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An Investigational Study of Immunotherapy Combinations with Chemotherapy in Patients with Gastric or Gastroesophageal Junction (GEJ) Cancers

A Randomized, Open-label, Phase II Clinical Trial of Relatlimab (anti-LAG-3) and Nivolumab in Combination with Chemotherapy Versus Nivolumab in Combination with Chemotherapy as First-Line Treatment in Patients with Gastric or Gastroesophageal Junction Adenocarcinoma

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2018-001069-18-DE
Enrollment
420
Registered
2018-07-05
Start date
2018-11-27
Completion date
Unknown
Last updated
2024-02-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric or Gastroesophageal Junction Adenocarcinoma MedDRA version: 21.1 Level: PT Classification code 10017758 Term: Gastric cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 21.0 Level: LLT Classification code 10056267 Term: Gastroesophageal cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Sponsors

Bristol-Myers Squibb International Corporation
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 - Histologically- or cytologically-confirmed diagnosis of unresectable, locally advanced, or metastatic gastric cancer or GEJ adenocarcinoma - No prior treatment with systemic treatment (including HER 2 inhibitors) given as primary therapy for unresectable, locally advanced, or metastatic GC or GEJ adenocarcinoma Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 294 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 126

Exclusion criteria

Exclusion criteria: - Participants with HER2 positive status - Participants with known untreated central nervous system (CNS) metastases - Uncontrolled or significant cardiovascular disease

Design outcomes

Primary

MeasureTime frame
Main Objective: To compare objective response rate (ORR) of BMS-986213 in combination with chemotherapy, with ORR of nivolumab in combination with chemotherapy, by BICR, in randomized participants with untreated, locally advanced, unresectable or metastatic LAG-3 positive GC or GEJ adenocarcinoma.;Secondary Objective: - To assess overall safety&tolerability of BMS-986213+chemo vs. nivo+chemo in treated participants with advanced or metastatic GC or GEJ cancer -To compare ORR of BMS-986213+chemo, with ORR of nivo+chemo in participants with (i) untreated, locally advanced, unresectable or metastatic LAG-3 pos GC or GEJ adenocarcinoma, (i) advanced or metastatic LAG-3 neg GC or GEJ adenocarcinoma,and overall (Lag-3 pos and neg) -To estimate DOR of BMS-986213+chemo and DOR of nivo+chemo in participants with (i) advanced or metastatic LAG-3 pos GC or GEJ adenocarcinoma (i) advanced or metastatic LAG-3 neg GC or GEJ adenocarcinoma,and the overall population -In participants with untreated,locally advanced,unresectable or metastatic GC or GEJ adenocarcinoma a) in the LAG-3 pos, b) in the neg groups and c) overall to assess (i) the difference in the OS of BMS-986213+chemo and OS of Nivo+chemo, (i) the difference in the PFS of BMS-986213+chemo and PFS of Nivo+chemo ;Primary end point(s): Objective Response Rate (ORR);Timepoint(s) of evaluation of this end point: Up to 22 months

Secondary

MeasureTime frame
Secondary end point(s): a/ Incidence of Adverse Events (AEs) b/ Incidence of Serious Adverse Events (SAEs) c/ Incidence of AEs leading to discontinuation d/ Incidence of death e/ Incidence of laboratory abnormalities f/ Duration of Response (DOR) g/ Overall survival (OS) h/ Progression Free Survival (PFS);Timepoint(s) of evaluation of this end point: a/ Up to 5 years b/ Up to 5 years c/ Up to 5 years d/ Up to 5 years e/ Up to 5 years f/ Up to 5 years g/ Up to 5 years h/ Up to 5 years

Countries

Argentina, Australia, Austria, Belgium, Canada, Chile, Czechia, Czech Republic, France, Germany, Italy, Norway, Poland, Singapore, Spain, United Kingdom, United States

Contacts

Public ContactHead of the GCT-SU

Bristol-Myers Squibb International Corporation

clinical.trials@bms.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026