Stomach cancer patients may soon get immunotherapy as a simple shot instead of an IV drip
NCT ID NCT07043400
First seen Jun 26, 2026 · Last updated Sep 15, 2026 · Updated 8 times
Summary
This phase 3 trial compares a subcutaneous (under-the-skin) injection of tislelizumab to the standard intravenous (IV) infusion, both given with chemotherapy, as a first treatment for advanced stomach or gastroesophageal junction cancer that cannot be removed by surgery or has spread. About 351 adults will take part. The main goal is to see if the shot provides similar drug levels in the body as the IV, while also checking how well the cancer responds and how long it stays controlled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tislelizumab (a cancer immunotherapy drug) given as a shot under the skin or as an IV drip, plus chemotherapy
- What this could lead to
- If it works, this could offer a more convenient way to deliver immunotherapy for advanced stomach cancer, possibly with similar effectiveness to the IV version.
- What could go wrong
- This is an early-stage comparison of drug levels, not a direct test of cure or survival. The shot may not work as well as the IV, and side effects from immunotherapy and chemo can be serious.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 351 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- 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 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: * Histologically confirmed, locally advanced unresectable or metastatic gastric/ gastroesophageal junction (GEJ) adenocarcinoma. * No previous systemic therapy for locally advanced unresectable or metastatic gastric/GEJ cancer. * At least 1 measurable or nonmeasurable lesion per RECIST v1.1 as determined by investigator assessment. * Must be able to provide tumor tissues for biomarker assessment. * Eastern Cooperative Oncology Group (ECOG) Performance Status score ≤ 1. * Adequate organ function. * Women of childbearing potential must be willing to use a highly effective method of birth control for the duration of the study and ≥ 120 days after the last dose of tislelizumab. * Non-sterile males must be willing to use a highly effective method of birth control for the duration of the study and for ≥ 120 days after the last dose of tislelizumab. Exclusion Criteria: * Squamous cell or undifferentiated or other histological type gastric cancer (GC) * Active leptomeningeal disease or uncontrolled brain metastasis. Patients with equivocal findings or with confirmed brain metastases are eligible for enrollment provided that they are asymptomatic and radiologically stable without the need for corticosteroid treatment for ≥ 4 weeks before randomization. * Diagnosis with gastric or GEJ adenocarcinoma with positive human epidermal growth factor receptor 2 (HER2). * Active autoimmune diseases or history of autoimmune diseases that may relapse. * Uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (at least once a week) and/or diuretics within 7 days prior to randomization NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Gastroesophageal junction adenocarcinoma are added.
Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
89 sites in 15 countries. 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Acibadem Adana Hospital
RECRUITINGKuruköprü, 01060, Turkey (Türkiye)
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Affiliated Hospital of Jining Medical University
RECRUITINGJining, Shandong, 272000, China
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Anyang Tumor Hospital
RECRUITINGAnyang, Henan, 455001, China
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Aou Pisana, Stabilimento Di Santa Chiara
RECRUITINGPisa, 56126, Italy
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Asan Medical Center
ACTIVE_NOT_RECRUITINGSongpaGu, Seoul Teugbyeolsi, 05505, South Korea
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Bioresearch Partners Holding Hialeah Hospital
RECRUITINGHialeah, Florida, 33013-3804, United States
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CECAP
RECRUITINGBlumenau, 89035-510, Brazil
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Cambridge University Hospitals Nhs Foundation Trust
RECRUITINGCambridge, CB2 0QQ, United Kingdom
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Cancer Hospital Chinese Academy of Medical Sciences
RECRUITINGBeijing, Beijing Municipality, 100021, China
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Cancer and Blood Specialty Clinic
RECRUITINGLos Alamitos, California, 90720, United States
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Centro de Investigacion Clinica de Oaxaca
RECRUITINGOaxaca City, 68020, Mexico
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Changzhi Peoples Hospital
RECRUITINGChangzhi, Shanxi, 046099, China
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Chru de Brest Hopital Cavale Blanche
RECRUITINGBrest, 29200, France
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Clatterbridge Cancer Centre
RECRUITINGMetropolitan Borough of Wirral, CH63 4JY, United Kingdom
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Comprehensive Cancer Centers of Nevada
RECRUITINGLas Vegas, Nevada, 89169-3321, United States
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Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital
RECRUITINGAnkara, 06200, Turkey (Türkiye)
