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There are 157 active trials for advanced/metastatic stomach cancer.
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TrialFetch AI summary: Adults with ECOG 0–1 and advanced/unresectable gastric/GEJ or esophageal adenocarcinoma (post ≥1 line), colorectal adenocarcinoma (post ≥2 lines; anti-EGFR if RAS WT), or hepatocellular carcinoma (treatment‑naive or previously treated) receive cabozantinib (MET/VEGFR2/AXL multikinase inhibitor) plus durvalumab (PD‑L1 inhibitor), with an HCC cohort also getting a single priming dose of tremelimumab (CTLA‑4 antibody). Baseline/on‑treatment biopsies required; prior PD‑1/PD‑L1 generally excluded except per HCC and gastric/esophageal protocol allowances.
ClinicalTrials.gov ID: NCT03539822
TrialFetch AI summary: Adults with relapsed/refractory gastrointestinal cancers (gastric adenocarcinoma [CDH17+], colorectal adenocarcinoma, or well-differentiated mid/hindgut NETs) receive lymphodepleting fludarabine/cyclophosphamide followed by a single infusion of CHM-2101, an autologous third-generation CAR T therapy targeting cadherin-17. Single-arm dose escalation/expansion; bridging chemo allowed between leukapheresis and lymphodepletion.
ClinicalTrials.gov ID: NCT06055439
TrialFetch AI summary: Adults with relapsed/refractory B‑cell non‑Hodgkin lymphoma (any subtype) after ≥2 prior therapies, including those previously treated with CD19 CAR T or ineligible for it, receive a single IV infusion of SynKIR‑310, an autologous CD19‑directed KIR‑CAR T‑cell therapy using a multichain KIR/DAP12 signaling platform designed to enhance persistence and antitumor activity. Includes post‑auto/allo transplant patients (with restrictions) and requires measurable disease and ECOG 0–1.
ClinicalTrials.gov ID: NCT06544265
TrialFetch AI summary: Adults with unresectable locally advanced or metastatic CLDN18.2-positive solid tumors (e.g., gastric/GEJ, pancreatic, esophageal adenocarcinoma, biliary tract cancers) after prior systemic therapy receive BL-M05D1, an IV CLDN18.2-targeting antibody–drug conjugate linking a cathepsin B–cleavable topoisomerase I inhibitor payload, given every 21 days. Key eligibility includes measurable disease, ECOG 0–1, adequate organ function, and prior appropriate targeted/immunotherapy for actionable biomarkers.
ClinicalTrials.gov ID: NCT07021066
TrialFetch AI summary: Adults with CLDN18.2-positive advanced/metastatic PDAC, gastric/GEJ, or biliary tract cancers (ECOG 0–1) after at least one prior systemic therapy receive AZD4360 monotherapy. AZD4360 is an investigational CLDN18.2-targeted agent (modality not disclosed) in first-in-human dose escalation/expansion to assess safety and preliminary efficacy.
ClinicalTrials.gov ID: NCT06921928
TrialFetch AI summary: Adults <70 with metastatic gastrointestinal or peritoneal tumors (esophageal, gastric, colorectal, liver, pancreatic) refractory to standard therapy, with at least one lesion amenable to intratumoral injection. Single intratumoral dose of vvDD-hIL2-2-RG-1, an oncolytic vaccinia virus (double-deleted TK/VGF) engineered to express membrane-tethered IL-2 to promote localized T-cell activation and oncolysis; no combination therapy in this first-in-human, single-dose escalation.
ClinicalTrials.gov ID: NCT07001592
TrialFetch AI summary: Adults with metastatic or unresectable HER2‑negative adenocarcinoma of the esophagus/GEJ/stomach (no prior metastatic therapy; ECOG 0–2) receive an alternating doublet sFOLFOXIRI schedule: mFOLFOX6 on odd cycles and FOLFIRI on even cycles every 2 weeks. Optional nivolumab (PD‑1 inhibitor) may be added per label to enhance antitumor activity.
ClinicalTrials.gov ID: NCT05332002
TrialFetch AI summary: Adults with metastatic, well-differentiated (WHO grade 1–2), SSTR-positive GEP-NETs limited to liver/lymph nodes and eligible for cytoreductive surgery (R1 intent) receive perioperative 177Lu‑DOTATATE PRRT: two neoadjuvant cycles, surgery, then up to two postoperative cycles based on residual disease by 68Ga‑DOTATATE PET/CT. 177Lu‑DOTATATE is a radiolabeled somatostatin analog targeting SSTR2 to deliver beta-emitting lutetium‑177 to tumor cells; patients must have uniform SSTR expression, Ki‑67 ≤20%, ECOG 0–1, and be on stable octreotide LAR.
ClinicalTrials.gov ID: NCT04609592
TrialFetch AI summary: Adults with gastric or Siewert II/III GEJ adenocarcinoma with peritoneal-only metastases and low tumor burden (PCI ≤7) after response to systemic therapy undergo robotic cytoreductive gastrectomy followed by HIPEC with cisplatin (DNA crosslinking platinum) and docetaxel (microtubule-stabilizing taxane). Trial focuses on perioperative safety and recovery metrics in this minimally invasive approach compared with historical open standards.
ClinicalTrials.gov ID: NCT05753306
TrialFetch AI summary: Adults with metastatic, recurrent, or unresectable gastric or GEJ adenocarcinoma (ECOG 0–1), including those previously treated with anti–PD-1 and with PD-L1 CPS/TPS ≥1 in the randomized cohort, receive pembrolizumab (PD-1 inhibitor) plus ramucirumab (VEGFR2 inhibitor) with paclitaxel (or nab-paclitaxel if hypersensitive), comparing two paclitaxel schedules. Key exclusions include significant cardiovascular/bleeding risks, uncontrolled autoimmune or pulmonary disease, active infections (HBV/HCV/HIV), and significant neuropathy.
ClinicalTrials.gov ID: NCT04069273