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OncoMatch/Clinical Trials/NCT05918094

Comparing Modified XELOX Plus Sintilimab With Standard XELOX Plus Sintilimab in First-line Treatment for HER2-negative Gastric/Gastroesophageal Junction Adenocarcinoma

Is NCT05918094 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies multiple treatments including Experimental dose: modified XELOX + sintilimab and Standard dose: standard XELOX + sintilimab for gastric cancer.

Phase 3RecruitingSun Yat-sen UniversityNCT05918094Data as of Jun 2026Location: China

Treatment: Experimental dose: modified XELOX + sintilimab · Standard dose: standard XELOX + sintilimabThis is a randomized, controlled, multicenter phase Ⅲ study to evaluate the therapeutic efficacy of modified XELOX plus sintilimab versus standard XELOX plus sintilimab in subjects with advanced HER2-negative gastric or gastroesophageal adenocarcinoma in the first-line treatment. The primary outcome is the progression-free survival (PFS), with a planned enrollment of 540 subjects.

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Extracted eligibility criteria

Treatments studied

Other

Experimental dose: modified XELOX + sintilimabStandard dose: standard XELOX + sintilimab

Cancer type

Gastric Cancer

Biomarker criteria

Excluded: HER2 (ERBB2) overexpression

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: immune checkpoint inhibitor (anti-PD-1 antibody, anti-PD-L1 antibody, CTLA-4 antibody)

Prior exposure to any immune checkpoint inhibitors (anti-PD-1 antibody, anti-PD-L1 antibody, CTLA-4 antibody)

Cannot have received: cytotoxic chemotherapy

Receiving antitumor cytotoxic drugs, biological drugs (such as monoclonal antibodies), immunotherapy (such as interleukin 2 or interferon), or other investigational treatments within 4 weeks prior to enrollment

Cannot have received: biological therapy (monoclonal antibodies)

Receiving antitumor cytotoxic drugs, biological drugs (such as monoclonal antibodies), immunotherapy (such as interleukin 2 or interferon), or other investigational treatments within 4 weeks prior to enrollment

Cannot have received: immunotherapy (interleukin 2, interferon)

Receiving antitumor cytotoxic drugs, biological drugs (such as monoclonal antibodies), immunotherapy (such as interleukin 2 or interferon), or other investigational treatments within 4 weeks prior to enrollment

Cannot have received: radiation therapy

Receiving radiotherapy within 4 weeks prior to the first dose

Lab requirements

Blood counts

ANC ≥ 1.5×10^9/L; platelet count ≥ 75×10^9/L; hemoglobin ≥ 7.5 g/dL

Kidney function

serum creatinine (Cr) ≤ 1.5 x ULN, or creatinine clearance >50 mL/min

Liver function

serum total bilirubin (TBIL) ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN in subjects without liver metastases, and ALT and AST ≤ 5.0 × ULN in subjects with liver metastases; serum albumin ≥ 25 g/L

Subjects having adequate organ and bone marrow functions with laboratory test values within 7 days prior to enrollment meeting the following requirements...

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT05918094 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Are patients with ERBB2 alterations eligible?

No. ERBB2 overexpression is an exclusion criterion.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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