Avelumab in First-Line Maintenance Gastric Cancer (JAVELIN Gastric 100)

PHASE3CompletedINTERVENTIONAL
Enrollment

499

Participants

Timeline

Start Date

December 24, 2015

Primary Completion Date

September 13, 2019

Study Completion Date

June 3, 2021

Conditions
Unresectable, Locally Advanced or Metastatic, Adenocarcinoma of the Stomach, or of the Gastro Esophageal Junction
Interventions
DRUG

Avelumab

Maintenance Phase: Intravenous (IV) infusion (10 mg/kg over 1 hour) once every 2 weeks.

DRUG

Oxaliplatin

"Induction Phase: Oxaliplatin was administered at a dose of 85 mg per square meter (mg/m\^2) as a continuous intravenous (IV) infusion on Day 1 along with leucovorin followed by 5-Fluorouracil every 2 weeks up to 12 weeks (or) Oxaliplatin at 130 mg/m\^2 IV on Day 1 along with capecitabine twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks up to 12 weeks.~Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation."

DRUG

5-Fluorouracil

Induction Phase: 5-Fluorouracil was administered at a dose of 2600 mg/m\^2 IV continuous infusion over 24 hours on Day 1 (or) 5-FU at 400 mg/m\^2 IV push on Day 1 and 2400 mg/m\^2 IV continuous infusion over 46-48 hours (Days 1 and 2) along with oxaliplatin and leucovorin every 2 weeks up to 12 weeks. Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation.

DRUG

Leucovorin

"Induction Phase: Leucovorin was administered at a dose of 200 mg/m\^2 IV (or) Leucovorin 400 mg/m\^2 IV on Day 1 along with oxaliplatin and 5-FU every 2 weeks up to 12 weeks.~Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation."

DRUG

Capecitabine

"Induction Phase: Capecitabine was administered at a dose of 1000 mg/m\^2 twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks along with oxaliplatin up to 12 weeks.~Maintenance Phase: Participants were continued the same regimen of chemotherapy as they received during the Induction Phase every 3 weeks until disease progression, significant clinical deterioration, unacceptable toxicity, or discontinuation."

OTHER

Best supportive care

Treatment administered with the intent to maximize Quality of Life (QoL) without a specific antineoplastic regimen. These may include for example antibiotics, analgesics, antiemetics, thoracentesis, paracentesis, blood transfusions, nutritional support (including jejunostomy), and focal external-beam radiation for control of pain, cough, dyspnea, or bleeding. Best supportive care were administered per institutional guidelines and participants were visit the clinic every 3 weeks.

DRUG

Oxaliplatin

Induction Phase: Oxaliplatin will be administered at a dose of 85 mg per square meter (mg/m\^2) as a continuous intravenous (IV) infusion on Day 1 along with leucovorin followed by 5-Fluorouracil every 2 weeks up to 12 weeks (or) Oxaliplatin at 130 mg/m\^2 IV on Day 1 along with capecitabine twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks up to 12 weeks.

DRUG

5-Fluorouracil

Induction Phase: 5-Fluorouracil will be administered at a dose of 2600 mg/m\^2 IV continuous infusion over 24 hours on Day 1 (or) 5-FU at 400 mg/m\^2 IV push on Day 1 and 2400 mg/m\^2 IV continuous infusion over 46-48 hours (Days 1 and 2) along with oxaliplatin and leucovorin every 2 weeks up to 12 weeks.

DRUG

Leucovorin

Induction Phase: Leucovorin will be administered at a dose of 200 mg/m\^2 IV (or) Leucovorin 400 mg/m\^2 IV on Day 1 along with oxaliplatin and 5-FU every 2 weeks up to 12 weeks.

DRUG

Capecitabine

Induction Phase: Capecitabine will be administered at a dose of 1000 mg/m\^2 twice daily for 2 weeks followed by a 1-week rest period given every 3 weeks along with oxaliplatin up to 12 weeks.

