{
"info": {
"nct_id": "NCT05052801",
"official_title": "A Randomized, Multi-center, Double-blind, Placebo-controlled Phase 3 Study of Bemarituzumab Plus Chemotherapy Versus Placebo Plus Chemotherapy in Subjects With Previously Untreated Advanced Gastric or Gastroesophageal Junction Cancer With FGFR2b Overexpression",
"inclusion_criteria": "* Adults with histologically documented unresectable, locally advanced or metastatic gastric or gastroesophageal junction cancer not amenable to curative therapy\n* Fibroblast growth factor receptor 2b (FGFR2b) ≥10% 2+/3+ tumor cell staining as determined by centrally performed immunohistochemistry (IHC) testing, based on tumor sample either archival (obtained within 6 months/180 days prior to signing pre-screening informed consent) or a fresh biopsy\n* Eastern Cooperative Oncology Group (ECOG) less than or equal to 1\n* Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumors (RECIST) V 1.1\n* Participant has no contraindications to mFOLFOX6 chemotherapy\n* Adequate organ and bone marrow function:\n\n * absolute neutrophil count greater than or equal to 1.5 times 10^9/L\n * platelet count greater than or equal to 100 times 10^9/L\n * hemoglobin ≥ 9 g/dL without red blood cell (RBC) transfusion within 7 days prior to the first dose of study treatment\n * aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than 3 times the upper limit of normal (ULN) (or less than 5 times ULN if liver involvement). Total bilirubin less than 1.5 times ULN (or less than 2 times ULN if liver involvement); with the exception of participants with Gilbert's disease)\n * calculated or measured creatinine clearance (CrCl) of ≥ 30 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age]) × Mass [kg]/[72 × Creatinine mg/dL]) (x 0.85 if female)\n * international normalized ratio (INR) or prothrombin time (PT) less than 1.5 times ULN except for participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment\nHealthy volunteers allowed\nMust have minimum age of 18 Years\nMust have maximum age of 100 Years",
"exclusion_criteria": "* Prior treatment for metastatic or unresectable disease (Note: prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed if completed more than 6 months prior to first dose of study treatment)\n* Prior treatment with any selective inhibitor of fibroblast growth factor - fibroblast growth factor receptor (FGF-FGFR) pathway\n* Known human epidermal growth factor receptor 2 (HER2) positive\n* Untreated or symptomatic central nervous system (CNS) disease or brain metastases\n* Peripheral sensory neuropathy greater than or equal to Grade 2\n* Clinically significant cardiac disease\n* Other malignancy within the last 2 years (exceptions for definitively treated disease)\n* Chronic or systemic ophthalmological disorders\n* Major surgery or other investigational study within 28 days prior to first dose of study treatment\n* Palliative radiotherapy within 14 days prior to the first dose of study treatment\n* Evidence of or recent history (within 6 months) of corneal defects, corneal ulcerations, keratitis, or keratoconus, history of corneal transplant, or other known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"line": "* Adults with histologically documented unresectable, locally advanced or metastatic gastric or gastroesophageal junction cancer not amenable to curative therapy",
"criterions": [
{
"exact_snippets": "Adults",
"criterion": "age",
"requirements": [
{
"requirement_type": "range",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 18,
"unit": "years"
}
]
}
}
]
},
{
"exact_snippets": "histologically documented",
"criterion": "cancer documentation",
"requirements": [
{
"requirement_type": "method",
"expected_value": "histologically"
}
]
},
{
"exact_snippets": "unresectable",
"criterion": "cancer resectability",
"requirements": [
{
"requirement_type": "resectability",
"expected_value": false
}
]
},
{
"exact_snippets": "locally advanced or metastatic",
"criterion": "cancer stage",
"requirements": [
{
"requirement_type": "stage",
"expected_value": [
"locally advanced",
"metastatic"
]
}
]
},
{
"exact_snippets": "gastric or gastroesophageal junction cancer",
"criterion": "cancer type",
"requirements": [
{
"requirement_type": "type",
"expected_value": [
"gastric",
"gastroesophageal junction"
]
}
]
},
{
"exact_snippets": "not amenable to curative therapy",
"criterion": "curative therapy eligibility",
"requirements": [
{
"requirement_type": "eligibility",
"expected_value": false
}
]
}
]
},
{
"line": "* Fibroblast growth factor receptor 2b (FGFR2b) ≥10% 2+/3+ tumor cell staining as determined by centrally performed immunohistochemistry (IHC) testing, based on tumor sample either archival (obtained within 6 months/180 days prior to signing pre-screening informed consent) or a fresh biopsy",
