Can sequencing immunotherapy before chemo boost stomach cancer outcomes?

NCT ID NCT04069273

First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time

Summary

This phase 2 trial is testing whether giving the immunotherapy drug pembrolizumab first, followed by a combination of ramucirumab and paclitaxel, can shrink tumors and delay progression in people with advanced gastric or gastroesophageal junction adenocarcinoma. The study enrolls about 58 adults with good performance status. Researchers are measuring response rates and side effects to see if this sequenced approach offers an advantage over standard treatment.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
a sequence of pembrolizumab (Keytruda) followed by ramucirumab (Cyramza) plus paclitaxel (Taxol)
What this could lead to
If successful, this sequenced immunotherapy approach could improve tumor shrinkage and delay disease progression in advanced gastric cancer.
What could go wrong
This is a small phase 2 trial, so results may not apply broadly. Combining multiple drugs also raises the risk of side effects like immune reactions or nerve damage.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Froedtert and The Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226, United States

  • Mayo Clinic- Minnesota

    Rochester, Minnesota, 55905, United States

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