New hope for stomach cancer: targeted drug combo enters human trials
NCT ID NCT05322577
First seen Jun 24, 2026 · Last updated Jul 30, 2026 · Updated 3 times
Summary
This study tests a new drug called bemarituzumab, given together with chemotherapy and an immunotherapy drug (nivolumab), in 72 adults with advanced stomach or gastroesophageal junction cancer that cannot be removed by surgery. The main goals are to check safety and see if the combination shrinks tumors. The trial is for people whose tumors have not been treated before and who have a specific protein (FGFR2b) on their cancer cells.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bemarituzumab (a targeted antibody) combined with chemotherapy (CAPOX or SOX) and the immunotherapy nivolumab
- What this could lead to
- If successful, this could lead to a new combination treatment option for people with advanced stomach or gastroesophageal junction cancer that has not been treated before.
- What could go wrong
- This is an early-phase trial with only 72 participants, so results may not apply to everyone. Side effects from combining multiple cancer drugs could be significant, and the treatment may not shrink tumors as hoped.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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72 people
The number who actually took part.
- Started
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May 2022
- Finished
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Nov 2025
- 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 100 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.
Inclusion Criteria: * Adults with unresectable, locally advanced or metastatic gastric or gastroesophageal junction cancer not amendable to curative therapy. * Ability to provide tumor sample, either archival (obtained within 6 months to joining study) or fresh biopsy. * For certain arms for Part 1, FGFR2b overexpression positive defined as any FGFR2b 2+/3+ TC determined by centrally performed immunohistochemistry (IHC), based on tumor sample provided. * For Part 2, FGFR2b overexpression positive defined as FGFR2b ≥10% 2+/3+ TC determined by centrally performed IHC testing, based on tumor sample provided. * Easter Cooperative Oncology Group (ECOG) performance score less than or equal to 1. * Measurable or non-measurable disease as long as evaluable by Response Evaluation Criteria Solid Tumors (RECIST) version 1.1 * Participant has no contradictions to CAPOX/SOX plus or minus nivolumab. * Adequate organ function. * For Part 2, measurable disease according to RECIST v1.1. Exclusion Criteria: * Prior treatment for metastatic or unresectable disease (Note: prior adjuvant or neo-adjuvant therapy for local disease is allowed if ended more than 6 months of 1st dose). * Prior treatment with any selective inhibitor of fibroblast growth factor - fibroblast growth factor receptor (FGF-FGFR) pathway. * Known human epidermal growth factor receptor 2 (HER2) positive * Untreated or symptomatic central nervous system (CNS) disease or brain metastases. * Peripheral sensory neuropathy greater than or equal to Grade 2. * Clinically significant cardiac disease. * Other malignancy within the last 2 years (exceptions for definitively treated disease). * Chronic or systemic ophthalmological disorders. * Major surgery or other investigational study within 28 days of first study treatment dose. * Palliative radiotherapy within 14 days of first study treatment dose. * Abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer. * History or evidence of systemic disease or ophthalmological disorders requiring chronic use of ophthalmic corticosteroids.
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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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Asan Medical Center
Seoul, 05505, South Korea
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Chiba University Hospital
Chiba, Chiba, 260-8677, Japan
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Dokkyo Medical University Hospital
Shimotsuga-gun, Tochigi, 321-0293, Japan
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Fujita Health University Hospital
Toyoake-shi, Aichi-ken, 470-1192, Japan
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Fukui Prefectural Hospital
Fukui-shi, Fukui, 910-8526, Japan
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Fukushima Medical University Hospital
Fukushima, Fukushima, 960-1295, Japan
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Gifu University Hospital
Gifu, Gifu, 501-1194, Japan
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Gunma Prefectural Cancer Center
Ota-shi, Gunma, 373-8550, Japan
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Gunma University Hospital
Maebashi, Gunma, 371-8511, Japan
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Hirosaki University Hospital
Hirosaki-shi, Aomori, 036-8563, Japan
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Hiroshima City Hiroshima Citizens Hospital
Hiroshima, Hiroshima, 730-8518, Japan
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Hiroshima University Hospital
Hiroshima, Hiroshima, 734-8551, Japan
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IMSUT Hospital, The Institute of Medical Science The University of Tokyo
Minato-ku, Tokyo, 108-8639, Japan
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Ibaraki Prefectural Central Hospital
Kasama-shi, Ibaraki, 309-1793, Japan
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Ishikawa Prefectural Central Hospital
Kanazawa, Ishikawa-ken, 920-8530, Japan
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Kagawa University Hospital
Kita-gun, Kagawa-ken, 761-0793, Japan
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Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515, Japan
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Kochi Health Sciences Center
Kochi, Kochi, 781-8555, Japan
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Korea University Guro Hospital
Seoul, 08308, South Korea
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Kyoto University Hospital
Kyoto, Kyoto, 606-8507, Japan
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Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582, Japan
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National Cancer Center
Goyang-si Gyeonggi-do, 10408, South Korea
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National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045, Japan
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National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280, Japan
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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National University Hospital
Singapore, 119074, Singapore
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Northport Veterans Affairs Medical Center
Northport, New York, 11768, United States
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Ogaki Municipal Hospital
Ogaki-shi, Gifu, 503-8502, Japan
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Okayama University Hospital
Okayama, Okayama-ken, 700-8558, Japan
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Osaka General Medical Center
Osaka, Osaka, 558-8558, Japan
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Osaka Medical and Pharmaceutical University Hospital
Takatsuki-shi, Osaka, 569-8686, Japan
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital Yonsei University Health System
Seoul, 03722, South Korea
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Shizuoka Cancer Center
Sunto-gun, Shizuoka, 411-8777, Japan
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Shizuoka General Hospital
Shizuoka, Shizuoka, 420-8527, Japan
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St Marianna University Hospital
Kawasaki-shi, Kanagawa, 216-8511, Japan
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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The Cancer Institute Hospital of Japanese Foundation for Cancer Research
Koto-ku, Tokyo, 135-8550, Japan
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Tohoku University Hospital
Sendai, Miyagi, 980-8574, Japan
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Toyama University Hospital
Toyama, Toyama, 930-0194, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a personalized menu keep cancer patients stronger through chemotherapy?
- Nerve-Block procedure tested against severe pancreatic and stomach cancer pain
- Robotic surgery vs standard approaches: does the platform change cancer outcomes?
- Can a direct hit to tumors make immunotherapy work better?
- New antibody aims to preserve immune checkpoint while fighting cancer
- Engineered immune cells target two markers on Hard-to-Treat tumors