"criterions": [
{
"exact_snippets": "Fibroblast growth factor receptor 2b (FGFR2b) ≥10% 2+/3+ tumor cell staining",
"criterion": "FGFR2b tumor cell staining",
"requirements": [
{
"requirement_type": "percentage",
"expected_value": {
"operator": ">=",
"value": 10,
"unit": "%"
}
},
{
"requirement_type": "staining intensity",
"expected_value": [
"2+",
"3+"
]
}
]
},
{
"exact_snippets": "centrally performed immunohistochemistry (IHC) testing",
"criterion": "IHC testing",
"requirements": [
{
"requirement_type": "method",
"expected_value": "centrally performed"
}
]
},
{
"exact_snippets": "tumor sample either archival (obtained within 6 months/180 days prior to signing pre-screening informed consent) or a fresh biopsy",
"criterion": "tumor sample",
"requirements": [
{
"requirement_type": "type",
"expected_value": [
"archival",
"fresh biopsy"
]
},
{
"requirement_type": "archival sample timing",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
},
{
"operator": "<=",
"value": 180,
"unit": "days"
}
]
}
}
]
}
]
},
{
"line": "* Eastern Cooperative Oncology Group (ECOG) less than or equal to 1",
"criterions": [
{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) less than or equal to 1",
"criterion": "ECOG performance status",
"requirements": [
{
"requirement_type": "performance status",
"expected_value": {
"operator": "<=",
"value": 1,
"unit": "N/A"
}
}
]
}
]
},
{
"line": "* Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumors (RECIST) V 1.1",
"criterions": [
{
"exact_snippets": "Measurable disease",
"criterion": "disease measurability",
"requirements": [
{
"requirement_type": "measurability",
"expected_value": "measurable"
}
]
},
{
"exact_snippets": "non-measurable, but evaluable disease",
"criterion": "disease measurability",
"requirements": [
{
"requirement_type": "measurability",
"expected_value": "non-measurable"
},
{
"requirement_type": "evaluability",
"expected_value": "evaluable"
}
]
},
{
"exact_snippets": "according to Response Evaluation Criteria in Solid Tumors (RECIST) V 1.1",
"criterion": "disease evaluation criteria",
"requirements": [
{
"requirement_type": "criteria version",
"expected_value": "RECIST V 1.1"
}
]
}
]
},
{
"line": "* Participant has no contraindications to mFOLFOX6 chemotherapy",
"criterions": [
{
"exact_snippets": "no contraindications to mFOLFOX6 chemotherapy",
"criterion": "contraindications to mFOLFOX6 chemotherapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "* Adequate organ and bone marrow function:",
"criterions": [
{
"exact_snippets": "Adequate organ ... function",
"criterion": "organ function",
"requirements": [
{
"requirement_type": "adequacy",
"expected_value": true
}
]
},
{
"exact_snippets": "Adequate ... bone marrow function",
"criterion": "bone marrow function",
"requirements": [
{
"requirement_type": "adequacy",
"expected_value": true
}
]
}
]
},
{
"line": "* absolute neutrophil count greater than or equal to 1.5 times 10^9/L",
"criterions": [
{
"exact_snippets": "absolute neutrophil count greater than or equal to 1.5 times 10^9/L",
"criterion": "absolute neutrophil count",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1.5,
"unit": "10^9/L"
}
}
]
}
]
},
{
"line": "* platelet count greater than or equal to 100 times 10^9/L",
"criterions": [
{
"exact_snippets": "platelet count greater than or equal to 100 times 10^9/L",
"criterion": "platelet count",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100,
"unit": "10^9/L"
}
}
]
}
]
},
{
"line": "* hemoglobin ≥ 9 g/dL without red blood cell (RBC) transfusion within 7 days prior to the first dose of study treatment",
"criterions": [
{
"exact_snippets": "hemoglobin ≥ 9 g/dL",
"criterion": "hemoglobin level",
"requirements": [
{
"requirement_type": "level",
"expected_value": {
"operator": ">=",
"value": 9,
"unit": "g/dL"
}
}
]
},
{
"exact_snippets": "without red blood cell (RBC) transfusion within 7 days prior to the first dose of study treatment",
"criterion": "red blood cell (RBC) transfusion",
"requirements": [
{
"requirement_type": "absence",
"expected_value": true
},
{
"requirement_type": "time frame",
"expected_value": "within 7 days prior to the first dose of study treatment"
}
]
}
]
},
{
"line": "* aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than 3 times the upper limit of normal (ULN) (or less than 5 times ULN if liver involvement). Total bilirubin less than 1.5 times ULN (or less than 2 times ULN if liver involvement); with the exception of participants with Gilbert's disease)",
"criterions": [
{
"exact_snippets": "aspartate aminotransferase (AST) ... less than 3 times the upper limit of normal (ULN) (or less than 5 times ULN if liver involvement)",
"criterion": "aspartate aminotransferase (AST) level",
"requirements": [
{
