AI could predict which stomach cancer patients benefit from Pre-Surgery therapy
NCT ID NCT07401199
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is developing an artificial intelligence (AI) system to predict how well gastric cancer will respond to chemotherapy and immunotherapy given before surgery. Researchers will collect data from 2,000 patients with locally advanced gastric cancer. The AI will analyze standard CT scans and tissue samples to forecast if the tumor will completely disappear after treatment. If accurate, this tool could help doctors choose the best treatment for each patient.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Artificial intelligence system (DeepComp) analyzing CT images and pathology slides
- What this could lead to
- If successful, this AI tool could help doctors personalize treatment plans for gastric cancer patients, avoiding unnecessary side effects.
- What could go wrong
- This is an observational study to develop and validate the AI model, not a treatment trial. The AI may not be accurate enough for real-world use, and results are still early.
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.
- Participants
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About 2,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients with locally advanced gastric cancer who are admitted to the participating centers and are scheduled to undergo neoadjuvant chemo-immunotherapy according to real-world clinical practice.
- Ages
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18 years and older
- 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.
Inclusion Criteria: Age ≥ 18 years. Histologically confirmed gastric or gastroesophageal junction adenocarcinoma. Clinical stage cT3-4a, N+, M0 (locally advanced) assessed by CT/MRI and endoscopic ultrasound. Scheduled to receive neoadjuvant chemotherapy combined with PD-1 inhibitors (regimens including but not limited to SOX/XELOX + Sintilimab/Tislelizumab/Camrelizumab, etc.) as standard of care. Availability of standard pre-treatment contrast-enhanced abdominal CT images. Willingness to provide peripheral blood samples and tumor tissue (biopsy/surgical) for sequencing and analysis. ECOG performance status 0-1. Adequate organ function to tolerate systemic chemotherapy. Exclusion Criteria: Evidence of distant metastasis (Stage IV) or unresectable disease. Previous systemic anti-tumor therapy for gastric cancer (chemotherapy, radiotherapy, or immunotherapy). History of other malignancies within the past 5 years. Active autoimmune diseases requiring systemic immunosuppressive treatment (contraindication for PD-1 inhibitors). Emergency surgery due to obstruction, perforation, or uncontrolled bleeding. Severe metallic artifacts on CT images that interfere with radiomic feature extraction. Pregnancy or lactation.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
9 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Baoding Central Hospital
RECRUITINGBaoding, None Selected, 050011, China
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Cangzhou People's Hospital
RECRUITINGCangzhou, Hebei, 050011, China
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Hengshui People's Hospital
RECRUITINGHengshui, Hebei, 053099, China
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Renmin Hospital of Wuhan University
RECRUITINGWuhan, Hubei, 430065, China
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Shijiazhuang People's Hospital
RECRUITINGShijiazhuang, None Selected, 050011, China
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The Fifth Affiliated Hospital of Anhui Medical University
RECRUITINGFuyang, Anhui, 050011, China
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The Second Affiliated Hospital of Xingtai Medical College
RECRUITINGXingtai, Hebei, 050011, China
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Yichang Central Hospital
RECRUITINGYichang, Hubei, 448000, China
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the Fourth Hospital of Hebei Medical University
RECRUITINGShijiazhuang, None Selected, 050011, China
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Other studies related to the condition(s) this trial covers.
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- Can a guided missile for chemo hit tumors harder and spare healthy tissue?
- Can robotic tools make stomach cancer surgery safer and faster?
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- Can a new tracer reveal hidden tumors?