What this study is
GEMINI-PeriOp GC study will assess the safety, tolerability, pharmacokinetics (PK) and preliminary anti-tumor activity of novel agents or novel combinations as perioperative treatment in participants with locally advanced resectable gastric, gastroesophageal junction (GEJ), or esophageal adenocarcinoma who have not received previous treatment for the disease.
What's being tested
- Sonesitatug Vedotin
Intervention · DRUG
Sonesitatug Vedotin will be administered as an IV infusion.
- Rilvegostomig
Intervention · DRUG
Rilvegostomig will be administered as an IV infusion.
- Trastuzumab Deruxtecan (T-DXd)
Intervention · DRUG
T-DXd will be administered as an IV infusion.
- Capecitabine
Intervention · DRUG
Capecitabine (Fluoropyrimidine) will be administered orally as chemotherapy standard of care.
- 5-Fluorouracil (5-FU)
Intervention · DRUG
5-FU (Fluoropyrimidine) will be administered as a continuous IV infusion as chemotherapy standard of care.
- FLOT Chemotherapy
Intervention · DRUG
FLOT (5-FU, leucovorin, oxaliplatin, and docetaxel) Chemotherapy will be administered as an IV infusion.
- Calcium folinate
Intervention · DRUG
Calcium folinate will be administered as an IV infusion as chemotherapy standard of care.
Study details
- Official title
- A Master Protocol of an Open-Label, Multi-Drug, Multi-Center, Phase II Platform Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-tumor Activity of Novel Agents or Combinations as Perioperative Treatment in Participants With Locally Advanced Resectable Gastroesophageal Adenocarcinoma (GEMINI-PeriOp GC)
- Sponsor
- AstraZeneca
- Conditions
- Gastroesophageal Adenocarcinoma
- Enrolling
- 100 people
- Starts
- 2025-07-17
- Est. completion
- 2029-07-16
- Design
- Open-label, non-randomized, parallel groups, Phase 2
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Histologically documented gastric, GEJ, or esophageal adenocarcinoma with resectable disease
- Participants who are CLDN18.2-positive in Sub-study 1 or HER2-positive in Sub-study 2; no specific requirements for Sub-study 3
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequate organ and bone marrow function
- Body weight > 35 kg
You can't join if
- Participants had any prior anti-cancer treatment or surgery for the current gastric, GEJ, or esophageal cancer.
- Active or prior documented autoimmune or inflammatory disorders requiring systemic treatment with steroids or other immunosuppressive treatment
- Central nervous system (CNS) pathology
- Uncontrolled infections
- Participants with history of (non-infectious) interstitial lung disease (ILD)/pneumonitis, current ILD/pneumonitis, or suspected ILD/pneumonitis
- History of another primary malignancy
- Participants with any known or suspicious distant metastasis
- Uncontrolled hepatitis B and/or chronic or active hepatitis B
- Current or prior use of immunosuppressive medication within 14 days before the first dose of study intervention
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (70)
56 openResearch Site
Newark, Delaware, United States
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Washington D.C., District of Columbia, United States
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Fairway, Kansas, United States
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North Shores, Michigan, United States
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Pittsburgh, Pennsylvania, United States
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New York, New York, United States
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New York, New York, United States
Completed
63 sites outside the US
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Montreal, Quebec, Canada
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Montreal, Quebec, Canada
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Beijing, China
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Changchun, China
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Changzhi, China
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Chengdu, China
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Chengdu, China
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Fuzhou, China
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Hangzhou, China
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Hangzhou, China
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Kunming, China
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Qingdao, China
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Shanghai, China
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Tbilisi, Georgia
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Tbilisi, Georgia
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Tbilisi, Georgia
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Tbilisi, Georgia
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Florence, Italy
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Milan, Italy
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Milan, Italy
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Milan, Italy
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Pisa, Italy
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Rozzano, Italy
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Udine, Italy
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Vicenza, Italy
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Chūōku, Japan
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Fukuoka, Japan
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Hidaka-shi, Japan
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Kashiwa, Japan
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Kitaadachi-gun, Japan
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Kōtoku, Japan
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Nagoya, Japan
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Osaka, Japan
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Suita-shi, Japan
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Yokohama, Japan
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Barcelona, Spain
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Barcelona, Spain
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Elche, Spain
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Madrid, Spain
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Málaga, Spain
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Ourense, Spain
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Oviedo, Spain
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Santander, Spain
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Valencia, Spain
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Kaohsiung City, Taiwan
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Tainan, Taiwan
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Taipei, Taiwan
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Taoyuan, Taiwan
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Dundee, United Kingdom
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Headington, United Kingdom
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Norwich, United Kingdom
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Toronto, Ontario, Canada
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Shijiazhuang, China
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Modena, Italy
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Osaka, Japan
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Bialystok, Poland
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Warsaw, Poland
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Adapazarı, Turkey (Türkiye)
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Erzurum, Turkey (Türkiye)
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Fatih-Istanbul, Turkey (Türkiye)
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Istanbul, Turkey (Türkiye)
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Bristol, United Kingdom
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London, United Kingdom
Withdrawn
Study team
Sponsor
AstraZeneca
Study ID D9804C00001
CONTACT
AstraZeneca Clinical Study Information Center
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.