A Phase III, Multicentre, Randomised Controlled Study of Sonesitatug Vedotin in Combination With Capecitabine With or Without Rilvegostomig in First-Line Claudin18.2-Positive, HER2-Negative, Advanced/Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma (CLARITY-Gastric 02)

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Investigational drug late phase More information Active drug More information Moderate burden on patient More information

Trial Details

Sponsor: AstraZeneca (industry)

Phase: 3

Start date: Feb. 3, 2026

Planned enrollment: 2130

Trial ID: NCT07431281
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More trial details at ClinicalTrials.gov More info

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Investigational Drug AI Analysis

chevron Show for: Rilvegostomig (AZD2936)

chevron Show for: AZD0901 (Sonesitatug vedotin, CMG901)

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Goal: To determine whether adding the Claudin18.2-directed antibody–drug conjugate sonesitatug vedotin to fluoropyrimidine-based therapy, with or without the PD-1/TIGIT bispecific antibody rilvegostomig, improves first-line outcomes versus contemporary standard regimens in CLDN18.2-positive, HER2-negative advanced/metastatic gastroesophageal adenocarcinoma, while characterizing safety and supporting the associated CLDN18.2 and PD-L1 diagnostic testing strategy.

Patients: Adults with previously untreated, unresectable locally advanced or metastatic gastric, gastroesophageal junction, or distal esophageal (distal third) adenocarcinoma that is centrally confirmed CLDN18.2-positive and HER2-negative, ECOG 0–1, with RECIST 1.1-assessable disease and adequate organ function. Patients are assigned to cohorts based on centrally confirmed PD-L1 CPS and clinical ICI eligibility: Cohort 1 includes PD-L1–positive and ICI-eligible patients; Cohort 2 includes PD-L1–negative patients or those considered ICI-ineligible.

Design: Global phase III, multicentre, randomized, active-controlled study with two parallel biomarker-defined cohorts. Randomization compares investigational CLDN18.2-directed approaches against current first-line standards within each cohort, with time-to-event follow-up for up to approximately 5 years.

Treatments: Cohort 1 evaluates sonesitatug vedotin plus capecitabine combined with either rilvegostomig (PD-1/TIGIT bispecific) or nivolumab, and compares these against nivolumab plus oxaliplatin-based chemotherapy (CAPOX or FOLFOX). Cohort 2 evaluates sonesitatug vedotin plus capecitabine and compares it against zolbetuximab plus oxaliplatin-based chemotherapy (CAPOX or FOLFOX), with chemotherapy backbone selected per investigator and region. Sonesitatug vedotin (AZD0901) is a CLDN18.2-targeted ADC delivering the microtubule inhibitor MMAE via a cleavable linker; it is designed to exploit CLDN18.2 expression on tumor cells for internalization and payload-mediated cytotoxicity. In phase 1 CLDN18.2-positive gastric/GEJ cohorts, confirmed ORR has been reported in the ~28–33% range with median duration of response about 8 months, with notable toxicities including nausea/vomiting, cytopenias, and risk of peripheral neuropathy consistent with an MMAE payload. Rilvegostomig (AZD2936) is an Fc-silenced IgG1 bispecific antibody targeting PD-1 and TIGIT to enhance antitumor T-cell activity; early phase data in advanced solid tumors suggest manageable immune-related toxicity and pharmacodynamic receptor occupancy, with modest single-agent activity in heavily pretreated populations. Nivolumab is a PD-1 inhibitor used as part of standard first-line immunochemotherapy in appropriate patients, and zolbetuximab is an anti-CLDN18.2 monoclonal antibody used with fluoropyrimidine/oxaliplatin chemotherapy in CLDN18.2-positive disease.

Outcomes: The primary endpoint is progression-free survival (RECIST 1.1) in both Cohort 1 and Cohort 2. Overall survival is also a primary endpoint in Cohort 1 and a secondary endpoint in Cohort 2, with additional prespecified comparisons in Cohort 1 (including OS and PFS for the sonesitatug vedotin plus nivolumab regimen versus nivolumab-based standard therapy). Key secondary endpoints include objective response rate, duration of response, safety/tolerability (AEs/SAEs), pharmacokinetics (Cmax/Cmin) for sonesitatug vedotin (both cohorts) and rilvegostomig (Cohort 1), and immunogenicity (anti-drug antibodies) for both agents.

Burden on patient: Moderate burden. Treatment involves repeated intravenous infusions (sonesitatug vedotin and, in Cohort 1, rilvegostomig or nivolumab) plus continuous oral capecitabine, with standard-of-care-like imaging for RECIST assessment over long-term follow-up. Additional study-specific requirements include prospective central biomarker testing (CLDN18.2 and PD-L1) that may require submission of archival tissue and could necessitate a new biopsy if adequate material is not available, as well as serial pharmacokinetic and immunogenicity blood sampling for investigational agents (more than routine clinical practice). The ADC payload and combination strategies increase the likelihood of closer clinical monitoring for hematologic toxicity, gastrointestinal adverse events, neuropathy, and immune-related events compared with chemotherapy alone.

Last updated: Feb 2026

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Status: Withdrawn

Research Site

Vienna, 1090, Austria

No email / No phone

Status: Withdrawn

Research Site

Rankweil, 6830, Austria

No email / No phone

Status: Withdrawn

Research Site

Heidelberg, 69120, Germany

No email / No phone

Status: Withdrawn

Research Site

Mannheim, 68167, Germany

No email / No phone

Status: Withdrawn

Research Site

Varanasi, 221005, India

No email / No phone

Status: Withdrawn

Research Site

New Haven, Connecticut, 06510, United States

No email / No phone

Status: Withdrawn

Research Site

Washington D.C., District of Columbia, 20007, United States

No email / No phone

Status: Withdrawn

Research Site

Atlanta, Georgia, 30342, United States

No email / No phone

Status: Withdrawn

Research Site

White Plains, New York, 10601, United States

No email / No phone

Status: Withdrawn

Research Site

Cleveland, Ohio, 44195, United States

No email / No phone

Status: Withdrawn

Research Site

Falls Church, Virginia, 22042, United States

No email / No phone

Status: Withdrawn

Research Site

Darlinghurst, 2010, Australia

No email / No phone

Status: SUSPENDED

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