Trial Locations (200)

104

Mackay Memorial Hospital, Taipei

704

National Cheng Kung University Hospital, Tainan City

1062

Magyar Honvedseg Egeszsegugyi, Budapest

1240

Adana Numune Training and Research Hospital, Adana

2065

Royal North Shore Hospital, St Leonards

2217

St George Hospital, Kogarah

2841

Korea University Anam Hospital, Seoul

3050

Royal Melbourne Hospital, Parkville

3080

Seoul National University Hospital, Seoul

3128

Box Hill Hospital, Box Hill

3350

Ballarat Base Hospital, Ballarat

3550

Bendigo Hospital, Bendigo

3690

Border Medical Oncology, Wodonga

3722

Yonsei University Health System, Seoul

4006

Royal Brisbane and Women's Hospital, Herston

4032

Debreceni Egyetem Klinikai Kozpont, Debrecen

4120

Greenslopes Private Hospital, Greenslopes

4400

SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz, Nyíregyháza

5000

Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet, Szolnok

5042

Flinders Medical Centre, Bedford Park

5100

Azienda Ospedaliera S. Maria Di Terni, Terni

5112

Lyell McEwin Hospital, Elizabeth Vale

6150

Fiona Stanley Hospital, Murdoch

6856

Norwalk Hospital, Norwalk

7000

Royal Hobart Hospital, Hobart

7058

Akdeniz University Medical Faculty, Antalya

7100

Tolna Megyei Balassa Janos Korhaz, Szekszárd

7624

Pecsi Tudomanyegyetem, Pécs

8025

Hospital de la Santa Creu i Sant Pau, Barcelona

8120

Monash Medical Centre Clayton, Bentleigh

8900

Zala Megyei Szent Rafael Korhaz, Zalaegerszeg

9024

Petz Aladar Megyei Oktato Korhaz, Győr

10021

Clinical Research Alliance, Inc, New York

10048

National Taiwan University Hospital, Taipei

10330

King Chulalongkorn Memorial Hospital, Patumwan

10408

National Cancer Center, Goyang-si

10700

Siriraj Hospital, Bangkok

11217

Taipei Veterans General Hospital, Taipei

11432

Mount Sinai - PRIME, Jamaica

13385

Hôpital de la Timone, Marseille

13620

Seoul National University Bundang Hospital, Seongnam-si

14642

University of Rochester, Rochester

18015

St. Luke's Hospital, Bethlehem

19107

Thomas Jefferson University Hospital, Philadelphia

20132

Ospedale San Raffaele, Milan

20133

Fondazione IRCCS Istituto Nazionale dei Tumori, Milan

20141

IEO Istituto Europeo di Oncologia, Milan

20249

Onkologische Schwerpunktpraxis Eppendorf, Hamburg

21079

Centre Georges François Leclerc, Dijon

21080

Dicle University, Medical faculty, Diyarbakır

22087

Marienkrankenhaus Hamburg, Hamburg

25030

CHU Besancon - Hopital Jean Minjoz, Besançon

26100

Azienda Socio Sanitaria Territoriale di Cremona (Istituti Ospitalieri di Cremona), Cremona

