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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.
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

Full criteria on ClinicalTrials.gov

Sites (63)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hyogo Cancer Center
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Akashi-shiJapanUnknown status
JOHAS Kansai Rosai Hospital
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Amagasaki-shiJapanUnknown status
Osaka International Cancer Institute
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Chuo KuJapanUnknown status
Kyushu University Hospital
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FukuokaJapanUnknown status
NHO Kyushu Cancer Center
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FukuokaJapanUnknown status
Kansai Medical University Hospital
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Hirakata-shiJapanUnknown status
Hiroshima City Hiroshima Citizens Hospital
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HiroshimaJapanUnknown status
Saitama Cancer Center
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Ina-machi, Kitaadati-gunJapanUnknown status
Ishikawa Prefectural Central Hospital
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KanazawaJapanUnknown status
Ibaraki Prefectural Central Hospital
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Kasama-ShiJapanUnknown status
National Cancer Center Hospital East
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Kashiwa-shiJapanUnknown status
Kobe City Hospital Organization Kobe City Medical Center General Hospital
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KobeJapanUnknown status
Cancer Institute Hospital of JFCR
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Koto-KuJapanUnknown status
Kurashiki Central Hospital
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Kurashiki-shiJapanUnknown status
Matsuyama Red Cross Hospital
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MatsuyamaJapanUnknown status
NHO Shikoku Cancer Center
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MatsuyamaJapanUnknown status
Kagawa University Hospital
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Miki-cho, Kita-gunJapanUnknown status
IMSUT Hospital, The Institute of Medical Science, The University of Tokyo
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Minato-kuJapanUnknown status
Shizuoka Cancer Center
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Nagaizumi-cho,Sunto-gunJapanUnknown status
Aichi Cancer Center Hospital
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NagoyaJapanUnknown status
Osaka Metropolitan University Hospital
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OsakaJapanUnknown status
Osaki Citizen Hospital
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Osaki-ShiJapanUnknown status
Gunma Prefectural Cancer Center
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Ota-ShiJapanUnknown status
Kitasato University Hospital
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Sagamihara-shiJapanUnknown status
Kindai University Hospital
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Sayama-shiJapanUnknown status
Tohoku University Hospital
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SendaiJapanUnknown status
Keio University Hospital
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Shinjuku-kuJapanUnknown status
Osaka General Medical Center
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Sumiyoshi-kuJapanUnknown status
Osaka Medical and Pharmaceutical University Hospital
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Takatsuki-shiJapanUnknown status
Iwate Medical University Hospital
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Yahaba-cho, Shiwa-gunJapanUnknown status
JCHO Kyushu Hospital
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Yahatanishi-ku, Kitakyusyu-shiJapanUnknown status
Kanagawa Cancer Center
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YokohamaJapanUnknown status
Hallym University Sacred Heart Hospital
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Anyang-siSouth KoreaUnknown status
Dong-A University Hospital
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BusanSouth KoreaUnknown status
Kosin University Gospel Hospital
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BusanSouth KoreaUnknown status
Chungbuk National University Hospital
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Cheongju-siSouth KoreaUnknown status
Keimyung University Dongsan Hospital
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DaeguSouth KoreaUnknown status
Yeungnam University Hospital
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DaeguSouth KoreaUnknown status
Kyungpook National University Chilgok Hospital
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DaeguSouth KoreaUnknown status
National Cancer Center
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Goyang-siSouth KoreaUnknown status
Chonnam National University Hwasun Hospital
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Hwasun-gunSouth KoreaUnknown status
Inha University Hospital
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IncheonSouth KoreaUnknown status
Gachon University Gil Medical Center
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IncheonSouth KoreaUnknown status
jeonbuk National University Hospital
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JeonjuSouth KoreaUnknown status
Seoul National University Bundang Hospital
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Seongnam-siSouth KoreaUnknown status
CHA Bundang Medical Center, CHA University
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Seongnam-siSouth KoreaUnknown status
Samsung Medical Center
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SeoulSouth KoreaUnknown status
Severance Hospital, Yonsei University Health System
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SeoulSouth KoreaUnknown status
Kangbuk Samsung Hospital
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SeoulSouth KoreaUnknown status
Korea University Guro Hospital
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SeoulSouth KoreaUnknown status
Kyung Hee University Hospital
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SeoulSouth KoreaUnknown status
The Catholic University of Korea, Eunpyeong St. Mary's Hospital
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SeoulSouth KoreaUnknown status
Asan Medical Center
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SeoulSouth KoreaUnknown status
Ajou University Hospital
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SuwonSouth KoreaUnknown status
The Catholic University of Korea St. Vincent's Hospital
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SuwonSouth KoreaUnknown status
Ulsan University Hospital
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UlsanSouth KoreaUnknown status
Pusan National University Yangsan Hospital
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YangsanSouth KoreaUnknown status
Kaohsiung Medical University Chung-Ho Memorial Hospital
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Kaohsiung CityTaiwanUnknown status
China Medical University Hospital
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TaichungTaiwanUnknown status
National Cheng Kung University Hospital
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TainanTaiwanUnknown status
Chi Mei Hospital, Liouying
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TainanTaiwanUnknown status
National Taiwan University Hospital
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TaipeiTaiwanUnknown status
Chang Gung Memorial Hospital, Linkou
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TaoyuanTaiwanUnknown status

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This page is information, not medical advice. Discuss any trial with your doctor.