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Fakultni Nemocnice Hradec Kralove
RECRUITINGHradec Králové, 500 03, Czechia
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Fakultni Nemocnice Olomouc
RECRUITINGOlomouc, 77900, Czechia
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Fondazione Irccs Istituto Nazionale Dei Tumori
RECRUITINGMilan, 20133, Italy
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Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto
RECRUITINGSão José do Rio Preto, 15090-000, Brazil
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Fundacion Cori Para La Investigacion Y Prevencion Del Cancer
RECRUITINGLa Rioja, F5300COE, Argentina
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Ganzhou Peoples Hospital Ganzhou Hospital Affiliated to Nanchang University
RECRUITINGGanzhou, Jiangxi, 341000, China
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Hamamatsu University School of Medicine, University Hospital
RECRUITINGHamamatsushi, Shizuoka, 431-3192, Japan
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Health Pharma Professional Research Sa de Cv
RECRUITINGMexico City, 03100, Mexico
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Henan Cancer Hospital
RECRUITINGZhengzhou, Henan, 450000, China
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Hope and Healing Cancer Services
RECRUITINGHinsdale, Illinois, 60521-0509, United States
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Hopital Claude Huriez Chu Lille
RECRUITINGLille, 59000, France
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Hospital Aleman
RECRUITINGCaba, 1425, Argentina
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Hospital Brasilia
RECRUITINGBrasília, 71681-603, Brazil
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Hospital Clinic de Barcelona
RECRUITINGBarcelona, 08036, Spain
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Hospital Clinico Universitario de Valencia
RECRUITINGValencia, 46010, Spain
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Hospital Santa Rita de Cassia Afecc
RECRUITINGVitória, 29043-260, Brazil
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Hospital Sao Lucas Da Pucrs
RECRUITINGPorto Alegre, 90610-000, Brazil
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Hospital Universiario Onofre Lopes
RECRUITINGNatal, 59012-300, Brazil
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Hospital Universitario Miguel Servet
RECRUITINGZaragoza, 50009, Spain
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Hospital Universitario de Navarra
RECRUITINGPamplona, 31008, Spain
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Hospital de Amor Barretos
RECRUITINGBarretos, 14784-400, Brazil
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Hunterdon Hematology Oncology
RECRUITINGFlemington, New Jersey, 08822-4603, United States
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IMIP
RECRUITINGRecife, 50070-902, Brazil
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Icesp Instituto Do Cancer Do Estado de Sao Paulo Octavio Frias de Oliveira
RECRUITINGSão Paulo, 01246-000, Brazil
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Inca Instituto Nacional de Cancer
RECRUITINGRio de Janeiro, 20231-050, Brazil
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Institut Sainte Catherine
RECRUITINGAvignon, 84000, France
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Institute of Science Tokyo Hospital
RECRUITINGBunkyoku, Tokyo, 113-8519, Japan
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Instituto Alexander Fleming (Iaf)
RECRUITINGCiudad Autonoma Buenos Aires, 1426, Argentina
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Instituto Dor de Pesquisa E Ensino Sao Paulo
RECRUITINGSão Paulo, 01401-004, Brazil
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Irccs Azienda Ospedaliera Metropolitana (Aom)
RECRUITINGGenova, 16132, Italy
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Ironwood Cancer and Research Centers Chandler Ii
RECRUITINGChandler, Arizona, 85224-5665, United States
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Istituto Clinico Humanitas
RECRUITINGRozzano, 20089, Italy
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Japan Community Health Care Organization Kyushu Hospital
RECRUITINGKitakyushu, Fukuoka, 806-0034, Japan
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Krankenhaus Der Barmherzigen Schwestern Linz
RECRUITINGLinz, 4010, Austria
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Kyungpook National University Chilgok Hospital
ACTIVE_NOT_RECRUITINGBukGu, Gyeongsangbukdo, 41404, South Korea
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Masarykuv Onkologicky Ustav
RECRUITINGBrno, 602 00, Czechia
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Matsuyama Red Cross Hospital
RECRUITINGMatsuyama, Ehime, 790 8524, Japan
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Medical Care and Research Sa de Cv
RECRUITINGMérida, 97070, Mexico
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Medical Park Florya Hospital
RECRUITINGSefaköy, 34295, Turkey (Türkiye)
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Medical Park Seyhan Hospital
RECRUITINGAdana, 01060, Turkey (Türkiye)
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Medical Univeristy Vienna
RECRUITINGVienna, 1090, Austria
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Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School