28007

Hospital General Universitario Gregorio Marañon, Madrid

28041

Hospital Universitario 12 de Octubre, Madrid

28046

Hospital Universitario La Paz, Madrid

28050

Hospital Universitario HM Madrid Sanchinarro, Madrid

28644

Chungbuk National University Hospital, Cheongju-si

29200

Hôpital Morvan, Brest

29605

Greenville Hospital System University Medical Center (ITOR), Greenville

31059

CHU de Toulouse - Hôpital Rangueil, Toulouse

32806

UF Health Cancer Center Orlando, Orlando

33028

Memorial West Cancer Institute, Pembroke Pines

33076

CHU Bordeaux, Bordeaux

33100

Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Udine

33169

Mersin University Medical Faculty, Mersin

33305

Chang Gung Memorial Hospital, Linkou, Taoyuan District

33606

University of South Florida - Parent, Tampa

34098

Istanbul University Cerrahpasa Medical Faculty, Istanbul

34340

Marmara University Pendik Research and Training Hospital, Istanbul

35042

CRLCC Eugene Marquis, Rennes

35128

IOV - Istituto Oncologico Veneto IRCCS, Padua

37170

CHU Tours - Hôpital Trousseau, Chambray-lès-Tours

40447

China Medical University Hospital, Taichung

40705

Taichung Veterans General Hospital, Taichung

41013

Hospital Universitario Virgen del Rocio, Seville

41380

Kocaeli University Medical Faculty, Kocaeli

41404

Kyungpook National University Medical Center, Daegu

41931

Keimyung University Dongsan Hospital, Daegu

42100

Konya Necmettin Erbakan University Meram Medical Faculty, Konya

43219

Mid Ohio Oncology Hematology, DBA The Mark H. Zangmeister Center, Columbus

44280

Inonu Uni. Med. Fac., Malatya

45206

UC Health Clinical Trials Office, Cincinnati

45220

TriHealth Hatton Institute, Cincinnati

46237

Franciscan St. Francis Health Cancer Center, Indianapolis

47923

Ospedale degli Infermi, Rimini

48108

Inje University Haeundae Paik Hospital, Busan

49933

ICO - Site René Gauducheau, Angers

50141

Azienda Ospedaliera Universitaria Careggi, Florence

50200

Maharaj Nakorn Chiang Mai Hospital, Muang

52403

Cedar Rapids Oncology Project, Cedar Rapids

55131

Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz, Mainz

55407

Virginia Piper Cancer Institute, Minneapolis

58128

Chonnam National University Hwasun Hospital, Hwasun-gun

60068

Oncology Specialists, S.C., Park Ridge

60488

Krankenhaus Nordwest GmbH, Frankfurt am Main

63003

CHU Clermont Ferrand, Clermont-Ferrand

66205

University of Kansas Medical Center Research Institute, Inc., Westwood

66604

Cotton-O'Neil Clinical Research Center, Hematology and Oncology, Topeka

72015

Clinique Victor Hugo - Centre Jean Bernard, Le Mans

73730

Klinikum Esslingen GmbH, Esslingen A. N.

74078

SLK-Kliniken Heilbronn GmbH, Heilbronn

75015

Hôpital Européen Georges Pompidou, Paris

75679

Hôpital Cochin, Paris

76508

Baylor Scott & White Health, Temple

77024

Oncology Consultants, P.A., Houston

78229

University of Texas Health Science Center at San Antonio, San Antonio

80131

Istituto Nazionale Tumori Fondazione G. Pascale, Napoli

Seconda Università degli Studi di Napoli, Napoli

81925

Klinikum Bogenhausen, Munich

83301

Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City

89106

Nevada Cancer Research Foundation, Las Vegas

90095

UCLA Medical Center, Los Angeles

92262

Desert Hematology Oncology Medical Group, Inc., Rancho Mirage

92835

Virginia Crosson Cancer Center, Fullerton

93105

Sansum Clinic, Santa Barbara

93309

Comprehensive Blood & Cancer Center, Bakersfield

93454

Trio - Central Coast Medical Oncology Corporation, Santa Maria

95100

Presidio Ospedaliero Garibaldi Nesima, Catania

97239

Oregon Health & Science University, Portland

97422

Leopoldina Krankenhaus Schweinfurt, Schweinfurt

98109

University of Washington - Seattle Cancer Care Alliance, East Seattle

98405

Northwest Medical Specialties, PLLC, Tacoma

98801

Wenatchee Valley Hospital & Clinics, Wenatchee

100011

Spital Lotus SRL, Ploieşti

115478

"FSBSI Russian Oncological Scientific Center n.a. N.N. Blokhin", Moscow

153040

"RBIH Ivanovo Regional Oncological Dispensary", Ivanovo

163045

"SBIH of Arkhangelsk region Arkhangelsk Clinical Oncological Dispensary", Arkhangelsk

197022

Pavlov First Saint Petersburg State Medical University, Saint Petersburg

"SPb SBIH City Clinical Oncological Dispensary", Saint Petersburg

197758

"FBI Scientific Research Institute of Oncology n. a. N. N. Petrov", Saint Petersburg

