NCT06256328Active, not recruitingPhase 2
A Study to Investigate the Efficacy and Safety of ONO-4578 in Combination With Nivolumab and Chemotherapy in Chemotherapy-naïve Participants With HER2-negative Unresectable Advanced or Recurrent Gastric Cancer (Including Esophagogastric Junction Cancer)
A Randomized, Multicenter, Double-blind, Phase II Study to Compare the Efficacy and Safety of the Treatment With ONO-4578 in Combination With Nivolumab, Fluoropyrimidine-based and Platinum- Based Chemotherapy (Hereinafter Referred to as Chemotherapy) With Those of the Treatment With Placebo in Combination With Nivolumab and Chemotherapy in Chemotherapy-naïve Participants With Human Epidermal Growth Factor Receptor 2 (HER2)-Negative Unresectable Advanced or Recurrent Gastric Cancer (Including Esophagogastric Junction Cancer)
Source: ClinicalTrials.gov · Last updated 13 Mar 2026
Brief summary (registry, in English)
This study is to compare and evaluate the efficacy and safety of the treatment with ONO-4578 in combination with nivolumab and chemotherapy with those of the treatment with placebo in combination with nivolumab and chemotherapy in chemotherapy-naïve participants with HER2- negative unresectable advanced or recurrent gastric cancer (including esophagogastric junction cancer).
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 226 (actual)
- First submitted
- 23 Jan 2024
- Start date
- 10 Jan 2024
- Primary completion date
- 9 Oct 2025
- Lead sponsor
- Ono Pharmaceutical Co., Ltd.
- Diseases
- Gastric and esophageal cancer
- NCT number
- NCT06256328
What you commit to
- Study type: Interventional · Phase 2
- Participants enrolled: 226
- From 10 Jan 2024 to the primary completion date, 9 Oct 2025
- 63 sites in 3 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Patients with concurrent autoimmune disease or a history of chronic or recurrent autoimmune disease, such as rheumatoid arthritis
Other illness
- Patients who have a history of severe drug-related adverse reactions caused by non- steroidal anti-inflammatory drugs (NSAIDs) or who have complications caused by NSAIDs requiring treatment
Other
- Patients unable to take oral medicines
- Patients with HER2-positive
- Patients with contraindications to nivolumab, oxaliplatin, S-1, or capecitabine
- Patients with headache and/or nausea associated with brain metastasis
Who the study is looking for
- Patients with gastric or esophagogastric junction cancer histologically diagnosed as adenocarcinoma
- Patients have not been treated with systemic chemotherapy as first-line therapy
- Patients who can provide tumor tissue samples
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (63)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Hyogo Cancer Center Coordinator of this site? Confirm its status | Akashi-shi | Japan | Unknown status |
| JOHAS Kansai Rosai Hospital Coordinator of this site? Confirm its status | Amagasaki-shi | Japan | Unknown status |
| Osaka International Cancer Institute Coordinator of this site? Confirm its status | Chuo Ku | Japan | Unknown status |
| Kyushu University Hospital Coordinator of this site? Confirm its status | Fukuoka | Japan | Unknown status |
| NHO Kyushu Cancer Center Coordinator of this site? Confirm its status | Fukuoka | Japan | Unknown status |
| Kansai Medical University Hospital Coordinator of this site? Confirm its status | Hirakata-shi | Japan | Unknown status |
| Hiroshima City Hiroshima Citizens Hospital Coordinator of this site? Confirm its status | Hiroshima | Japan | Unknown status |
| Saitama Cancer Center Coordinator of this site? Confirm its status | Ina-machi, Kitaadati-gun | Japan | Unknown status |
| Ishikawa Prefectural Central Hospital Coordinator of this site? Confirm its status | Kanazawa | Japan | Unknown status |
| Ibaraki Prefectural Central Hospital Coordinator of this site? Confirm its status | Kasama-Shi | Japan | Unknown status |
| National Cancer Center Hospital East Coordinator of this site? Confirm its status | Kashiwa-shi | Japan | Unknown status |
| Kobe City Hospital Organization Kobe City Medical Center General Hospital Coordinator of this site? Confirm its status | Kobe | Japan | Unknown status |
| Cancer Institute Hospital of JFCR Coordinator of this site? Confirm its status | Koto-Ku | Japan | Unknown status |
| Kurashiki Central Hospital Coordinator of this site? Confirm its status | Kurashiki-shi | Japan | Unknown status |
| Matsuyama Red Cross Hospital Coordinator of this site? Confirm its status | Matsuyama | Japan | Unknown status |
| NHO Shikoku Cancer Center Coordinator of this site? Confirm its status | Matsuyama | Japan | Unknown status |
| Kagawa University Hospital Coordinator of this site? Confirm its status | Miki-cho, Kita-gun | Japan | Unknown status |
| IMSUT Hospital, The Institute of Medical Science, The University of Tokyo Coordinator of this site? Confirm its status | Minato-ku | Japan | Unknown status |
| Shizuoka Cancer Center Coordinator of this site? Confirm its status | Nagaizumi-cho,Sunto-gun | Japan | Unknown status |
| Aichi Cancer Center Hospital Coordinator of this site? Confirm its status | Nagoya | Japan | Unknown status |