RECRUITINGNanjing, Jiangsu, 210008, China
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Narodowy Instytut Onkologii Im Marii Sklodowskiej Curie W Warszawie
RECRUITINGWarsaw, 02-781, Poland
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National Hospital Organization Hokkaido Cancer Center
RECRUITINGSapporo, Hokkaido, 003-0804, Japan
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Nebraska Hematology Oncology
RECRUITINGLincoln, Nebraska, 68506-7548, United States
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New England Cancer Specialists
RECRUITINGWestbrook, Maine, 04092, United States
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Ninewells Hospital and Medical School
RECRUITINGDundee, DD1 9SY, United Kingdom
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Northwest Medical Specialties
RECRUITINGTacoma, Washington, 98405, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Opolskie Centrum Onkologii
RECRUITINGOpole, 45-061, Poland
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Oregon Oncology Specialists
RECRUITINGSalem, Oregon, 97301, United States
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Orlando Health Cancer Institute Downtown Orlando
RECRUITINGOrlando, Florida, 32806, United States
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Osaka Medical and Pharmaceutical University Hospital
RECRUITINGTakatsukishi, Osaka, 569-8686, Japan
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Osaka Rosai Hospital
RECRUITINGSakaiShi, Osaka, 591-8025, Japan
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Pan American Oncology Trials, Llc
RECRUITINGRio Piedras, 00935, Puerto Rico
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Pratia McM Krakow
RECRUITINGKrakow, 30-727, Poland
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Saitama Cancer Center
RECRUITINGKitaadachigun, Saitama, 362-0806, Japan
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Samsung Medical Center
ACTIVE_NOT_RECRUITINGGangnamGu, Seoul Teugbyeolsi, 06351, South Korea
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Scott and White Memorial Hospital
RECRUITINGTemple, Texas, 76508-0001, United States
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Seoul National University Bundang Hospital
ACTIVE_NOT_RECRUITINGSeongnam-si, Gyeonggi-do, 13620, South Korea
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Seoul National University Hospital
ACTIVE_NOT_RECRUITINGSeoul, Seoul Teugbyeolsi, 03080, South Korea
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Severance Hospital Yonsei University Health System
ACTIVE_NOT_RECRUITINGSeodaemunGu, Seoul Teugbyeolsi, 03722, South Korea
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Shandong Cancer Hospital
RECRUITINGJinan, Shandong, 250117, China
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Shanxi Provincial Cancer Hospital
RECRUITINGTaiyuan, Shanxi, 030013, China
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St Louis Cancer Care, Llp
RECRUITINGBridgeton, Missouri, 63044, United States
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Summit Medical Group
RECRUITINGFlorham Park, New Jersey, 07932-1049, United States
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The First Affiliated Hospital of Wenzhou Medical University
RECRUITINGWenzhou, Zhejiang, 325000, China
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The First Affiliated Hospital of Xiamen University
RECRUITINGXiamen, Fujian, 361003, China
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
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The First Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110001, China
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The Second Hospital of Anhui Medical University
RECRUITINGHefei, Anhui, 230601, China
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The University of Texas Md Anderson Cancer Center
RECRUITINGHouston, Texas, 77030-4009, United States
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Tianjin Medical University Cancer Institute and Hospital
RECRUITINGTianjin, Tianjin Municipality, 300060, China
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Tochigi Cancer Center
RECRUITINGUtsunomiya, Tochigi, 320-0834, Japan
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Tokyo Metropolitan Bokutoh Hospital
RECRUITINGSumidaKu, Tokyo, 130-8575, Japan
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UC Health Cancer Care and Hematology Clinic Memorial Hospital Central
RECRUITINGColorado Springs, Colorado, 80909, United States
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University of Kansas Medical Center Research Institute
RECRUITINGKansas City, Kansas, 66160-8500, United States
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Vanderbilt University
RECRUITINGNashville, Tennessee, 37232, United States
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Vseobecna Fakultni Nemocnice V Praze
RECRUITINGPrague, 10000, Czechia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a direct hit to tumors make immunotherapy work better?
- New antibody aims to preserve immune checkpoint while fighting cancer
- Can a new drug shrink advanced solid tumors?
- Can adding immunotherapy to standard cancer care be safe for indian patients?
- Can a targeted drug duo boost the power of surgery for stomach cancer?
- Blood test may spot hidden stomach cancer recurrence risk