Can immunotherapy wipe out stomach cancer before surgery?

NCT ID NCT06250036

First seen Aug 21, 2026 · Last updated Aug 21, 2026

Summary

This trial tests whether giving immunotherapy drugs before surgery can completely eliminate tumors in patients with a specific type of stomach or gastro-esophageal junction cancer that has a high number of genetic mutations. Participants will receive either one drug (zimberelimab) or a combination of two drugs (zimberelimab plus domvanalimab) before undergoing surgery. The main goal is to see how often the cancer completely disappears after this treatment.

What this could mean

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

Active substance
Immunotherapy drugs zimberelimab (PD-1 inhibitor) and domvanalimab (TIGIT inhibitor)
What this could lead to
If successful, this could lead to a new treatment approach that eliminates gastric cancer before surgery, potentially improving cure rates.
What could go wrong
This is an early-phase trial with a small number of patients. The drugs may not work as hoped, and there are risks of immune-related side effects.

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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

  • Addenbrooke's Hospital

    Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom

  • Guy's and St Thomas' NHS Foundation Trust

    London, SE1 9RT, United Kingdom

  • Kent & Canterbury Hospital

    Canterbury, Kent, CT1 3NG, United Kingdom

  • Ninewells hospital and Medical School

    Dundee, DD1 9SY, United Kingdom

  • Royal Devon University Healthcare Foundation Trust

    Exeter, Devon, EX2 5DW, United Kingdom

  • St Bartholomew's Hospital

    London, EC1A 7BE, United Kingdom

  • St James's University hospital

    Leeds, Yorkshire, LS9 7TF, United Kingdom

  • The Royal Free NHS Foundation Trust

    London, NW32QG, United Kingdom

  • The Royal Marsden NHSFT

    London, SW3 6JJ, United Kingdom

  • University College London Hospital NHS Foundation Trust

    London, N15 6UL, United Kingdom

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