"requirement_type": "level",
"expected_value": {
"comparisons": [
{
"operator": "<",
"value": 3,
"unit": "times ULN"
}
]
}
},
{
"requirement_type": "condition",
"expected_value": "liver involvement"
}
]
},
{
"exact_snippets": "alanine aminotransferase (ALT) less than 3 times the upper limit of normal (ULN) (or less than 5 times ULN if liver involvement)",
"criterion": "alanine aminotransferase (ALT) level",
"requirements": [
{
"requirement_type": "level",
"expected_value": {
"comparisons": [
{
"operator": "<",
"value": 3,
"unit": "times ULN"
}
]
}
},
{
"requirement_type": "condition",
"expected_value": "liver involvement"
}
]
},
{
"exact_snippets": "Total bilirubin less than 1.5 times ULN (or less than 2 times ULN if liver involvement); with the exception of participants with Gilbert's disease",
"criterion": "total bilirubin level",
"requirements": [
{
"requirement_type": "level",
"expected_value": {
"comparisons": [
{
"operator": "<",
"value": 1.5,
"unit": "times ULN"
}
]
}
},
{
"requirement_type": "condition",
"expected_value": "liver involvement"
},
{
"requirement_type": "exception",
"expected_value": "Gilbert's disease"
}
]
}
]
},
{
"line": "* calculated or measured creatinine clearance (CrCl) of ≥ 30 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age]) × Mass [kg]/[72 × Creatinine mg/dL]) (x 0.85 if female)",
"criterions": [
{
"exact_snippets": "calculated or measured creatinine clearance (CrCl) of ≥ 30 mL/minute",
"criterion": "creatinine clearance (CrCl)",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": ">=",
"value": 30,
"unit": "mL/minute"
}
}
]
},
{
"exact_snippets": "calculated using the formula of Cockcroft and Gault ([140 - Age]) × Mass [kg]/[72 × Creatinine mg/dL]) (x 0.85 if female)",
"criterion": "creatinine clearance calculation method",
"requirements": [
{
"requirement_type": "method",
"expected_value": "Cockcroft and Gault formula"
}
]
}
]
},
{
"line": "* international normalized ratio (INR) or prothrombin time (PT) less than 1.5 times ULN except for participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment",
"criterions": [
{
"exact_snippets": "international normalized ratio (INR) or prothrombin time (PT) less than 1.5 times ULN",
"criterion": "INR or PT",
"requirements": [
{
"requirement_type": "comparison",
"expected_value": {
"operator": "<",
"value": 1.5,
"unit": "times ULN"
}
}
]
},
{
"exact_snippets": "participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment",
"criterion": "anticoagulant therapy",
"requirements": [
{
"requirement_type": "stability",
"expected_value": "stable dose for 6 weeks prior to enrollment"
}
]
}
]
},
{
"line": "Healthy volunteers allowed",
"criterions": [
{
"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
"requirements": [
{
"requirement_type": "status",
"expected_value": "healthy"
}
]
}
]
},
{
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
"requirements": [
{
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
]
}
]
},
{
"line": "Must have maximum age of 100 Years",
"criterions": [
{
"exact_snippets": "maximum age of 100 Years",
"criterion": "age",
"requirements": [
{
"requirement_type": "maximum",
"expected_value": {
"operator": "<=",
"value": 100,
"unit": "Years"
}
}
]
}
]
}
],
"exclusion_lines": [
{
"line": "* Prior treatment for metastatic or unresectable disease (Note: prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed if completed more than 6 months prior to first dose of study treatment)",
"criterions": [
{
"exact_snippets": "Prior treatment for metastatic or unresectable disease",
"criterion": "prior treatment",
"requirements": [
{
"requirement_type": "condition",
"expected_value": [
"metastatic disease",
"unresectable disease"
]
}
]
},
{
"exact_snippets": "prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed if completed more than 6 months prior to first dose of study treatment",
"criterion": "prior adjuvant, neo-adjuvant, and peri-operative therapy",
"requirements": [
{
"requirement_type": "completion time",
"expected_value": {
"operator": ">",
"value": 6,
"unit": "months"
}
}
]
}
]
},
{
"line": "* Prior treatment with any selective inhibitor of fibroblast growth factor - fibroblast growth factor receptor (FGF-FGFR) pathway",
"criterions": [
{
"exact_snippets": "Prior treatment with any selective inhibitor of fibroblast growth factor - fibroblast growth factor receptor (FGF-FGFR) pathway",
"criterion": "prior treatment with selective inhibitor of FGF-FGFR pathway",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* Known human epidermal growth factor receptor 2 (HER2) positive",
"criterions": [
{
"exact_snippets": "Known human epidermal growth factor receptor 2 (HER2) positive",
"criterion": "HER2 status",
"requirements": [
{
"requirement_type": "status",
"expected_value": "positive"