| Osaka Metropolitan University Hospital Coordinator of this site? Confirm its status | Osaka | Japan | Unknown status |
| Osaki Citizen Hospital Coordinator of this site? Confirm its status | Osaki-Shi | Japan | Unknown status |
| Gunma Prefectural Cancer Center Coordinator of this site? Confirm its status | Ota-Shi | Japan | Unknown status |
| Kitasato University Hospital Coordinator of this site? Confirm its status | Sagamihara-shi | Japan | Unknown status |
| Kindai University Hospital Coordinator of this site? Confirm its status | Sayama-shi | Japan | Unknown status |
| Tohoku University Hospital Coordinator of this site? Confirm its status | Sendai | Japan | Unknown status |
| Keio University Hospital Coordinator of this site? Confirm its status | Shinjuku-ku | Japan | Unknown status |
| Osaka General Medical Center Coordinator of this site? Confirm its status | Sumiyoshi-ku | Japan | Unknown status |
| Osaka Medical and Pharmaceutical University Hospital Coordinator of this site? Confirm its status | Takatsuki-shi | Japan | Unknown status |
| Iwate Medical University Hospital Coordinator of this site? Confirm its status | Yahaba-cho, Shiwa-gun | Japan | Unknown status |
| JCHO Kyushu Hospital Coordinator of this site? Confirm its status | Yahatanishi-ku, Kitakyusyu-shi | Japan | Unknown status |
| Kanagawa Cancer Center Coordinator of this site? Confirm its status | Yokohama | Japan | Unknown status |
| Hallym University Sacred Heart Hospital Coordinator of this site? Confirm its status | Anyang-si | South Korea | Unknown status |
| Dong-A University Hospital Coordinator of this site? Confirm its status | Busan | South Korea | Unknown status |
| Kosin University Gospel Hospital Coordinator of this site? Confirm its status | Busan | South Korea | Unknown status |
| Chungbuk National University Hospital Coordinator of this site? Confirm its status | Cheongju-si | South Korea | Unknown status |
| Keimyung University Dongsan Hospital Coordinator of this site? Confirm its status | Daegu | South Korea | Unknown status |
| Yeungnam University Hospital Coordinator of this site? Confirm its status | Daegu | South Korea | Unknown status |
| Kyungpook National University Chilgok Hospital Coordinator of this site? Confirm its status | Daegu | South Korea | Unknown status |
| National Cancer Center Coordinator of this site? Confirm its status | Goyang-si | South Korea | Unknown status |
| Chonnam National University Hwasun Hospital Coordinator of this site? Confirm its status | Hwasun-gun | South Korea | Unknown status |
| Inha University Hospital Coordinator of this site? Confirm its status | Incheon | South Korea | Unknown status |
| Gachon University Gil Medical Center Coordinator of this site? Confirm its status | Incheon | South Korea | Unknown status |
| jeonbuk National University Hospital Coordinator of this site? Confirm its status | Jeonju | South Korea | Unknown status |
| Seoul National University Bundang Hospital Coordinator of this site? Confirm its status | Seongnam-si | South Korea | Unknown status |
| CHA Bundang Medical Center, CHA University Coordinator of this site? Confirm its status | Seongnam-si | South Korea | Unknown status |
| Samsung Medical Center Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Severance Hospital, Yonsei University Health System Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Kangbuk Samsung Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Korea University Guro Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Kyung Hee University Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| The Catholic University of Korea, Eunpyeong St. Mary's Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Asan Medical Center Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Ajou University Hospital Coordinator of this site? Confirm its status | Suwon | South Korea | Unknown status |
| The Catholic University of Korea St. Vincent's Hospital Coordinator of this site? Confirm its status | Suwon | South Korea | Unknown status |
| Ulsan University Hospital Coordinator of this site? Confirm its status | Ulsan | South Korea | Unknown status |
| Pusan National University Yangsan Hospital Coordinator of this site? Confirm its status | Yangsan | South Korea | Unknown status |
| Kaohsiung Medical University Chung-Ho Memorial Hospital Coordinator of this site? Confirm its status | Kaohsiung City | Taiwan | Unknown status |
| China Medical University Hospital Coordinator of this site? Confirm its status | Taichung | Taiwan | Unknown status |
| National Cheng Kung University Hospital Coordinator of this site? Confirm its status | Tainan | Taiwan | Unknown status |
| Chi Mei Hospital, Liouying Coordinator of this site? Confirm its status | Tainan | Taiwan | Unknown status |
| National Taiwan University Hospital Coordinator of this site? Confirm its status | Taipei | Taiwan | Unknown status |
| Chang Gung Memorial Hospital, Linkou Coordinator of this site? Confirm its status | Taoyuan | Taiwan | Unknown status |
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This page is information, not medical advice. Discuss any trial with your doctor.