200347

S.C Centrul de Oncologie Sf. Nectarie S.R.L, Craiova

300210

S.C Oncocenter Oncologie Clinica S.R.L, Timișoara

300239

S.C Oncomed S.R.L, Timișoara

350040

"SBIH Clinical Oncological Dispensary # 1", Krasnodar

357502

"SBIH of Stavropol territory Pyatigorsk Oncological Dispensary", Pyatigorsk

400015

"Institutul Oncologic Prof. Dr. Ion Chiricuta Cluj Napoca", Cluj-Napoca

407280

S.C Radiotherapy Center Cluj S.R.L, Comuna Floresti

430291

S.C Oncopremium Team S.R.L, Baia Mare

454048

LLC Evimed, Chelyabinsk

644013

"BHI of Omsk region Clinical Oncology Dispensary", Omsk

700483

Institutul Regional de Oncologie Iasi, Iași

02903

Rhode Island Hospital, Providence

75390-9179

University of Texas Southwestern Medical Center, Dallas

06080

Hospital Infanta Cristina, Badajós

40170-110

NOB - Núcleo de Oncologia da Bahia, Salvador

98700-000

Hospital São Lucas da PUCRS, Ijuí

95900-000

Hospital Bruno Born, Lajeado

93510-250

Oncosinos - Clínica de Oncologia - Hospital Regina, Novo Hamburgo

90035-903

Hospital de Clínicas de Porto Alegre, Porto Alegre

90610-000

Hospital São Lucas da PUCRS, Porto Alegre

14784-400

Hospital de Câncer de Barretos-Fundação Pio XII, Barretos

90110-270

IMV - Instituto De Medicina Vascular Hospital Mae de Deus, Porto Alegre

09060-650

CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncologia, Santo André

15090-000

Fundação Faculdade Regional de Medicina de São José do Rio Preto, São José do Rio Preto

01246-000

ICESP - Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira, São Paulo

B3H 2Y9

Queen Elizabeth II Health Sciences Centre, Halifax

L4M 6M2

The Royal Victoria Hospital, Barrie

M3M 0B2

Humber River Hospital, Toronto

M5G 1X5

Mount Sinai Hospital, Toronto

H7M 3L9

Cité de la Santé de Laval, Laval

H2W 1S6

McGill University - Dept. Oncology Clinical Research Program, Montreal

06189

Centre Antoine Lacassagne, Nice

00128

Università Campus Bio-Medico di Roma, Roma

260-8717

Chiba Cancer Center, Chiba

761-0793

Kagawa University Hospital, Kita-gun

241-8515

Kanagawa Cancer Center, Yokohama

860-8556

Kumamoto University Hospital, Kumamoto

980-8574

Tohoku University Hospital, Sendai

951-8566

Niigata Cancer Center Hospital, Niigata

879-5593

Oita University Hospital, Yufu-shi

594-0071

Izumi Municipal Hospital, Izumi-shi

589-8511

Kindai University Hospital, Sayama

350-1298

Saitama Medical University International Medical Center, Hidaka-shi

362-0806

Saitama Cancer Center, Kitaadachi-gun

320-0834

Tochigi Cancer Center, Utsunomiya

104-0045

Nat Cancer Ctr Hosp, Chūōku

105-8470

Toranomon Hospital, Minatoku

890-8520

Kagoshima University Medical And Dental Hospital, Kagoshima

022328

Institutul Clinic Fundeni, Bucharest

030171

Spitalul Clinic Coltea, Bucharest

031864

Hifu Terramed Conformal SRL, Bucharest

05505

Asan Medical Center, Seoul

06591

The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul

03203

Hospital General Universitario de Elche, Elche

08908

ICO l´Hospitalet - Hospital Duran i Reynals, L'Hospitalet de Llobregat

08208

Corporacio Sanitaria Parc Tauli, Sabadell

08035

Hospital Universitari Vall d'Hebron, Barcelona

08036

Hospital Clinic i Provincial de Barcelona, Barcelona

01130

Acibadem Adana Hospital, Adana

06100

Hacettepe University Medical Faculty, Ankara

TQ2 7AA

Derriford Hospital, Torquay

EC1A 7BE

Barts Hospital, London

WC1E 6AG

University College London Hospitals, London

M20 4BX

The Christie, Manchester

CH63 4JY

The Clatterbridge Cancer Centre, Metropolitan Borough of Wirral

HA6 2RN

Mount Vernon Hospital, Northwood

GU2 7XX

Royal Surrey County Hospital, Guildford

DD1 9SY

Ninewells Hospital, Dundee

LS9 7TF

St James's University Hospital, Leeds

All Listed Sponsors
collaborator

Merck KGaA, Darmstadt, Germany

INDUSTRY

lead

EMD Serono Research & Development Institute, Inc.

INDUSTRY

NCT02625610 - Avelumab in First-Line Maintenance Gastric Cancer (JAVELIN Gastric 100) | Biotech Hunter | Biotech Hunter