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There are 151 active trials for advanced/metastatic stomach cancer.
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TrialFetch AI summary: This trial enrolls patients with locally advanced or metastatic breast cancer or gastric/gastroesophageal junction adenocarcinoma—either HER2-low or HER2-positive—who have progressed on or are intolerant to standard therapy, and treats them with the combination of disitamab vedotin (an anti-HER2 antibody-drug conjugate delivering MMAE) and tucatinib (a HER2 tyrosine kinase inhibitor). Four cohorts are studied based on tumor type and HER2 expression.
ClinicalTrials.gov ID: NCT06157892
TrialFetch AI summary: This trial enrolls adults with recurrent or metastatic solid tumors—including endometrial, head and neck, pancreatic, colorectal, hepatocellular, gastric, urothelial, ovarian, cervical, biliary tract, certain subtypes of breast cancer, and cutaneous melanoma—whose disease has progressed after standard therapy and who have measurable, biopsiable disease. All patients receive ifinatamab deruxtecan, an investigational B7-H3-directed antibody-drug conjugate delivering a topoisomerase I inhibitor, administered intravenously every three weeks.
ClinicalTrials.gov ID: NCT06330064
TrialFetch AI summary: Adults with measurable, unresectable locally advanced or metastatic solid tumors that have progressed after standard therapies, enrolled in tumor-specific refractory cohorts (e.g., melanoma post–PD-(L)1, SCCHN post platinum/PD-(L)1, HER2-negative gastric/GEJ, HGS ovarian, cervical, endometrial, urothelial, ESCC, pancreatic, mCRPC, nonsquamous NSCLC without drivers, and HR+/HER2– breast cancer after CDK4/6 and chemo). Single-arm therapy is patritumab deruxtecan (HER3-DXd) 5.6 mg/kg IV q3w, an HER3-targeted antibody–drug conjugate delivering a topoisomerase I inhibitor (DXd).
ClinicalTrials.gov ID: NCT06172478
TrialFetch AI summary: Adults with inoperable, advanced, well-differentiated (G1–2) SSTR-positive GEP-NETs that progressed after prior 177Lu-SSA PRRT (with ≥6 months disease control) are randomized to RYZ101 (225Ac-DOTATATE, an SSTR2-targeted alpha-emitting radiopharmaceutical) versus investigator’s choice of everolimus, sunitinib, octreotide, or lanreotide. Key eligibility includes Krenning 3–4 on SSTR-PET, ECOG 0–2, and adequate organ function; excludes prior non–Lu-177 PRRT, radioembolization, significant cardiovascular disease, and cirrhosis.
ClinicalTrials.gov ID: NCT05477576
TrialFetch AI summary: Adults with CLDN18.2-positive advanced solid tumors—specifically gastric/GEJ adenocarcinoma (post up to two lines), untreated metastatic pancreatic ductal adenocarcinoma, and previously treated biliary tract cancer—are enrolled to receive the CLDN18.2-targeted antibody–drug conjugate AZD0901 (sonesitatug vedotin, MMAE payload) as monotherapy or combined with standard pancreatic chemotherapy backbones. Suitable for ECOG 0–1 patients without prior MMAE-ADC or CLDN18.2 therapy (except mAbs) and without significant GI bleeding, ILD/pneumonitis, CNS mets, or grade ≥2 neuropathy.
ClinicalTrials.gov ID: NCT06219941
TrialFetch AI summary: Adults with unresectable/metastatic esophageal, gastric, or GEJ adenocarcinoma after one prior line (or relapse ≤6 months after perioperative therapy), ECOG 0–1, receive ramucirumab plus paclitaxel combined with investigational immunotherapies: agenT‑797 (allogeneic invariant NKT cell therapy targeting CD1d-presented glycolipids), botensilimab (Fc‑enhanced CTLA‑4 inhibitor), and balstilimab (PD‑1 inhibitor). Excludes prior ramucirumab, recent taxane, severe prior irAEs from PD‑(L)1/CTLA‑4, active CNS mets, significant neuropathy, or active viral infections.
ClinicalTrials.gov ID: NCT06251973
TrialFetch AI summary: Adults with metastatic or unresectable gastric or GEJ adenocarcinoma that is CAPRIN-1–positive (≥30% cells at ≥2+) after prior therapy, ECOG 0–1, and candidates for ramucirumab/paclitaxel are randomized to ramucirumab/paclitaxel with or without TRK-950. TRK-950 is a humanized IgG1 monoclonal antibody targeting CAPRIN-1 designed to mediate ADCC/ADCP; doses tested are 5 or 10 mg/kg added to standard ramucirumab/paclitaxel.
ClinicalTrials.gov ID: NCT06038578
TrialFetch AI summary: First-line trial for adults with unresectable/metastatic HER2-positive, PD-L1 CPS ≥1 gastric/GEJ adenocarcinoma (ECOG 0–1) comparing: (A) rilvegostomig (bispecific PD-1/TIGIT antibody) + fluoropyrimidine + trastuzumab deruxtecan, versus (B) pembrolizumab + trastuzumab + FP or CAPOX, and (C) rilvegostomig + trastuzumab + FP or CAPOX. Key outcomes are PFS/OS; excludes significant autoimmune disease, ILD/pneumonitis risk, uncontrolled HBV/HCV, and LVEF <55%.
ClinicalTrials.gov ID: NCT06764875
TrialFetch AI summary: Adults with advanced/metastatic solid tumors (endometrial, gastric, mCRPC, ovarian, colorectal, urothelial, biliary) receive datopotamab deruxtecan (anti‑TROP2 antibody–drug conjugate delivering a topoisomerase I inhibitor) as monotherapy or combined with agents such as capecitabine/5‑FU, bevacizumab ± platinum, prednisone (mCRPC), platinum in urothelial cancer, or bispecific PD‑1/CTLA‑4 (volrustomig) or PD‑1/TIGIT (rilvegostomig) immunotherapies. Key exclusions include active/untreated CNS disease, prior TROP2- or deruxtecan-based ADCs, significant ILD/pneumonitis history, and uncontrolled infections/comorbidities.
ClinicalTrials.gov ID: NCT05489211
TrialFetch AI summary: Adults with unresectable/metastatic HER2-expressing gastric/GEJ/esophageal adenocarcinoma (HER2-positive or HER2-low) receive trastuzumab deruxtecan (anti‑HER2 antibody–drug conjugate delivering a topoisomerase I inhibitor) as monotherapy or combined with fluoropyrimidines and/or checkpoint inhibitors (durvalumab, pembrolizumab, or investigational bispecifics volrustomig [PD‑1/CTLA‑4] and rilvegostomig [PD‑1/TIGIT]); first-line cohorts include a comparator of trastuzumab plus fluoropyrimidine/platinum. Prior trastuzumab exposure is required only for a post-trastuzumab cohort, with key exclusions including active ILD/pneumonitis and untreated CNS metastases.
ClinicalTrials.gov ID: NCT04379596