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There are 165 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 or refractory, locally advanced or metastatic gastric or colorectal adenocarcinoma, or specified well-differentiated midgut or hindgut neuroendocrine tumors, may be eligible after at least one systemic regimen; gastric tumors must be CDH17-positive. Treatment consists of fludarabine/cyclophosphamide lymphodepletion followed by a single infusion of autologous CDH17-directed CAR T cells.
ClinicalTrials.gov ID: NCT06055439
TrialFetch AI summary: Adults with CLDN18.2-positive, locally advanced or metastatic pancreatic ductal, gastric/gastroesophageal junction, or biliary tract cancer after at least one systemic treatment for advanced disease receive AZD4360 monotherapy, an investigational CLDN18.2-targeting antibody–drug conjugate that delivers a cytotoxic payload. Patients must have ECOG performance status 0–1; HER2-positive or indeterminate gastric/gastroesophageal junction cancers are excluded.
ClinicalTrials.gov ID: NCT06921928
TrialFetch AI summary: Adults under 70 with metastatic gastrointestinal cancer that has progressed after standard chemotherapy, or who are ineligible for it, and an injectable tumor receive a single intratumoral injection of vvDD-hIL-2-RG-1. This oncolytic vaccinia virus is engineered for tumor-selective activity and expression of membrane-bound human IL-2 to stimulate antitumor T-cell responses.
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 stage IV gastric or GEJ adenocarcinoma limited to peritoneal disease (positive cytology and/or carcinomatosis) after preoperative systemic chemotherapy receive intraperitoneal paclitaxel every 2 weeks perioperatively, with gastrectomy considered at investigator discretion. Paclitaxel is a microtubule-stabilizing cytotoxic agent; HER2 therapy and PD-1 inhibitors may continue, and the trial emphasizes safety and feasibility of IP delivery and surgery in this setting.
ClinicalTrials.gov ID: NCT05977998
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
TrialFetch AI summary: Adults with measurable advanced solid tumors that have progressed after standard therapy or lack a standard treatment option receive a single intravenous infusion of IDOV-Immune. This engineered oncolytic vaccinia virus is designed to replicate preferentially in tumor cells, destroy them, and stimulate antitumor immunity.
ClinicalTrials.gov ID: NCT06910657