Can a vaccine stop stomach cancer from coming back?
NCT ID NCT05771584
First seen Jul 22, 2026 · Last updated Jul 23, 2026 · Updated 1 time
Summary
This phase 2 trial is testing whether a therapeutic cancer vaccine called AST-301 can safely train the immune system to fight HER2-expressing gastric cancer cells. The study enrolls people with stage II or III gastric cancer who have already had surgery and completed standard adjuvant treatment. Participants receive the vaccine plus an immune booster in either 3 or 6 doses, and researchers will monitor for side effects and immune responses, as well as how long participants remain cancer-free.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a therapeutic cancer vaccine called AST-301 (pNGVL3-hICD) plus an immune booster (sargramostim)
- What this could lead to
- If successful, this vaccine could train the immune system to recognize and destroy leftover cancer cells, potentially preventing gastric cancer from coming back after surgery and standard therapy.
- What could go wrong
- This is an early proof-of-concept trial with only 24 participants, so results may not apply broadly. The vaccine may cause side effects or fail to trigger a strong enough immune response to prevent recurrence.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
24 people
The number who actually took part.
- Started
-
Jul 2023
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Underwent a curative surgery with standard lymph node dissection (confirmed with no residual tumor, R0 resection) and have completed standard adjuvant treatment * Has stages II or III according to the 8th edition of the American Joint Committee on Cancer (AJCC) * HER2 low expression and HER2 overexpression diagnosed according to the 2016 College of American Pathologists (CAP)/American Society for Clinical Pathology (ASCP)/American Society of Clinical Oncology (ASCO) guidelines * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 * Demonstrates adequate organ function. Key Exclusion Criteria: * Has a history of hypersensitivity or other contraindications to rhuGM-CSF * Has a history of other malignancies ≤5 years prior to first administration of Investigational Product (IP) except for adequately treated non-melanoma skin cancer or epithelial carcinoma without evidence of disease. * Has received systemic immunosuppressants or were treated with systemic immunosuppressants ≤4 weeks prior to the first administration of Investigational Product (IP). * Has a history of autoimmune disease or inflammatory disease * Has active infection including tuberculosis, hepatitis B, hepatitis C or human immunodeficiency virus (HIV) infection * Is pregnant or breastfeeding or expecting to conceive children
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Chang Gung Memorial Hospital Linkou
Taoyuan, 333, Taiwan
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Chi Mei Medical Center
Tainan, 710, Taiwan
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China Medical University Hospital
Taichung, 404, Taiwan
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Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756, Taiwan
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Taichung Veterans General Hospital
Taichung, 40705, Taiwan
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Taipei Veterans General Hospital
Taipei, 112, Taiwan
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