New drug duo aims to wipe out stomach cancer before surgery
NCT ID NCT07477444
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tests whether adding two targeted drugs (zanidatamab and tislelizumab) to standard chemotherapy can completely eliminate HER2-positive gastroesophageal cancer before surgery. About 29 adults with operable, locally advanced disease will receive the combination before and after tumor removal. The main goals are safety and seeing if the cancer disappears entirely in the removed tissue.
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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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About 29 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2033
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.
- 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: * Voluntary written informed consent from the participant or their legally authorized representative * At least 18 years of age at the time of signing the consent form * Agreement to use highly effective birth control methods for both male and female patients * WHO-ECOG performance status of 0 or 1 * Histologically proven HER2-positive gastroesophageal, esophageal, or gastric adenocarcinoma * Localized, resectable disease that is fit for perioperative treatment, including surgery * Adequate hepatic function * Adequate renal function with an estimated Glomerular Filtration Rate (GFR) \> 50 mL/min * Adequate hematologic function * Cardiac ejection fraction Exclusion Criteria: * Prior neoadjuvant or definitive chemoradiation * Squamous cell cancer of the esophagus * Metastatic or unresectable gastroesophageal cancer * Active or relapsing autoimmune diseases, with exceptions for controlled Type 1 diabetes, hypothyroidism (hormone replacement only), controlled celiac disease, or certain skin diseases not requiring systemic treatment * Known hypersensitivity to zanidatamab, tislelizumab, or any of their excipients * Known Dihydropyrimidine Dehydrogenase (DPD) deficiency * Active infections requiring systemic treatment * History of significant cardiac disease * Previous malignancy within the last 5 years * Current participation in another interventional Trial involving an investigational medicinal product or device
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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 official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
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Other studies related to the condition(s) this trial covers.
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