# 268648

C-Ku, Tokyo, Japan, 104-0045

RECRUITING

Japan, Tokyo

The Cancer Institute Hospital Of JFCR /ID# 268656

Small talk, Tokyo, Japan, 135-8550

RECRUITING

Puerto Rico,

Pan American Center for Oncology Trials /ID# 268833

Rio Piedras, Puerto Rico, 00935

RECRUITING

Taiwan, Taipei

National Taiwan University Hospital /ID# 267666

Taipei City, Taipei, Taiwan, 100

RECRUITING

Taiwan,

Medical University Chunng-Hospital.

composed, Taiwan, 807

RECRUITING

Taiwan,

China Medical University Hospital /ID# 267667

Taichung, Taiwan, 404

RECRUITING

Taiwan,

Taipei Veterans General Hospital /ID# 267664

Taipei City, Taiwan, 112

RECRUITING

Taiwan,

Linkou Chang Gung Memorial Hospital /ID# 267668

Taoyuan City, Taiwan, 333

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