UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059075
Receipt number R000067565
Scientific Title Randomized Phase II trial Evaluating the Efficacy of ZolbEtuximab in the second-line for CLaudin18.2 Positive AdvanceD GAstric/EGJ Cancer Patients Previously Treated with Zolbetuximab and Platinum-Based Chemotherapy (ZELDA trial):Translational Biomarker Research (ZELDA-TR trial)
Date of disclosure of the study information 2025/10/01
Last modified on 2025/09/12 16:50:42

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Basic information

Public title

Randomized Phase II trial Evaluating the Efficacy of ZolbEtuximab in the second-line for CLaudin18.2 Positive AdvanceD GAstric/EGJ Cancer Patients Previously Treated with Zolbetuximab and Platinum-Based Chemotherapy (ZELDA trial):Translational Biomarker Research (ZELDA-TR trial)

Acronym

ZELDA-TR trial

Scientific Title

Randomized Phase II trial Evaluating the Efficacy of ZolbEtuximab in the second-line for CLaudin18.2 Positive AdvanceD GAstric/EGJ Cancer Patients Previously Treated with Zolbetuximab and Platinum-Based Chemotherapy (ZELDA trial):Translational Biomarker Research (ZELDA-TR trial)

Scientific Title:Acronym

ZELDA-TR trial

Region

Japan


Condition

Condition

gastric cancer and esophagogastric junction (EGJ) cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This translational research will perform exploratory and confirmatory analyses in patients enrolled in the ZELDA trial to investigate factors potentially associated with the efficacy and adverse events of chemotherapy involving zolbetuximab.

Basic objectives2

Others

Basic objectives -Others

exploratory validation

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Relationship between CLDN18.2 expression before the start of protocol treatment and therapeutic efficacy

Key secondary outcomes

Relationship between CAV-1 expression and its variation over time and therapeutic efficacy
Relationship between CLDN18.2 expression and its variation over time and treatment course
Relationship between CLDN18.2 expression and its variation over time and CLDN18-ARHGAP fusion
Relationship between CLDN18.2 expression and plasma measurement factors that are measured
Association of liquid-based DNA methylation signatures and liquid-based gene alterations with plasma proteins
Association of liquid-based DNA methylation signature and liquid-based gene alterations that measures before treatment initiation with treatment response
Association of liquid-based DNA methylation signatures that measures before treatment initiation and adverse events
Association between liquid-based DNA methylation signatures before and during treatment initiation and liquid-based gene alterations
Association between changes in plasma DNA methylation signature before and during treatment initiation and the course of treatment
Comparison of liquid-based DNA methylation signatures, liquid-based gene alterations and plasma proteins measured over time to investigate resistance mechanisms


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Subjects who have consented to the ZELDA study and who have provided their written consent for the study after receiving sufficient explanation regarding the content of this study.

Key exclusion criteria

(1) Subjects whose participation in this study is judged inappropriate by the investigator.
(2) Subjects who did not consent to use their samples in the study.

Target sample size

170


Research contact person

Name of lead principal investigator

1st name Eiji
Middle name
Last name Oki

Organization

Kyushu University Hospital

Division name

Department of Advanced Medicine and Innovative Technology

Zip code

812-8582

Address

Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan.

TEL

092-642-5631

Email

oki.eiji.857@m.kyushu-u.ac.jp


Public contact

Name of contact person

1st name Chiaki
Middle name
Last name Inagaki

Organization

Kindai University Faculty of Medicine

Division name

Department of Medical Oncology

Zip code

589-8511

Address

377-2 Ohnohigashi, Osakasayama, Osaka

TEL

072-366-0221

Homepage URL


Email

chiaki_inagaki@med.kindai.ac.jp


Sponsor or person

Institute

Kyushu Studygroup of Clinical Cancer

Institute

Department

Personal name



Funding Source

Organization

Kyushu Studygroup of Clinical Cancer

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyushu University Institutional Review Board for Observational Studies, Faculty of Medical Sciences

Address

Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan.

Tel

092-641-1151

Email

byssien@jimu.kyushu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 10 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 09 Month 02 Day

Date of IRB


Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2029 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

biomarker exploration


Management information

Registered date

2025 Year 09 Month 12 Day

Last modified on

2025 Year 09 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067565