}
]
}
]
},
{
"line": "* Untreated or symptomatic central nervous system (CNS) disease or brain metastases",
"criterions": [
{
"exact_snippets": "Untreated or symptomatic central nervous system (CNS) disease",
"criterion": "central nervous system (CNS) disease",
"requirements": [
{
"requirement_type": "treatment status",
"expected_value": "untreated"
},
{
"requirement_type": "symptom status",
"expected_value": "symptomatic"
}
]
},
{
"exact_snippets": "brain metastases",
"criterion": "brain metastases",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* Peripheral sensory neuropathy greater than or equal to Grade 2",
"criterions": [
{
"exact_snippets": "Peripheral sensory neuropathy greater than or equal to Grade 2",
"criterion": "peripheral sensory neuropathy",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "Grade"
}
}
]
}
]
},
{
"line": "* Clinically significant cardiac disease",
"criterions": [
{
"exact_snippets": "Clinically significant cardiac disease",
"criterion": "cardiac disease",
"requirements": [
{
"requirement_type": "severity",
"expected_value": "clinically significant"
}
]
}
]
},
{
"line": "* Other malignancy within the last 2 years (exceptions for definitively treated disease)",
"criterions": [
{
"exact_snippets": "Other malignancy within the last 2 years",
"criterion": "other malignancy",
"requirements": [
{
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 2,
"unit": "years"
}
}
]
},
{
"exact_snippets": "exceptions for definitively treated disease",
"criterion": "definitively treated disease",
"requirements": [
{
"requirement_type": "exception",
"expected_value": true
}
]
}
]
},
{
"line": "* Chronic or systemic ophthalmological disorders",
"criterions": [
{
"exact_snippets": "Chronic or systemic ophthalmological disorders",
"criterion": "ophthalmological disorders",
"requirements": [
{
"requirement_type": "chronicity",
"expected_value": [
"chronic",
"systemic"
]
}
]
}
]
},
{
"line": "* Major surgery or other investigational study within 28 days prior to first dose of study treatment",
"criterions": [
{
"exact_snippets": "Major surgery ... within 28 days prior to first dose of study treatment",
"criterion": "major surgery",
"requirements": [
{
"requirement_type": "time since",
"expected_value": {
"operator": "<=",
"value": 28,
"unit": "days"
}
}
]
},
{
"exact_snippets": "other investigational study within 28 days prior to first dose of study treatment",
"criterion": "participation in other investigational study",
"requirements": [
{
"requirement_type": "time since",
"expected_value": {
"operator": "<=",
"value": 28,
"unit": "days"
}
}
]
}
]
},
{
"line": "* Palliative radiotherapy within 14 days prior to the first dose of study treatment",
"criterions": [
{
"exact_snippets": "Palliative radiotherapy within 14 days prior to the first dose of study treatment",
"criterion": "palliative radiotherapy",
"requirements": [
{
"requirement_type": "time since last treatment",
"expected_value": {
"operator": "<=",
"value": 14,
"unit": "days"
}
}
]
}
]
},
{
"line": "* Evidence of or recent history (within 6 months) of corneal defects, corneal ulcerations, keratitis, or keratoconus, history of corneal transplant, or other known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer.",
"criterions": [
{
"exact_snippets": "Evidence of or recent history (within 6 months) of corneal defects",
"criterion": "corneal defects",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
},
{
"requirement_type": "recency",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "Evidence of or recent history (within 6 months) of ... corneal ulcerations",
"criterion": "corneal ulcerations",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
},
{
"requirement_type": "recency",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "Evidence of or recent history (within 6 months) of ... keratitis",
"criterion": "keratitis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
},
{
"requirement_type": "recency",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "Evidence of or recent history (within 6 months) of ... keratoconus",
"criterion": "keratoconus",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
},
{
"requirement_type": "recency",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "history of corneal transplant",
"criterion": "corneal transplant",
"requirements": [
{
"requirement_type": "history",
"expected_value": true
}
]
},
{
"exact_snippets": "other known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer",
"criterion": "abnormalities of the cornea",
"requirements": [
{
"requirement_type": "risk",
"expected_value": "increased risk of developing a corneal ulcer"
}
]
}
]
}
],
"miscellaneous_lines": [],
"failed_inclusion": [],
"failed_exclusion": [],
"failed_miscellaneous": []
}